Insurance Healthcare Representative Jobs (NOW HIRING)

What We Offer:

• Enhanced Benefits Package: Enjoy a comprehensive benefits package that includes discretionary paid time off to ensure a healthy work-life balance and a 401(k) plan with employer match.
• Professional Growth Environment: At MFM Health, we are committed to your professional development. We offer continuous opportunities for learning and career advancement in a supportive and collaborative environment.

• Provide excellent customer service to all patients, families, and caregivers.
• Professionally greet patients and visitors as they arrive to the practice.
• Check in patients for their appointments, while confirming and updating demographic and insurance information as necessary.
• Perform insurance eligibility and collect all patient co-payments and outstanding balances.
• Understand various aspects of medical insurance to give accurate answers to any patient insurance inquiries and to ensure appropriate insurance allocation and verification.
• Collect necessary patient signatures on required documents ahead of their appointment, including requesting outside/non-MFM patient medical records, procedure and laboratory test results.
• Assist patients, families, and caregivers with Patient Portal access and encourage Portal use.
• Answer phones, schedule appointments, and manage online portal messages.
• Perform the daily management of Athena Inbox with respect to patient scheduling and staff messages to members of the clinical team, efficiently escalate questions or issues to appropriate clinical resources, as appropriate.
• Process patient requests, including forms, referrals, and prescriptions, and redirect to clinical staff as necessary.
• Track patient medical records for all alerts including quality measures and communicate to provider as appropriate.
• Monitor provider schedules for tardiness or no-shows and communicate with clinical staff and patients appropriately and following Patient Late Arrival and No Show policies.
• Schedule appointments in accordance with office scheduling policies using our EMR, Athena.
• May perform surgical scheduling at local community hospitals.
• Review patient encounters to determine next steps and schedule all follow-up appointments, specialist visits, and diagnosing testing or imaging, as appropriate.
• Provide patients with relevant instructions, educational materials, or community resources in support of ongoing care, testing, and/or referrals.
• Provides cross coverage for other Practice staff members for absences, vacations, etc. and during variations in workflow, as needed.
• Assists with training and orientation of new staff, where applicable.
• Performs all other related tasks which would facilitate the flow of patients through the practice, or which would enhance the quality of service to patients.
• Understand and maintain HIPAA regulations and patient privacy protocols.
• Other duties as assigned by managers and leads.

• High School Diploma or GED required; Associate’s Degree in Business/Secretarial Science or Secretarial Certificate Program desirable.
• 3 years secretarial experience or equivalent in a medical or health care related setting preferred.

• Strong interpersonal, time management, and organizational skills.
•  Outstanding customer service skills, positive attitude, and professional appearance.
• Knowledge of medical terminology, procedures, diagnoses, and health insurance.
• Efficient problem solver.
• Adaptable, flexible, and reliable.
• Ability to multitask in a fast-paced office environment and work either independently or as part of a team.
• Excellent verbal and written communication skills.
• Knowledge of computer and relevant software applications.

About MFM Health

Our mission at MFM Health is to Make Lives Meaningfully Better. We are continually expanding our practice to provide quality, comprehensive, and compassionate care to patients on the North Shore and beyond. We are committed to hiring passionate individuals who are motivated to succeed in a collaborative, patient-centric culture. We pride ourselves on our commitment to excellence, offering services 365 days a year, drive-thru healthcare, and on-site specialty teams and ancillary services.

At MFM Health, we offer excellent benefits, top-notch training, and a vibrant work environment. We believe in celebrating our employees' successes and regularly gather for company-wide parties and events to foster strong team connections. Join us as we continue to grow, investing in our people, programs, and technology to deliver legendary patient service and further our reputation as the provider, practice, and employer of choice!

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