- HCA Healthcare (Pearland, TX)
- …this role:** + Resolve claim processing delays from various payer products including HMO , PPO , Medicaid, Medicare, Auto and Workers' Compensation. + Effectively ... utilize ERA payment information to identify trends and make recommendations. + Be able to utilize various data sources to drive decisions * Identify contract protection that can be leveraged when disputing delays in payment. + Work with vendors and other… more
- Medical Center Hospital (Odessa, TX)
- …collection laws, billing forms, medical billing regulations, insurance benefit calculations, HMO / PPO contracts, third party funding resources.) Job Knowledge: ... Required: Requires strong organizational abilities, proficiency in Professional Customer Service, oral and written communications, accurate and efficient keyboarding with strong competencies in the use of common office software applications. Requires effective… more
- Catholic Health Initiatives (Bryan, TX)
- …related experience **_Minimum Knowledge, Skills, and Abilities_** *Extended knowledge of HMO 's , PPO 's, Commercial/Governmental payers and System/Entity specific ... hospital contracts with Third Party payers *Extended knowledge of HIPPA and EMTALA DISCLOSURE STATEMENT: The above statements reflect the general details considered necessary to describe the essential functions of the job as identified, and shall not be… more
- Medical Center Hospital (Odessa, TX)
- …collection laws, billing forms, medical billing regulations, insurance benefit calculations, HMO / PPO contracts, third party funding resources. B. Job Knowledge: ... Must have a thorough understanding of Clinical Laboratory procedures. General knowledge of medical business office practices. Strong communication skills. Basic understanding of business application software. Ability to maintain calm temperament under… more
- Medical Center Hospital (Odessa, TX)
- …collection laws, billing forms, medical billing regulations, insurance benefit calculations, HMO / PPO contracts, third party funding resources. Job Knowledge: ... General knowledge of medical business office practices. Strong communication skills. Basic understanding of business application software. Ability to maintain calm temperament under stressful conditions. Good math skills, deductive reasoning and general office… more
- HCA Healthcare (Round Rock, TX)
- …nuances of unique coding requirements for major payers such as Medicare, Medicaid, HMO 's, PPO 's, IPA's, employers, etc. + Demonstrate and share knowledge of ... medical terminology, International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding for multiple specialty areas. + Provide relevant coding guidance for customers and other departments to resolve issues. + Provide subject matter… more
- Medical Center Hospital (Odessa, TX)
- …collection laws, billing forms, medical billing regulations, insurance benefit calculations, HMO / PPO contracts, third party funding resources. B. Job Knowledge: ... Must have a thorough understanding of Clinical Laboratory procedures. General knowledge of medical business office practices. Strong communication skills. Basic understanding of business application software. Ability to maintain a calm temperament under… more
- Kelsey-Seybold Clinic (Cypress, TX)
- …and the ability to identify, understand and communicate plan details to patients with HMO , PPO , EPO, Medicare Advantage and other plans. 1+ years of cash ... handling or collections experience in a medical office setting. 2+ years of direct face to face customer service experience. **License(s)** Required: N/A Preferred: N/A **Special Skills** Required: Experience with computers and Windows-based software including… more
- Medical Center Hospital (Odessa, TX)
- …collection laws, billing forms, medical billing regulations, insurance benefit calculations, HMO / PPO contracts, third party funding resources.) C. Job Knowledge: ... Required: Requires strong organizational abilities, proficiency in Professional Customer Service, oral and written communications, accurate and efficient keyboarding with strong competencies in the use of common office software applications. Requires effective… more
- Catholic Health Initiatives (Houston, TX)
- …medical care and/or bed placement. Must also have extensive knowledge of various HMO 's, POS's, PPO 's, commercial and governmental payers, and be familiar with ... the Hospital's contract agreements with third party payer agreements. + Responsible for collecting demographic and financial information on incoming transfers and completes registration in the hospital system + Adhere to Federal/State statutes that govern… more
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