- 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...serves as the liaison with the physician advisor for follow up on referrals. + Reviews, retrospectively, Utilization Review… more
- HCA Healthcare (Austin, TX)
- …plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving ... assistance, pet insurance and more. + Free counseling services and resources...part of our team. **Job Summary and Qualifications** Collections Representative As the Collections Representative , you will… more
- City of Santa Monica (Santa Monica, CA)
- …sworn classification. May provide technical supervision over non-sworn personnel. Representative Duties REPRESENTATIVE DUTIES Patrols an assigned area ... grammar and composition Effective customer service techniques Ability to: Follow written and oral instructions Follow applicable...year during the first five years of service. MEDICAL INSURANCE : Choice of 12 CalPERS medical plans. City pays… more
- Caris Life Sciences (Irving, TX)
- …is responsible for reviewing and resolving outstanding denied claims with Medicare , Medicaid and Commercial insurance companies. This included following ... or poral. + Submit Medical Records upon request and follow up on submission. + Submit HCFA's claims to...information. + Respond promptly and professionally to inquiries from insurance companies, patient, and client's representative with… 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
- Peak Vista (Colorado Springs, CO)
- …and clinic leadership regarding their performance + Monitor organizational performance of Medicare Annual Wellness Visits (AWVs) and provide training to all new ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
- City of Alpharetta, Georgia (Alpharetta, GA)
- …The list of essential functions, as outlined herein, is intended to be representative of the tasks performed within this classification. The omission of a function ... within established policy and procedural guidelines. + Understand and follow oral and written directions promptly and accurately. +...telephone or radio. The physical demands described here are representative of those that must be met by an… more
- State of Colorado (Denver, CO)
- …name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... the official appeal form, signed by you or your representative . This form must be delivered to the State...+ Employer supplemented Health Savings Account + Paid life insurance + Short- and long-term disability coverage + 11… more
- Logan Health (Kalispell, MT)
- …all required documentation in a timely manner according to payer guidelines ( Medicare , Private Insurance , Medicaid) and Montana practice guidelines for therapy ... therapy services under the guidelines set by the state practice guidelines, Medicare , and Logan Health (LH) policies. Meets legal, ethical and institutional… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …and others to drive new business. + Attends meetings and/or trainings as a representative of Customer Care and shares the information learned with the team. + ... I Accountabilities): + Qualifies prospects onsite per Centers for Medicare & Medicaid Services (CMS) Regulations and closes sale...+ Strong organizational skills and ability to prioritize & follow through, and work in fast paced environment while… more