- 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
- University of Michigan (Ann Arbor, MI)
- …and insurance collections. + You will initiate and process claims and other forms within prescribed guidelines; screening for accuracy completeness and ... Team? We are seeking a Senior Billing Clerk/Patient Account Representative to join our dedicated team of revenue cycle...claims and collect from private insurers, Medicaid, and Medicare . **Modes of Work** Positions that are eligible for… more
- Guidehouse (Birmingham, AL)
- …when there is an estimated patient liability due on the account. + Monitor Medicare days and co- insurance days on in-house patients. Review all in-house ... **Job Family** **:** Admitting Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do:** The Sr. Financial Counselor will… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …Administrative experience in a health plan and/or a working knowledge of the insurance industry preferred + Prior detailed experience in either utilization, case or ... with external accreditation bodies; JCAHO, URAC, or NCQA preferred + Medicare Advantage experience is preferred **Skills and Abilities** + Excellent communication,… more
- HCA Healthcare (Houston, TX)
- …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
- 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
- Priority Health Care (Marrero, LA)
- …+ Knowledge of healthcare carriers and payer requirements. + Knowledge of Medicare , Medicaid, compliance, insurance , liability, and tertiary payment methods. + ... all information is correct. + On every visit, ensure insurance is verified at the time of registration and...and Billing Terminology. + Basic knowledge related to electronic claims submissions and remittance procedures. + Experience working with… 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
- Medtronic (Minneapolis, MN)
- …Snowflake + Experience with SPARK + Experience with Git & Gitlab + Experience with Medicare data, commercial claims data, or EHR data + Experience in the ... transfer and reporting. + Extract, clean and conduct high-level analysis of administrative, claims , electronic health record, and device data under the guidance of a… more