Part Time Cigna Claims Representative Jobs in Raleigh, NC

About Piedmont Health Services

Piedmont Health Services, Inc. (PHS) is a 501(c)(3) nonprofit and Federally Qualified Health Center (FQHC) in North Carolina. Dedicated to delivering top-tier, accessible, and inclusive primary healthcare, PHS has proudly served for 55 years and remains the largest community health center in central NC. Operating 11 Community Health Centers, two PACE (Program of All-Inclusive Care for the Elderly) SeniorCare facilities, and 2 Mobile Health Units, PHS extends its services to residents across five counties, including Alamance, Caswell, Chatham, Orange, and Lee.

What's an FQHC?

Federally Qualified Health Centers (FQHC) are community-based healthcare providers that receive funds from the Health Resources and Services Administration (HRSA) Health Center Program to provide primary care services in under-served areas.

Job Title: Patient Service Representative (Bilingual)

Department: Case Management 

Reports to: Center Manager

Benefits - 

• Medical, Dental, Vision, Life Insurance (Short & Long Term Disability)
• 403(b) Plan
• 11 Paid Holidays
• CME (Continuing Medical Education)

About Position:

Work Location: Carrboro CHC - 301 Lloyd Street, Carrboro, NC 27510

Work schedule: Part Time (24-32 hours) Monday: 1:00 pm – 8:00 pm, Tuesday: 8:00 am – 5:00 pm, Thursday: 1:00 pm - 8:00 pm,  Saturday: 8:00 am - 1:00 pm. (Other Scheduled Days, As Needed)

Job Summary: 

The Patient Services Representative (Medical & Dental) is responsible to successfully check in medical, dental, and behavioral health patients when they arrive and assure completion of their registration process. The Patient Service Representative (PSR) will schedule patient appointments for our medical and/or dental sites, and complete required documentation prior to patients leaving our healthcare centers. The PSR will coordinate with Center Managers to correct denied claims to minimize our error rate, and ensure patient data is accurate and complete. This position must comply with local, state, federal, industry, and regulatory standards. The PSR must demonstrate an understanding of the HIPAA Privacy Rule and release of medical information, and possess the ability to work independently to process complex patient claims and authorization issues. This position requires excellent customer service skills and the incumbent must be an effective communicator.

Minimum Qualifications:

Education: High school diploma or equivalent;

Experience: 1 to 2 years of experience providing customer service in a healthcare organization, preferred. Experience with patient access (scheduling, registration, insurance verification), preferred;

Knowledge, Skills, and Abilities: Bilingual in English and Spanish 

•        Knowledge of two software databases, Dentrix and Athena;
• Strong analytical, critical thinking, and organizational skills;
• Must be punctual and extremely reliable;
• Able to quickly learn and adapt to new processes and ideas;
•        Excellent interpersonal, verbal and written communication skills;
•        Detail-oriented with exceptional time management skills;
•        Able to work in a fast-paced environment;
• Must be accurate and efficient in data entry;
•        Able to identify and understand issues and problems;
•        Able to handle sensitive and confidential information;
•        Experience with Microsoft Outlook;
•        Able to work with minimal supervision, problem solve in a high stress environment, and interact positively with all internal and external customers;
•        Able to determine work priorities;
• Able to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.

Immunizations: Be medically cleared from communicable diseases and have all immunizations up-to-date prior to employment

Pay Range: $17.66 - $23.74  (commensurate with years of experience)

EEO STATEMENT
Piedmont Health Services, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex, sex stereotyping, pregnancy (including pregnancy, childbirth, and medical conditions related to pregnancy, childbirth, or breastfeeding), race, color, religion, ancestry or national origin, age, disability status, medical condition, marital status, sexual orientation, gender, gender identity, gender expression, transgender status, protected military or veteran status, citizenship status, genetic information, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.