- Specialty Rx, Inc. (Orlando, FL)
- …by the Billing Supervisor + Research and establish patient eligibility coverage with insurance providers (state and private) + Determine and process insurance ... daily report + Maintain and update patient billing and insurance information in the system + Submit prior authorizations... updates + Interact with client facilities staff, PDP ( Medicare ), CMS, NJM and NYM, if necessary + Follow… more
- Evolent (Workman, MN)
- …+ Answer and manage inbound inquiries regarding health plan benefits and claims , eligibility, medical and other healthcare procedures, billing and payments and other ... and verbalize processes and procedures of the organization and of health insurance coverage. + Training includes a virtual classroom environment with trainers who… more
- Trinity Health (Davenport, IA)
- …the banking industry or a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, ... performing medical claims processing, financial counseling, financial clearance, accounting, or customer service activities or an equivalent combination of education… more
- Fresenius Medical Center (Hendersonville, TN)
- …coordinate insurance options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid, Medicare Supplement, State Renal ... and annual indigent waivers. + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include… more
- University of Rochester (Rochester, NY)
- …accounts, check claim status on appropriate payer system or contact an insurance representative to obtain information as to why claims are not paid and steps ... decisions as to the processes necessary to collect denied insurance claims and resolve billing issues. Maintain...Excel, Access, Email, Emdeon (Fidelis Medicaid Managed Care and Medicare Part B) clearinghouse software, third party claims… more
- University of Rochester (Rochester, NY)
- …accounts, check claim status on appropriate payer systems or contact an insurance representative to obtain information as to why claims are not paid and ... decisions as to the processes necessary to collect denied insurance claims and resolve billing issues. Must...the system. - Examples of reports:- - - 2nd insurance level report - - Medicare and… more
- University of Rochester (Rochester, NY)
- …accounts, check claim status on appropriate payer systems or contact an insurance representative to obtain information as to why claims are not paid and ... decisions as to the processes necessary to collect denied insurance claims and resolve billing issues. Must...- - Review all accounts on the Medicaid and Medicare credit balance report - - Request insurance… more
- Robert Half Office Team (Pearland, TX)
- …information about policies, and promoting member engagement. The Member Services Representative II also support Medicare Advantage plans, manage appointment ... Description We are looking for a dedicated Member Services Representative II to join our team in Pearland, Texas....insurance environment . Knowledge of health Care and insurance and the ability to Interpret/Apply Medicare … more
- Peoples Health Centers Family of Companies (St. Louis, MO)
- …necessary. 14. Periodically review EOBs to detect potential problem areas. 15. Ensure that insurance claims are being filed on a timely basis. 16. Ensure that ... Health Clinic (CCBHC) revenue cycle, including scheduling, referral management, insurance verification, registration, charge capture, coding, claims processing,… more
- e CancerCare (Nashville, TN)
- …and Education Requirements Minimum 2 years' experience in Revenue Cycle Insurance Collection Processes. Understanding of Medicare , Medicaid, and third ... Job Purpose: The Insurance collector generates revenue by monitoring and pursing...Consults with appeals department for disputed medical necessity denied claims . Works and Understands electronic claim interchange and the… more