Member Services Representative, Sr. jobs in Austin, TX
Member Services Representative, Sr. addresses more complex health plan or HMO member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Responsible for receiving, responding to, and directing member phone calls and written requests. Being a Member Services Representative, Sr. provides available information upon request and researches or escalates issues as appropriate. Maintains confidentiality per HIPAA guidelines. Additionally, Member Services Representative, Sr. requires a high school diploma or equivalent. Typically reports to a supervisor or manager. The Member Services Representative, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Member Services Representative, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)
Recently Added Member Services Representative, Sr. jobs
Patient Services Representative Sr.
- The US Oncology Network
-
AUSTIN, TX
OTHER
-
Overview:
Texas Oncology is looking for a Patient Services Representative to join our team ! This position will support the xyzMedical Oncology Department at our 6204 Balcones locatio n in Austin, Texas. Typical work week is Monday through Friday, 8:30a - 5:00p.
Sign On Bonus: This position is offering a Sign On Bonus of $2,500.00!!
Note from Hiring Manager: Thank you for taking the time to consider Texas Oncology at Central Austin as your next employer. My name is Adrian and will be the hiring manager for both the open Patient Service Representative (PSR) Float position as well as the open Radiation Oncology PSR position. I'm looking for someone with exceptional skills and expertise, a great attitude, and willingness to provide the highest level of patient care. I encourage my team to always ask questions, make mistakes and try new things, so we'll all reach new heights together. If you are interested in being part of a unique, collaborative, dynamic and energetic team, please take a few minutes to apply.
This position will be hired as a level 1, 2 or Sr based on candidate relevant experience.
Texas Oncology i s the largest community oncology provider in the country and has approximately 600 providers in 220 sites across Texas and southeastern Oklahoma . Our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today-at Texas Oncology, we use leading-edge technology and research to deliver high-quality, high-touch, evidence-based cancer care to help our patients achieve "More breakthroughs. More victories." ® in their fight against cancer. Today, Texas Oncology treats half of all Texa ns diagnosed with cancer on an annual basis.
Why work for us?
Come join our team that is responsible for helping lead Texas Oncology in treating more patient diagnosed with cancer than any other provider in Texas . W e offer our employees a competitive benefits package that includes Medical, Dental, Vision, Life Insurance, Short-term and Long-term disability coverage, a generous PTO program , a 401k plan that comes with a company match, a Wellness program that rewards you practicing a healthy lifestyle , and lots of other great perks such as Tuition Reimbursement, an Employee Assistance program and discounts on some of your favorite retailers.
What does the Patient Services Representative do? (including but not limited to)
Under direct supervision, performs general business office functions that may include some or all of the following: billing and claim submissions; charge capture and payment posting; insurance verification and eligibility; obtaining pre-authorization; counseling patients and families on insurance and payment issues; and account follow-up and payment resolution. As necessary, assists patients and families with obtaining community resources including, but not limited to, housing, transportation, and financial support. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.
Responsibilities:
The essential duties and responsibilities (including but not limited to) :- Ensures all insurance, demographic, and eligibility information is obtained from patients and entered into the system in an accurate and timely manner . Registers patients in the system as necessary.
- Collects and reviews all patient insurance information and completes insurance forms . Collects co-pays, deductibles and other out of pocket amounts at the time of visit.
- Confirms patient insurance verification and eligibility. Obtains pre-authorization of services and/or referrals. Assesses patient financial requirements and advises patients and families on insurance benefits, co-pays and financial obligations.
- Posts line items and adjustments to patient accounts . Balances receipts, reconciles daily work batches and prepares audit trail . Prepares deposits for bank as needed.
- Reviews Explanation of Benefits (EOB) for consistency.
- Submits files and processes all claims for payment . Researches and resolves claim delay issues.
- Resolves patient questions and complaints regarding insurance billing and adjusts accounts as necessary . Resubmits claims and processes all insurance/patient correspondence . Provides all documentation to expedite payment.
- Follows -up on assigned accounts. Uses collection techniques to keep accounts current including monitoring for delinquent payments .
- Sets-up financial arrangements with patients as necessary.
- As necessary, assists patients with researching and obtaining community resources including housing, transportation, drugs and pharmaceutical supplies, and financial resources.
The ideal candidate for the Patient Services Representative will have the following background and experience:
Level 1- High School Diploma or equivalent required .
- This position is entry level and requires 0-3 years of medical business office experience.
Level 2 (in addition to level 1 requirements)- Minimum 3 to 5 years medical business office experience.
Level Sr (in addition to level 1 and 2 requirements)- Minimum five years medical business office experience.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job . Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions . While performing the duties of this job, the employee is regularly required to sit and use hands to finger, handle, or feel . The employee is occasionally required to stand, walk, and reach with hands and arms . The employee must occasionally lift and/or move up to 30 pounds . Requires vision and hearing corrected to normal ranges . Requires vision and hearing corrected to normal ranges.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job . Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions . Work requires frequent interaction with patients and staff.
#USONTX - 2 Days Ago
Member Services Representative Weekend
- Planet Fitness - Excel Fitness
-
Georgetown, TX
PART_TIME
- Grow with us! We’re Excel Fitness, a Planet Fitness franchise group based out of Austin, TX with 130 clubs and growing! Since 2016, we have grown from 16 locations in TX to over 90 locations in 6 stat...
- 17 Days Ago
Member Services Representative Overnight
- Planet Fitness - Excel Fitness
-
Round Rock, TX
FULL_TIME
- Grow with us! We are Excel Fitness, a Planet Fitness franchise group based out of Austin, TX with 130 clubs and growing! Since 2016, we have grown from 16 locations in TX to over 90 locations in 6 sta...
- Just Posted
Member Services Representative 2PM-10PM
- Planet Fitness - Excel Fitness
-
Leander, TX
FULL_TIME
- Grow with us! We’re Excel Fitness, a Planet Fitness franchise group based out of Austin, TX with 90 clubs and growing! Since 2016, we have grown from 16 locations in TX to over 90 locations in 6 state...
- Just Posted
Member Services Representative Overnight
- Planet Fitness - Excel Fitness
-
Bastrop, TX
FULL_TIME
- Grow with us! We are Excel Fitness, a Planet Fitness franchise group based out of Austin, TX with 130 clubs and growing! Since 2016, we have grown from 16 locations in TX to over 90 locations in 6 sta...
- 1 Day Ago
Member Services Representative Overnight
- Planet Fitness - Excel Fitness
-
Georgetown, TX
FULL_TIME
- Grow with us! We are Excel Fitness, a Planet Fitness franchise group based out of Austin, TX with 130 clubs and growing! Since 2016, we have grown from 16 locations in TX to over 90 locations in 6 sta...
- 1 Day Ago
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0 Member Services Representative, Sr. jobs found in Austin, TX area
Senior VMS Client Program Manager
- Workrise
-
Austin, TX
- Workrise is the network that powers the energy industry. By making it easier, faster, and safer to do business in energy...
- 4/25/2024 12:00:00 AM
Food Service Associate II PRN
- Medical Center Trinity
-
Austin, TX
- **Nurse Residency Program** Create healthier tomorrows and start your career as a Nurse Resident at HCA Healthcare There...
- 4/25/2024 12:00:00 AM
Customer Care Representative
- Brookfield Properties
-
Austin, TX
- **Location** Austin - 11501 Alterra Parkway, Suite 100**Business** As part of Brookfield Asset Management one of the lar...
- 4/25/2024 12:00:00 AM
Member Services Representative - Early Afternoon
- Planet Fitness Inc.
-
Round Rock, TX
- Grow with us! We're Excel Fitness, a Planet Fitness franchise group based out of Austin, TX with 90+ clubs and growing! ...
- 4/24/2024 12:00:00 AM
Cedar Park Branch Member Service Representative - Full Time
- Randolph-Brooks Federal Credit Union (RBFCU)
-
Austin, TX
- Job Description and Requirements The RBFCU Branch Operations Team is seeking a full time Branch Member Service Represent...
- 4/24/2024 12:00:00 AM
Customer Service Representative
- David's Bridal, LLC.
-
Austin, TX
- BEST. JOB. EVER! Minimal weekday hours required (join for weekends only!) Generous Team Member discount $400 bonus for e...
- 4/24/2024 12:00:00 AM
Dripping Springs Branch Member Service Representative - Full Time
- Randolph-Brooks Federal Credit Union (RBFCU)
-
Austin, TX
- Job Description and Requirements The RBFCU Branch Operations Team is seeking a full time Branch Member Service Represent...
- 4/22/2024 12:00:00 AM
THECB - Customer Service Rep III, Financial Aid Services
- CAPPS
-
Austin, TX
- Job Description THECB is observing a hybrid telecommuting schedule with employees required to be in the office at least ...
- 4/21/2024 12:00:00 AM
About Austin, Texas
Austin is the capital of the U.S. state of Texas and the seat of Travis County, with portions extending into Hays and Williamson counties. It is the 11th-most populous city in the United States and the 4th-most populous city in Texas. It is also the fastest growing large city in the United States, the second most populous state capital after Phoenix, Arizona, and the southernmost state capital in the contiguous United States. As of the U.S. Census Bureau's July 1, 2017 estimate, Austin had a population of 950,715 up from 790,491 at the 2010 census. The city is the cultural and economic center ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Member Services Representative, Sr. jobs
$47,063 to $58,886
Austin, Texas area prices
were up 1.2% from a year ago
were up 1.2% from a year ago
What does a Member Services Representative, Sr. do?
Member Services Representative, Sr. in Memphis, TN
The Member Service Representative (MSR) provides a high standard of financial service to existing and potential members, processing transactions and building relationships while promoting the products and services of the credit union.
December 24, 2019
Member Services Representative, Sr. in Manchester, NH
Customer Service Representatives interface with customers via inbound calls and/or the Internet for the purpose of resolving routine problems with products or services, specifically insurance plans.
February 13, 2020
Delivers best service possible to members when they have requests or queries, always looking for ways to improve our service to them.
January 15, 2020
Member Services Representative, Sr. in Killeen, TX
Provides such member services as opening new accounts, ordering checks, ATM maintenance, corrections, etc.
February 23, 2020