- City and County of San Francisco (San Francisco, CA)
- … claims processing, and/or collecting healthcare service reimbursements or medical claims from Medi-Cal (Medicaid), Medicare , insurance , third party ... Service Commission Rule 109, the duties specified below are representative of the range of duties assigned to this...issues; + Performs revenue analysis related to charge errors, claims submission volume, denials and trends based on claim… more
- University of Southern California (Arcadia, CA)
- …within the institution. + It is the responsibility of the Patient Access Representative to uphold the highest service standards regarding patient care. + Making ... and compliant with HIPAA, EMTALA, the Fair Debt and Collection Practices Act, Medicare Secondary Payer, and other laws and regulations that govern Patient Financial… more
- Service Source (Lakewood, CO)
- …SSDI benefits using the SOAR model, offering support throughout the entire claims process. They assess eligibility, coordinate medical and mental health evaluations, ... develop and submit claims , and manage the process through to decision. Working...to SNAP, TANF (Temporary Aid to Needy Families), Medicaid, Medicare , and Long-Term Care Medicaid or Aid to Needy… more
- Centene Corporation (Tallahassee, FL)
- …medical provider office, customer service within a healthcare organization, and medical claims . Knowledge of health care, managed care, Medicare or Medicaid.Pay ... up accurately in the provider information system for state reporting, claims payment, and directories. Responsible for multiple state deliverables, network reporting… more
- The County of Los Angeles (Los Angeles, CA)
- …new or revised procedures. + Works with Professional Standards Review Organization representative to orient new staff to Federal laws and regulations pertaining to ... Medicare and Medi-Cal reimbursement. + Analyzes cases for referral...provided to patients are appropriate and covered by the insurance payer. They are responsible for ensuring that patient… more
- Advanced Orthopedics and Sports Medicine Institute (Freehold, NJ)
- …time ( on -site ) Monday - Friday The AR Billing and Collection Representative II is responsible for analyzing assigned past due accounts and coordinating between ... parties to resolve payment discrepancies and delayed payments. The AR/Collection representative II core responsibility includes but not limited to minimizing… more
- Allied Universal (Colorado Springs, CO)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim… more
- HCA Healthcare (Sarasota, FL)
- …coding or billing errors from EOBs and work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims + ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
- Hart Medical Equipment (Grand Blanc, MI)
- …Ensures quality assurance for processed orders respecting Hart policies and insurance guidelines. Ensures the Certificate of Medical Necessity is completed to ... release claims . ESSENTIAL DUTIES AND RESPONSIBILITIES: Reasonable accommodations may be...essential functions. + Reviews documentation to confirm qualifications for insurance guidelines have been met. + Creates Certificate of… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …billing, health insurance , or specialty pharmacy. . Familiarity with commercial insurance , Medicare , Medicaid, and specialty drug coverage. . Knowledge of Rx ... access to specialty medications. This role is essential in verifying insurance coverage, identifying payer requirements, and facilitating prior authorizations. The… more