- State of Colorado (Denver, CO)
- …Responsible to track all prior authorization requests to ensure accuracy and follow -through. Participates or selects a candidate to represent medical on a number ... care to include but not limited to optometry clinics and dental clinics and follow up on recommendations made by those providers. Collaborates directly with the DYS… more
- State of Colorado (Lakewood, CO)
- …materials dailyAdhere to Code of Conduct and professional norms of behavior. Follow leave policy and procedures. And Other Duties as Assigned. Minimum ... of Employment & Appeal Rights PLEASE READ THE ENTIRE JOB ANNOUNCEMENT AND FOLLOW ALL OF THE INSTRUCTIONS PRIOR TO COMPLETING THE APPLICATION. YOU MUST PROVIDE… more
- Outreach Development Corporation (Brentwood, NY)
- …billing or medical coding a plus. + Must have knowledge of Medicaid, Medicare and commercial insurance . + Knowledge of Netsmart/AVATAR/IMA billing preferred. The ... financial information, participation and/or qualification for Medicaid benefits and/or other insurance and for ensuring that Outreach maximizes third party revenue.… more
- St Croix Hospice (Oakdale, MN)
- …reports for completeness, risk, standard of care determination and appropriate follow -up. Trends data and makes recommendations related to trends identified. + ... and accreditation standards. + Maintains current knowledge related to Medicare Conditions of Participation and the Community Health Accreditation Program's… 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 ... Respond to public inquiries and requests. + Understand and follow oral and written instructions. + Communicate clearly and...The physical demands described within the job description are representative of those that must be met by an… more
- HCA Healthcare (Houston, 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...and expertise! **Job Summary and Qualifications** As the Collections Representative , you will contribute to the company's mission, vision,… more
- HCA Healthcare (Overland Park, KS)
- …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...our team. **Job Summary and Qualifications** As the Collections Representative , you will contribute to the company's mission, vision,… more
- HCA Healthcare (Sarasota, FL)
- …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...Apply Today! **Job Summary and Qualifications** As the Collections Representative , you will contribute to the company's mission, vision,… more
- Tufts Medicine (Tyngsboro, MA)
- …third-party payor. **Preferred Qualifications:** 1. Epic HB Billing, PB Billing or Insurance Follow -Up experience. 2. Completion of a medical terminology course ... limited to, eligibility verification, billing edits, claim edits, payer follow -up, correspondence review, corrected claims, appeals, reimbursement verification, and… more
- Sharp HealthCare (San Diego, CA)
- …as required, to discuss high risk patients requiring case management follow up.Attends clinical in-services or required operational/clinical training sessions. + Act ... and/or not covered benefits and accurately follows Health Plan and/or Medicare Guidelines when issuing denials.Ensures that all denials for medical necessity… more