- KPH Healthcare Services, Inc. (Camillus, NY)
- …for collecting, posting and managing account payments. + Prepares and submits claims to various insurance companies and follow up when appropriate. + Prepare, ... wage requirements. Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/14747/kinney-homecare-billing- representative /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866) **Job Locations** _US-NY-Camillus_ **Posted… more
- Molina Healthcare (Chandler, AZ)
- …of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other ... necessary information to providers, members and pharmacies. * Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated. * Effectively communicates plan benefit information, including but not limited to: formulary… more
- UPMC (Pittsburgh, PA)
- …and chats from members and providers * Help members understand their health plan, claims , and benefits * Solve problems quickly and accurately to avoid repeat calls ... * Document all interactions in our system * Navigate multiple tools while staying focused and responsive * Make outbound calls to follow up or provide updates * Stay up-to-date on health plan policies and system changes * Deliver compassionate, clear, and… more
- Surgery Care Affiliates (Long Beach, CA)
- …selected for Primary insurance. + Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits ... and/or pre-certs and authorization information. + Enter the patient insurance information into patient accounting system ensuring the selection is the appropriate payer and associated financial class. + When the patient's insurance is Out of Network notify the… more
- Saint Francis Health System (Tulsa, OK)
- …charges and payments to patient accounts. Reviews and corrects rejected or denied claims . Reviews and assists in collections of past due accounts. Prepares phone ... notes for communication to the provider from patients, pharmacists, and other healthcare sources. Makes calls to patients to remind them of pending appointments or communication from provider. Distributes mail and other communication to patients, providers and… more
- Trinity Health (Ann Arbor, MI)
- …& editing for correctness based on payer guidelines. Resolves items & ensures claims are billed accurately. Processes payments timely. HFMA CRCR or NAHAM CHAA ... required within one (1) year of hire. **Our Commitment** Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing… more
- World Insurance Associates, LLC. (West Warwick, RI)
- …excellent service, and professional communication + Handling renewals, service requests, claims , billing and new policies + Maintain a thorough understanding of ... the markets and their appetites, underwriting guidelines, submitting and procedures + Review all applications, policies, endorsements and audits for accuracy + Coordinate expiration list with department manager to obtain renewal business information… more
- Trinity Health (Lavonia, GA)
- …for correctness based on payer guidelines. Resolves items & ensures claims are billed accurately. Processes payments timely. **Minimum Qualifications** High school ... diploma or equivalent. HFMA CRCR or NAHAM CHAA required within one (1) year of hire. **Additional Qualifications (nice to have)** Medical terminology required & knowledge of diagnostic & procedural coding Insurance verification with the ability to explain… more
- Avnet (Orlando, FL)
- …metrics. + Ensures that good customer relations are maintained and customer claims and complaints are resolved fairly, effectively and in accordance with consumer ... laws. + Maintains and updates electronic and/or hard copy records as required. + Other duties as assigned. **Job Level Specifications:** + Acquired and applies working knowledge of the organization, job, practices and procedures to be proficient in all aspects… more
- Mass Markets (MS)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, ... Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse… more
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