- University of Virginia (Charlottesville, VA)
- …the financial aspects of patient care, including billing, insurance claims , payment processing, financial counseling, utilization and revenue cycle analysis. ... These roles are responsible for managing patient entry points into the healthcare system, including scheduling, registration, and verifying insurance. Patient access staff ensure that patients can efficiently navigate administrative processes while maintaining… more
- Trinity Health (Dubuque, IA)
- …data insights from data sources (eg, Together Care, financial reports & claims data). Translate data into strategies & tactics. Evaluate performance of initiatives ... using Key Performance Indicators (KPIs) including, but not limited to, volume growth, referral capture & market share. + **Cross-Functional Collaboration:** Work across relevant departments (eg, operations, marketing, finance & the medical group) to align… more
- Centene Corporation (Lansing, MI)
- …improve provider performance in areas of Quality, Risk Adjustment and Operations ( claims and encounters). + Assists in delivering provider specific metrics and ... coaches providers on gap closing opportunities. + Assists in identifying specific practice needs where WellCare can provide support. + Partners with physicians/physician staff to find ways to encourage member clinical participation in wellness and education. +… more
- Mass Markets (NM)
- …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
- Avera (Cresco, IA)
- …Highlights** POSITION SUMMARY: Generate revenue from patient/client accounts by submitting claims to the appropriate payer. Review daily receipts and process ... payments to patient accounts. Communicate with insurance companies, healthcare providers, and patients in person, in writing, and by phone. Assist with other duties as assigned by the Patient Financial Services (PFS) Manager. POSITION QUALIFICATIONS: High… more
- Highmark Health (Washington, DC)
- …or Business Process Analyst role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 0 - 1 year in the Health ... Insurance Industry **LICENSES AND CERTIFICATION** **Required** + None **Preferred** + None **SKILLS** + Analysis of business problems/needs + Written & Oral Presentation Skills + Business Analysis + Business Process Design + Business Process Improvement +… more
- HUB International (Encino, CA)
- …play a vital role in supporting our clients with day-to-day account management, claims management, and underwriting services that ensure they have what they need to ... protect what matters most. Through a robust network of resources, you will be amongst some of the industry's top talent to help guide and support our customer's needs and provide them with innovative insurance solutions. + Prepares quotes and proposals +… more
- Walmart (Tempe, AZ)
- …area in accordance with Company policies and procedures by properly handling claims and returns zoning the area receiving and stocking merchandise setting up ... cleaning and organizing product displays removing damaged goods signing and pricing merchandise appropriately completing required audits paperwork logs and other required documentation and securing fragile and highshrink merchandise + **Provides Member… more
- B&H Photo (New York, NY)
- …to customer inquiries such as stock check, order status check, price check, claims , returns etc. within defined time frames. + Proactively follows up with customers ... regarding outstanding orders both pre and post-sale as assigned. + Communicates with our customers in a professional and courteous manner. + Actively builds relationships with customers and demonstrates by actions that the customer can count on us. + Resolves… more
- Caris Life Sciences (Irving, TX)
- …needed to complete coverage verification. + Verifies insurance eligibility to ensure claims are billed accurately and in accordance to payer guidelines. + Ensures ... timely and accurate insurance authorizations are in place prior to services being rendered. + Responsible for prior authorization submissions and management. + Maintains compliance with HIPAA and other healthcare regulations + Obtains medical records from… more