- Albany Medical Center (Albany, NY)
- …proper consents from patient proxies. * Be knowledgeable of and adhere to payer requirements for referrals and authorization within the scope of the specialty they ... are assigned. * Schedule follow up appointments, referrals and prior authorization for patient schedule visits as needed. * Communicate professionally and timely with all parties, including providers, patients, clinical care team, and insurance companies. *… more
- Koniag Government Services (Wolf Point, MT)
- …third-party insurance information and coverage details + Obtain Medicare secondary payer signatures when required + Assist patients with basic inquiries regarding ... their medical records **Release of Information (ROI) Processing:** + Process Release of Information requests from patients and authorized entities + Verify proper authorization and patient consent for information disclosure + Prepare and transmit medical… more
- The Cigna Group (Maitland, FL)
- …Ensure adherence to state and federal regulations, accreditation standards, and payer requirements. + Meet or exceed accuracy, quality, and productivity ... expectations. Required Qualifications + Minimum 2 years of experience in infusion pharmacy or healthcare support roles. + Customer service experience with strong communication skills across phone, email, and in-person interactions. + Proficiency with Microsoft… more
- Select Medical (Centralia, IL)
- …business development team + Collect co-pays from patients, manage payer approvals and conduct insurance authorizations and verifications **Qualifications** ... **Qualifications** Minimum Qualifications: + High School Diploma or GED required Physical Requirements: + Ability to walk, stand, bend, and reach consistently throughout a work day/shift + Appropriate manual dexterity to enable typing (including10-key)… more
- Penn Medicine (Philadelphia, PA)
- …cycle management/oversight. Ensure practice alignment with all standards. + Managed Care/ Payer Management - Support implementation of managed care contracts and ... operational processes. + Participation in the following duties may be assigned at the discretion of department and/or entity leadership: + Practice Financial Strategies & Policies- Support the Operational and Finance Leadership teams in developing and… more
- Sharp HealthCare (San Diego, CA)
- …day.Accurately balances and closes batch daily. + Payment processingAccurately access payer websites to obtain EOB's for posting.Accurately match EOB's and revenue ... files for posting.Accurately process refund files to AP for checks and insurance patient.Accurately determine that refund amounts that are being requested are valid for patient and insurance.Process credit cards for payment and posting to IDX.Process Merlin… more
- Rochester Regional Health (Rochester, NY)
- …channels. As a MBS you are responsible to retrieve status information from payer websites, make minor corrections to patient account information as needed to ensure ... timely payments as well as follow each account through resulting in complete account resolution. Good organizational, time management and multitasking abilities. Excellent verbal and written communication as well as the ability to meet strict deadlines.… more
- Beth Israel Lahey Health (Westwood, MA)
- …referrals for scheduled visit and documents in system. Document appropriate payer information, including worker's compensation and auto liability. Informs patient of ... necessary preparation for prescription delivery. Records and forwards accurate messages to pharmacist, providers and staff. Triages calls for urgent information or services to appropriate staff. Responds to requests for information or assistance within scope… more
- Henry Ford Health System (Detroit, MI)
- …review/case management documentation systems. + Knowledge of CMS, commercial payer requirements, and hospital financial/reimbursement processes is desirable. + ... Demonstrated ability to think critically, solve problems creatively, and plan effectively. + Self-direction, flexibility, and the ability to work in a fast-paced environment. Licenses and Certifications: + Registered Nurse (RN) with a valid, unrestricted State… more
- Hartford HealthCare (Torrington, CT)
- …multiple providers, case managers and other clinical needs within established payer and financial guidelines. Strengthens and monitors community and customer ... perceptions of Hartford Healthcare at Home as a high-quality service provider, while collecting and reporting clinical referral data and key customer trends. The above statements are only meant to be a representative summary of the major duties and… more
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