Provider Relations Representative jobs in Mount Vernon, NY

Provider Relations Representative supports, develops and maintains service relationships with all participants (physicians, providers and administrators) of a provider network. Responds to electronic and direct inquiries from clients about policies, rates, changes, referrals, eligibility, credentialing, etc. Typically requires a bachelor's degree. Being a Provider Relations Representative typically reports to a supervisor or manager. The Provider Relations Representative works on projects/matters of limited complexity in a support role. Work is closely managed. To be a Provider Relations Representative typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

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Patient service representative
  • NorthEast Provider Solutions Inc.
  • Hawthorne, NY FULL_TIME
  • Job Details : Job Summary :

    Job Summary :

    A Patient Service Representative is responsible for greeting patients and working with them in person, on the phone, or through electronic correspondence to meet their needs regarding scheduling, updating pertinent information, checking in and out, and acting as a liaison in reporting any patient suggestions to management.

    Responsibilities :

    • Greets arriving patients, verifies appointment information, and notifies nursing staff in accordance with policies and procedure.
    • Registers new patients and assists them in completion of necessary forms.
    • Verifies and updates current patient information (demographic, financial, and clinical) in the EMR system.
    • Scans completed forms, identification, and insurance cards into patient documents folder.
    • Schedules future appointments based on procedure type, time requirements, and provider schedules.
    • Answer incoming phone calls and make outbound phone calls, gathering information to route appropriately. Utilize triage system for all patient care related calls, in accordance with triage procedures.
    • Initiates, issues, and verifies patient referrals. Initiates and receives insurance authorization / pre-certifications as necessary.
    • Accepts payments, issues receipts, and reconciles cash drawer daily.
    • Provide helpful assistance in anticipating and responding to the needs of all patients and family members. Remain calm under pressure and effectively deal with difficult people.
    • Provides translation for non-English speaking patients, their families, and staff if bilingual.
    • Create correspondence to patients who failed to keep appointments in accordance with policy and provider request.
    • Accept and directs deliveries of medical / office supplies and mail.
    • Perform general office duties, such as document preparation, scanning, mailing, and filing.
    • Maintains a professional appearance and a clean, safe environment.
    • Respects patients by recognizing their rights; maintaining confidentiality.
    • Utilizes technology, including specialized software as applicable, to maximize productivity.
    • Develops and maintains electronic files as necessary.
    • Exhibits excellent interpersonal skills; provides customer service; assists other support staff as necessary; collaborates with all levels of internal leadership, management, and staff as well as outside clients, vendors, and other external parties.
    • Other duties as assigned.

    Qualifications / Requirements :

    Experience :

    Minimum of one (1) year of customer service and / or medical office experience preferred.

    Education :

    High school diploma or equivalent required. Associates degree from an accredited institution preferred.

    Licenses / Certifications :

    Other :

    Bilingual (English / Spanish) candidates preferred, but not required. Proficiency in Microsoft Office (Outlook, Word, Excel, and Power Point).

    Last updated : 2024-04-24

  • Just Posted

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Patient service representative
  • NorthEast Provider Solutions Inc.
  • Ardsley, NY FULL_TIME
  • Job Details : Job Summary : Job Summary : A Patient Service Representative is responsible for greeting patients and working with them in person, on the phone, or through electronic correspondence to m...
  • Just Posted

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Patient service representative
  • NorthEast Provider Solutions Inc.
  • Valhalla, NY FULL_TIME
  • Job Details : Job Summary : Job Summary : A Patient Service Representative is responsible for greeting patients and working with them in person, on the phone, or through electronic correspondence to m...
  • Just Posted

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Provider Relations Advocate
  • CAIPA MSO LLC
  • New York, NY FULL_TIME
  • DescriptionAs a Provider Relations Advocate, you will be expected to coordinate and document provider inquiries and provide prompt and courteous service to requests for assistance for all providers vi...
  • 17 Days Ago

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Manager of Provider Relations
  • MetroPlusHealth
  • New York, NY FULL_TIME
  • Empower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a c...
  • 20 Days Ago

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Manager of Provider Relations
  • MetroPlus Health Plan
  • New York, NY FULL_TIME
  • Manager of Provider Relations Job Ref: 90227 Category: Professional Department: Provider Network Operations Location: 50 Water Street, 7th Floor, New York, NY 10004 Job Type: Regular Employment Type: ...
  • 27 Days Ago

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0 Provider Relations Representative jobs found in Mount Vernon, NY area

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Labor Relations Representative
  • The HR SOURCE
  • Jersey City, NJ
  • Reporting to the Labor Relations Executive, the Labor Relations Representative is responsible for the compilation, updat...
  • 4/24/2024 12:00:00 AM

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Retail Customer Relations Representative
  • SI Bulldogs Inc
  • New York, NY
  • Job Description Job Description Responsibilities and Duties: Greet customers in a courteous, friendly, and professional ...
  • 4/24/2024 12:00:00 AM

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Customer Relations Representative - State Farm Agent Team Member
  • Chris Mohammed - State Farm Agent
  • New York, NY
  • Job Description Job Description ROLE DESCRIPTION: As a Customer Relations Representative - State Farm Agent Team Member ...
  • 4/24/2024 12:00:00 AM

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Customer Services Representative - Entry Level
  • Embrace NY
  • Mount Vernon, NY
  • We are looking for tenacious, self-motivated individuals that are well-versed in a customer-oriented environment and hav...
  • 4/24/2024 12:00:00 AM

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Labor Relations Representative
  • The Hr Source
  • Jersey City, NJ
  • Reporting to the Labor Relations Executive, the Labor Relations Representative is responsible for the compilation, updat...
  • 4/22/2024 12:00:00 AM

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Member & Customer Relations Coordinator
  • Longwood University
  • New York, NY
  • . This may cause Handshake to work improperly. To be considered, you must apply directly to AIHA via our careers website...
  • 4/22/2024 12:00:00 AM

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Customer Service Advisor
  • Pep Boys Inc
  • Mount Vernon, NY
  • **** **Customer Service Advisor** **Customer Service Advisor** **Requisition ID:** 110540 **Category:** Stores **Positio...
  • 4/22/2024 12:00:00 AM

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Payor Relations Representative / Contract Specialist
  • Accu Reference Medical Laboratory
  • Linden, NJ
  • Job Description Job Description Payor Relations Representative / Contract Specialist Under the general supervision of th...
  • 4/21/2024 12:00:00 AM

Mount Vernon is a city in Westchester County, New York, United States. It is an inner suburb of New York City, immediately to the north of the borough of the Bronx. As of the 2010 census, Mount Vernon had a population of 67,292....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative jobs
$61,594 to $78,800
Mount Vernon, New York area prices
were up 1.6% from a year ago