- University of Rochester (Rochester, NY)
- …delegated payers for monthly submission. + Completes the Electronic Provider Assisted Claim Entry System enrollment for electronic Medicaid billing for new provider ... after they are approved by Medicaid, when applicable. + Sets up the Electronic Transmitter Identification Number (ETIN) for electronic Medicaid billing for individual and group enrollments, when applicable. + Coordinates the transfer of data and electronic… more
- UnityPoint Health (Fort Dodge, IA)
- …established patients necessary for completion of electronic health record and insurance claim processing at each patient visit on patient accounting system. * ... Demonstrates effective and caring communication skills and telephone techniques and etiquette. * Document on contact with patients in EPIC. Qualifications Education: High School Diploma or GED required Associates degree in Social Work, Human Services, or… more
- FleishmanHillard (Washington, DC)
- …Retaliation against an employee or applicant who makes a good-faith claim of discrimination is prohibited. Employees and applicants may bring good-faith ... complaints, ask questions, and raise concerns without fear of reprisal or retaliation. more
- Highmark Health (Natrona Heights, PA)
- …calls and calls patient to relay information. + Works charge review and claim edit workqueues + Proactively manages wait list + Schedules procedures with patient ... and hospital and advocates MY CHART sign up + Collects, sorts, distributes and prepares incoming and outgoing mail and provides information about services, physicians and facilities + Communicates with physicians and midlevel providers regarding schedule and… more
- WestCare Foundation (Fresno, CA)
- …family members/caregivers of clients + Documents all activities as required to claim /bill for services as applicable. + Trains clients in independent living skills ... such as public transportation, housing applications, interviews, shopping, employment, etc. + Under direction of clinical staff, monitors, informs supports, assists, and empowers a client or family members/caregivers who directly or indirectly receive… more
- Nuvance Health (Danbury, CT)
- …outstanding issues or disputes related to credentialing. Responsible for reviewing claim issues involving payer and WCHN credentialing holds and/or payer issues. ... 6. Group and individual CT & NY Medicare enrollments and revalidations and Medicaid enrollment/re-enrollment. CT license updates for New York Medicaid for the Pathology and Hospitalist providers. 7. Serves as resource to the WCHN departments and physician… more
- SUNY Upstate Medical University (Syracuse, NY)
- …with medication reimbursement, medications, physician orders and insurance claim submission preferred. Experience with healthcare insurance prior ... authorization/coding and performing insurance carrier/managed care review preferred. National Pharmacy Technician Certification preferred. LPN preferred. Work Days: Rotating schedule between 8am-6pm. Weekends and holidays based on operational need Message to… more
- Health Care Service Corporation (Richardson, TX)
- …member needs. + Knowledge of medical terminology. + Knowledge of medical claims systems. + PC proficiency including Microsoft Office applications. + Customer service ... skills. + Verbal and written communications skills including developing written correspondence to members and to other department personnel and coaching skills to educate members on medical issues. **Preferred Job Qualifications:** College courses in computer… more
- Centene Corporation (Carson City, NV)
- …+ Review benefit/formulary setup and testing (new and year over year). + Conduct claims analysis + Performs other duties as assigned + Complies with all policies and ... standards **Education/Experience:** High School Diploma or GED 2+ years of pharmacy experience in managed care environment preferred **License/Certification:** Current state's Pharmacy Technician license preferred **Location: Position is remote. Will work PST… more
- Robert Half Finance & Accounting (Morristown, NJ)
- …including physical checks, SAP updates, and month-end reporting. + Investigate claims , identify root causes, and provide structured information for resolution. + ... Support additional logistics-related tasks as needed. Requirements What We're Looking For: + Bachelor's degree (logistics or supply chain focus preferred) + 2-4 years of experience in logistics or supply chain, ideally with bulk commodities via rail/truck/ISO… more