- 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
- City of Gulfport (Gulfport, MS)
- …program through coordination with the third-party administrator; manages worker's compensation claims and maintain follow up with employees, supervisors and third ... * Provides vendors appropriate documentation for life, pension, and disability benefits claims . * Evaluates and compares existing employee benefits with those of… 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
- Highmark Health (Dover, DE)
- …medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior ... of benefit billing practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a… more
- Queen's Health System (Honolulu, HI)
- …implementing process changes, to minimize and/or prevent denials. * Follows up on insurance claims with outstanding balances; leads meetings with payors to ... * Four (4) years recent progressively responsible experience as a Patient Accounts Representative in an acute care facility, demonstrating good working knowledge of … more
- Intermountain Health (Logan, UT)
- …and extensive knowledge in the health insurance industry (Commercial Insurances, Medicare , and Medicaid); health claims billing or Third Party contracts. ... call to schedule and register for services. The Enhanced Scheduler reviews insurance benefit information, estimated costs, and payment options with the patient. Also… more
- Mohawk Valley Health System (Utica, NY)
- …in order to promote financial stability within the Hospital. Experience in billing Medicare , Medicaid, Commercial Insurance , HMOs, and Worker's Comp/No Fault is ... is a plus. Core Job Responsibilities + Promotes a professional working relationship with insurance companies. Knows each payor representative and uses them as a… more
- WestCare Foundation (Henderson, NV)
- …organization. + Oversee all revenue cycle operations, including patient registration, insurance verification, coding, charge capture, claims submission, payment ... knowledge of healthcare billing systems, coding guidelines (ICD-10, CPT), Medicare /Medicaid, commercial insurance , and reimbursement methodologies. +… more
- State of Colorado (Denver, CO)
- …be assigned to civil investigations in support of the Colorado False Claims Act. Additionally, the incumbent will provide technical training, advice and assistance ... and Federal regulations; + Work experience with Medicaid or Medicare regulations and statutes; + Experience investigating document intensive...the official appeal form, signed by you or your representative . This form must be delivered to the State… more