Address
Form of workCareer opportunities at VillageMD and our operating companies
We're a physician-led, patient-centric network committed to simplifying the complexities of health care and bringing a more connected kind of care.
And now we're proud to say we're part of the VillageMD family.
VillageMD, through its operating companies, provides high-quality, accessible health care services for individuals and communities across the United States, with primary, multispecialty, and urgent care providers serving patients in traditional practice settings, in patients' homes and online appointments.
Committed to serving all patients and working with all payers, VillageMD consistently innovates value-based care, bringing integrated applications, population insights and staffing expertise to its owned and affiliated practices, ensuring high-quality care, better patient outcomes and a reduction in the total cost of care. Through Village Medical, Village Medical at Home, Summit Health, CityMD, Starling Physicians, Westmed, and other practices, VillageMD serves millions of patients throughout their lives, wherever and whenever they need care. Its dedicated workforce of more than 20,000 operates from 770 practice locations and 26 markets.
Why become a Villager?
When you work at VillageMD, or a VillageMD operating company, you are part of a compassionate community of people who work hard every day to make health care better for all. What makes us different is our village of supportive and inspiring peers who want a meaningful career with impact. The work we do is changing the lives of our patients, our communities, and each other. Together, we are creating better outcomes for all.
We're reimagining health care with a primary care-led, value-based care model. Here, you will be part of a team delivering the care we want to see in the world. It is what drives us to knock down old barriers in health care because every patient, every person and every community deserves better care. Here, you will be at the center of our mission. Your voice will be heard, and you will feel empowered to do what's best and right for our patients, communities, and each other. To learn more about VillageMD visit our corporate site VillageMD.com.
Job Description
Responsible for delivering outstanding Customer Service to all starling patients while handling in-coming or out-going calls and communications. Responsible for actively collecting on patient outstanding balances. Manage all in-coming patient disputes, inquiries and/or concerns in a positive and helpful manner. Presentation of the representative should be in line with the values and morals of the organization, consistently ensuring a positive encounter with all contacts.
Logs into the ACD line for in-coming billing inquiries from patients, practices and others.
o Rotation out to Customer Service locations in patient facing offices.
o Maintains an active and equal call handling distribution when compared to team.
o Understands claim adjudication procedures, filing limits, and coding policy.
o Demonstrates understanding of carrier guidelines for corrected claims and appeals.
o Calls insurance carrier(s) to question denials and request re-processing of claims as needed.
o Utilizes insurance carrier website(s) to investigate eligibility, claim status, prior authorizations, and other information needed for inquiry resolution.
o Maintains productive relationships with Account Receivable Representatives to maximize opportunities for assistance with inquires/concerns from patients.
o Identifies trends relative to particular offices, carriers, services, providers or policies and initiates report to supervisor for a comprehensive approach to issue.
o Evaluates an average of 500 cases monthly for self-pay collections.
o Contacts patients following the FDCPA guidelines to collect outstanding balances.
o Assists patients with payment plans and hardship waiver submission when appropriate.
Relationships (Reports to, Supervises)
o Reports to the Customer Service Manager.
o Establishes and maintains effective working relationships with patients, co-workers, physicians, administration, and external customers.
Qualifications (Education, Experience, Additional Skills & Requirements)
o High School graduate or equivalent required.
o Knowledge of medical terminology and general coding concepts.
o Knowledge of accounts receivable practices and the FDCPA.
o Ability to navigate CMS and other carrier websites.
o Ability to research and examine carrier policy and compose an effective appeal letter.
o Good computer and calculator skills, including Microsoft Word, Excel and Outlook.
o Ability to work effectively and professionally under pressure.
o Ability to work effectively with co-workers as a team member and share responsibilities and duties.
o Ability to set priorities, be organized and be a self-starter.
o Ability to communicate clearly, effectively, and professionally.
Working Conditions, Physical Requirements
o Incumbent may be required to work at any facility based on operation need, and schedule may vary.
o Travel to various practice locations will require ability to drive, valid driver's license and use of own reliable transportation.
o Physical activity will include walking, standing, and sitting.
o Physical demands may also include lifting and carrying equipment up to 30 lbs.
o Other physical requirements include speaking and hearing ability sufficient to communicate effectively by phone or in person at normal volumes; vision adequate to read correspondence, computer screen, forms, etc.; and good manual dexterity.
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.
Total Rewards at VillageMD
Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD's benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.
Equal Opportunity Employer
Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.
Safety Disclaimer
Our Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, https://www.consumer.ftc.gov/JobScams or file a complaint at https://www.ftccomplaintassistant.gov/.
We're a physician-led, patient-centric network committed to simplifying the complexities of health care and bringing a more connected kind of care.
And now we're proud to say we're part of the VillageMD family.
VillageMD, through its operating companies, provides high-quality, accessible health care services for individuals and communities across the United States, with primary, multispecialty, and urgent care providers serving patients in traditional practice settings, in patients' homes and online appointments.
Committed to serving all patients and working with all payers, VillageMD consistently innovates value-based care, bringing integrated applications, population insights and staffing expertise to its owned and affiliated practices, ensuring high-quality care, better patient outcomes and a reduction in the total cost of care. Through Village Medical, Village Medical at Home, Summit Health, CityMD, Starling Physicians, Westmed, and other practices, VillageMD serves millions of patients throughout their lives, wherever and whenever they need care. Its dedicated workforce of more than 20,000 operates from 770 practice locations and 26 markets.
Why become a Villager?
When you work at VillageMD, or a VillageMD operating company, you are part of a compassionate community of people who work hard every day to make health care better for all. What makes us different is our village of supportive and inspiring peers who want a meaningful career with impact. The work we do is changing the lives of our patients, our communities, and each other. Together, we are creating better outcomes for all.
We're reimagining health care with a primary care-led, value-based care model. Here, you will be part of a team delivering the care we want to see in the world. It is what drives us to knock down old barriers in health care because every patient, every person and every community deserves better care. Here, you will be at the center of our mission. Your voice will be heard, and you will feel empowered to do what's best and right for our patients, communities, and each other. To learn more about VillageMD visit our corporate site VillageMD.com.
Job Description
Responsible for delivering outstanding Customer Service to all starling patients while handling in-coming or out-going calls and communications. Responsible for actively collecting on patient outstanding balances. Manage all in-coming patient disputes, inquiries and/or concerns in a positive and helpful manner. Presentation of the representative should be in line with the values and morals of the organization, consistently ensuring a positive encounter with all contacts.
Logs into the ACD line for in-coming billing inquiries from patients, practices and others.
o Rotation out to Customer Service locations in patient facing offices.
o Maintains an active and equal call handling distribution when compared to team.
o Understands claim adjudication procedures, filing limits, and coding policy.
o Demonstrates understanding of carrier guidelines for corrected claims and appeals.
o Calls insurance carrier(s) to question denials and request re-processing of claims as needed.
o Utilizes insurance carrier website(s) to investigate eligibility, claim status, prior authorizations, and other information needed for inquiry resolution.
o Maintains productive relationships with Account Receivable Representatives to maximize opportunities for assistance with inquires/concerns from patients.
o Identifies trends relative to particular offices, carriers, services, providers or policies and initiates report to supervisor for a comprehensive approach to issue.
o Evaluates an average of 500 cases monthly for self-pay collections.
o Contacts patients following the FDCPA guidelines to collect outstanding balances.
o Assists patients with payment plans and hardship waiver submission when appropriate.
Relationships (Reports to, Supervises)
o Reports to the Customer Service Manager.
o Establishes and maintains effective working relationships with patients, co-workers, physicians, administration, and external customers.
Qualifications (Education, Experience, Additional Skills & Requirements)
o High School graduate or equivalent required.
o Knowledge of medical terminology and general coding concepts.
o Knowledge of accounts receivable practices and the FDCPA.
o Ability to navigate CMS and other carrier websites.
o Ability to research and examine carrier policy and compose an effective appeal letter.
o Good computer and calculator skills, including Microsoft Word, Excel and Outlook.
o Ability to work effectively and professionally under pressure.
o Ability to work effectively with co-workers as a team member and share responsibilities and duties.
o Ability to set priorities, be organized and be a self-starter.
o Ability to communicate clearly, effectively, and professionally.
Working Conditions, Physical Requirements
o Incumbent may be required to work at any facility based on operation need, and schedule may vary.
o Travel to various practice locations will require ability to drive, valid driver's license and use of own reliable transportation.
o Physical activity will include walking, standing, and sitting.
o Physical demands may also include lifting and carrying equipment up to 30 lbs.
o Other physical requirements include speaking and hearing ability sufficient to communicate effectively by phone or in person at normal volumes; vision adequate to read correspondence, computer screen, forms, etc.; and good manual dexterity.
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.
Total Rewards at VillageMD
Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD's benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.
Equal Opportunity Employer
Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.
Safety Disclaimer
Our Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, https://www.consumer.ftc.gov/JobScams or file a complaint at https://www.ftccomplaintassistant.gov/.
