Patient Care Specialist

San Juan, National Capital Region Dempsey Resource Management Inc.

Posted 8 days ago

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Job Description

Job Summary:
A Patient Care Specialist acts as a liaison between patients, medical staff, and healthcare providers. They help coordinate patient appointments, assist with medical records, address patient concerns, and ensure a smooth and efficient flow of care. The specialist also helps improve the overall patient experience by providing excellent customer service and ensuring that patients’ needs are met in a timely manner. br>
Key Responsibilities:
1. Patient Interaction & Support:
Patient Intake: Greet patients, collect personal and insurance information, and verify patient details.
Patient Communication: Answer patient inquiries via phone, email, or in person. Provide information about treatments, appointments, insurance, and policies.
Appointment Scheduling: Schedule, reschedule, and confirm patient appointments. Ensure proper coordination of appointments with physicians, specialists, or departments.
Patient Advocacy: Serve as a patient advocate, ensuring their concerns are addressed and that they understand their treatment plans, follow-up needs, and care instructions.

2. Administrative Support:
Medical Records Management: Update and maintain accurate patient records in the electronic health record (EHR) system, ensuring compliance with confidentiality and HIPAA regulations.
Insurance Verification: Verify insurance information, assist with claims, and address any billing questions or issues that may arise.
Data Entry: Enter patient data, treatment information, and other relevant records into the healthcare system for tracking and reporting purposes.
Appointment Reminders: Send reminders for upcoming appointments and follow-up visits via calls, texts, or emails.

3. Patient Education:
Care Instructions: Provide patients with pre- and post-care instructions, explaining procedures, medication regimens, and any other necessary healthcare information.
Health Resources: Direct patients to additional resources such as educational materials, support groups, or healthcare providers based on their needs.

4. Coordination of Care:
Referral Coordination: Assist patients in coordinating referrals to specialists or follow-up appointments as recommended by the healthcare provider.
Test Results & Follow-ups: Help ensure patients receive test results and follow-up instructions promptly. Communicate results to patients as directed by healthcare providers.
Team Collaboration: Work closely with physicians, nurses, medical assistants, and other healthcare professionals to ensure that patients receive comprehensive care and that all aspects of their treatment are coordinated.

5. Billing & Payment Assistance:
Insurance Verification: Confirm patient insurance eligibility, coverage, and benefits before appointments.
Billing Support: Assist patients with billing questions, provide cost estimates for procedures, and help them understand their financial responsibilities for services rendered.

6. Patient Advocacy & Experience:
Patient Comfort: Ensure patients are comfortable and informed during their visits, addressing any concerns or anxieties they may have about their care.
Feedback Collection: Gather patient feedback about their experiences and escalate any unresolved issues or complaints to appropriate staff or management.

7. Compliance & Record-Keeping:
Confidentiality & HIPAA Compliance: Ensure all patient data is kept confidential and handled according to HIPAA regulations.
Health Regulations: Stay updated on health regulations, medical office protocols, and best practices for patient care.

Skills & Qualifications:
Education:
Candidate must be a graduate of any 4-year course
Preferably with at least 1 year of related experience in customer service

Key Skills:
Excellent Communication: Ability to communicate clearly and compassionately with patients, families, and healthcare teams.
Empathy & Compassion: A caring attitude and ability to build rapport with patients and help ease their concerns.
Attention to Detail: Ensure accurate data entry, billing information, and patient records are maintained.
Problem-Solving: Ability to troubleshoot patient concerns, resolve scheduling conflicts, and manage billing issues efficiently.
Organizational Skills: Strong ability to juggle multiple tasks, manage appointments, and ensure smooth operations in a busy healthcare environment.
Knowledge of Healthcare Terminology: Understanding of medical terms, insurance policies, and healthcare practices.
Multitasking: Ability to handle multiple tasks simultaneously, including answering phones, assisting patients, and updating records.
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Patient Care Specialist

San Juan, National Capital Region Dempsey Resource Management Inc.

Posted 12 days ago

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Job Description

ob Description:
The Patient Care Specialist primarily attends to patients and customers in the clinic and performs a variety of tasks to ensure that services are provided in an effective and efficient manner. br>
Requirements:
· Candidate must be a graduateof any 4-year course br>· Preferably with at least 1 year of related experience in customer service br>· Must have excellent verbal communication skills. br>
"6 days a week
Onsite
Clinic Hours: 10:00AM-5:00/7:00PM
1 Day Off (Weekday)"
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Patient Care Specialist

San Juan, National Capital Region DEMPSEY RESOURCE MANAGEMENT INC.

Posted 18 days ago

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Job Description

Primarily attends to patients and customers in the clinic and performs a variety of tasks to ensure that services are provided in an effective and efficient manner.
br>· Candidate must be a graduate of any 4-year course br>· Preferably with at least 1 year of related experience in customer service br>· Must have excellent verbal communication skills. br>
PATIENT CARE SPECIALIST - PASAY, QUEZON CITY, ALABANG, MUNTINLUPA, MAKATI, TAGUIG, MANDALUYONG, MORATO, SHANGRILA, CLARK, GREENHILLS SAN JUAN
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Patient Support Representative - Freshers - BPO

Mandaluyong, National Capital Region Orbit Grand Careers

Posted 21 days ago

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Job Description

Job Description:
br>We are hiring enthusiastic and compassionate individuals to join our Healthcare account team. This is an excellent opportunity for fresh graduates or career shifters who are interested in building a career in the healthcare support industry.

Key Responsibilities:

• Answer patient or member queries related to healthcare plans, benefits, and billing < r>• Assist with insurance claims processing, pre-authorizations, and account updates < r>• Coordinate with healthcare providers, facilities, or insurance companies as neede < r>• Maintain accurate and confidential patient information in compliance with HIPAA or data privacy standards < r>• Provide timely, empathetic, and professional service to every interaction < r>
Qualifications:

• Open to fresh graduates < r>• High School graduates with strong communication skills may also be considered < r>• Excellent verbal and written English communication skills < r>• Customer-service oriented and patient in handling sensitive or emotional inquiries < r>• Willing to work on-site and in shifting schedules (including holidays/weekends, if needed) < r>

We offer competitive compensation and a range of benefits to support your growth and well-being:

• Competitive salary packages < r>• Health Maintenance Organization coverage starting on Day 1 < r>• Performance-based incentives < r>• Paid training and opportunities for career advancement < r>• Life insurance and company-sponsored events < r>• 13th month pay and other supplemental bonuses
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Patient Support Representative - Newbie -Voice/Non-Voice - BPO

Mandaluyong, National Capital Region DreamTech Careers

Posted 14 days ago

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Job Description

Job Description:
br>We are hiring enthusiastic and compassionate individuals to join our Healthcare account team. This is an excellent opportunity for fresh graduates or career shifters who are interested in building a career in the healthcare support industry.

Key Responsibilities:

• Answer patient or member queries related to healthcare plans, benefits, and billing < r>• Assist with insurance claims processing, pre-authorizations, and account updates < r>• Coordinate with healthcare providers, facilities, or insurance companies as neede < r>• Maintain accurate and confidential patient information in compliance with HIPAA or data privacy standards < r>• Provide timely, empathetic, and professional service to every interaction < r>
Qualifications:

• Open to fresh graduates < r>• High School graduates with strong communication skills may also be considered < r>• Excellent verbal and written English communication skills < r>• Customer-service oriented and patient in handling sensitive or emotional inquiries < r>• Willing to work on-site and in shifting schedules (including holidays/weekends, if needed) < r>

We offer competitive compensation and a range of benefits to support your growth and well-being:

• Competitive salary packages < r>• Health Maintenance Organization coverage starting on Day 1 < r>• Performance-based incentives < r>• Paid training and opportunities for career advancement < r>• Life insurance and company-sponsored events < r>• 13th month pay and other supplemental bonuses
This advertiser has chosen not to accept applicants from your region.

Sr. Patient Financial Services - Revenue Cycle Management, Healthcare Finance

Manila, Metropolitan Manila Amazon

Posted 12 days ago

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Job Description

Description
Working Conditions:
-Fixed night shift schedule (start time of 9PM but can change depending on business need).
-Report daily to the Pasay office.
-Knowledge of reading an Explanation of Benefits (EOB), denial management and denial codes is required
-Familiarity with Medicare and Medicare Advantage programs
-Minimum 1 year of working experience in Revenue Management Cycle (RCM) preferably in US healthcare
The Finance Operations organization works with every part of Amazon to provide operations accounting and operations excellence services with the highest level of controllership at the lowest cost to the company. We provide the backbone systems and operational processes which completely, accurately, and validly pay Amazon's suppliers, invoice our customers and report financial results. Amazon is quickly building the Finance Operations capabilities in the healthcare industry by creating the Healthcare Finance Operations Services.
As part of the Amazon Healthcare Global Finance Operations Services team, you will find yourself working with exceptionally talented and determined people committed to driving financial improvement, scalability, and process excellence. To support the growth of Amazon HealthCare, this candidate must possess a strong passion for accountability, setting high standards, raising the bar, and driving results through constant focus on improving existing and future state operations, systems, and processes in collaboration with Management.
As we continue to grow and scale our ability to provide innovative primary care across the country, the teams that support this critical work are growing as well. Amazon Healthcare is seeking to hire Patient Financial Services professionals (RCM) for the Revenue Cycle team. As a member of the Revenue Cycle team, you will be working in the Revenue Cycle Team ensuring that our members get the best billing experience available. You will help us to attain this goal by assisting administrators with member inquiries and doing pro-active reach outs to members with large balances.
Key job responsibilities
- Handle tasks via our offline chat using One Medical tools
- Oversee comprehensive revenue cycle management operations while ensuring compliance with healthcare billing regulations.
- Assisting admins with our member's billing needs via 1Life's tasking system to provide the best customer service
- Answering patient inquiries for complex billing cases and questions
- Investigating claims through insurance to ensure they were processed according to the patient benefit plan via internal tools
- Supporting One Medical through processes aimed at empowering our patients to resolve any financial responsibilities
- Reviewing and reconciling patient and insurance balances for accuracy
- Managing the member statement process, by ensuring bills are efficiently and accurately sent
- Maintaining service level agreements in response time to admins and patients
Basic Qualifications
- Minimum a Bachelor's degree in any field
- Prior experience of at least 1 year in Accounts Receivable in RCM or in US healthcare revenue cycle operations.
- Knowledge of reading an Explanation of Benefits (EOB), denial management and denial codes is required
- Familiarity with Medicare and Medicare Advantage programs
- Understanding of Coordination of Benefits and Eligibility
- Customer service exposure to anything related to revenue cycle-billing insurance
- Experience working in shared services environment with productivity targets
- Experience in US healthcare and insurance landscape
- Understanding of basic accounting principles and receivables management
- Proven ability to adhere to policies and procedures, as defined by leadership
Preferred Qualifications
- 2+ yrs experience with US healthcare and health insurance industry
- Prior AR Collections or back office experience
- CRCR cert preferred
- Has led or been part of a team that worked on a Six Sigma belt project / Kaizen / Lean projects
Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit for more information. If the country/region you're applying in isn't listed, please contact your Recruiting Partner.
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