- Sharecare (Madison, WI)
- …accounts for an assigned portfolio. + Provide resolution of issues related to billing inquiries, disputes. + Identify, research, and resolve collection issues in a ... timely manner. + Provide assistance with unidentified payment applications. + Meet company deadlines for month end close responsibilities. + Assist with updating and improving documentation of policies and procedures related to assigned responsibilities.… more
- CareFirst (Baltimore, MD)
- …provide alternate benefit plans, risk and/or funding arrangements. Update appropriate billing rate files, contracts, internal databases, etc. The renewal process ... includes the following requirements: completing group risk renewals, completing ASO/Stop Loss renewals, quoting alternate benefits designs, funding arrangements, provide clear documentation/file maintenance. Utilize the latest actuarial tables and factors.… more
- Molina Healthcare (Bellevue, WA)
- …coordination of amendments, reimbursement, and language changes. Requests information of billing codes, services provided and other information needed to complete ... the contract profile. * Coordinates preparation and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes. * Assists Manager and/or Director in the completion of Block Transfer… more
- Bowman (Richmond, VA)
- …all project questions including technical requirements, completion requirements and billing inquiries. + Assist with marketing presentations and attend marketing ... meetings. + Assist team leader in securing repeat business from existing clients and identifying new clients. + Liaise with clients and agencies, subcontractors, and design teams on projects. + Review project changes, pending or anticipated alterations to the… more
- Molina Healthcare (Omaha, NE)
- …database. **Knowledge/Skills/Abilities** + Has direct oversight of enrollment, premium billing and reconciliation processes and all related staff + Coaches ... and mentors direct staff, including goal setting and score card development + Monitors and enforces compliance with enterprise-wide processes and develops workflows for all staff to follow + Provides monthly reporting to management in support of functional… more
- Henry Ford Health System (Troy, MI)
- …experience related to healthcare insurance eligibility, insurance verification or insurance billing in a hospital/medical office setting. + Knowledge of various ... insurance coverage, COB rules of priority and processing procedures. + Insurance payor systems experience required. + EPIC training/experience preferred. + ICD-10 medical terminology experience preferred. + Ability to adjust to new technologies as introduced.… more
- Henry Ford Health System (Detroit, MI)
- …applied from front-end coding and clinical teams for reimbursement and billing purposes. The CBO Coding Complex Specialist accurately abstracts information from ... the electronic health record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and… more
- Owens & Minor (Columbus, OH)
- …all information regarding collection activity of account is entered accurately into the billing system. + Brings recurring issues to the attention of the department ... supervisor. + Initiates payments and resubmits bills as necessary. + Pursues patient for payment obligations when insurance defaults as permitted by law or contractual relationships. + Report to work punctually at assigned starting time, and have reliable,… more
- St. Luke's University Health Network (Allentown, PA)
- …into specialty-specific databases. Works with Medical Records, Finance, and Physician Billing to ensure appropriate flow of information. JOB DUTIES AND ... RESPONSIBILITIES: + Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines. Utilizes 3M Encoder for validation of RVUs and CPT-4 procedure… more
- Trinity Health (Livonia, MI)
- …mandatory government surveys and others related reporting. Completes inter-company billing , cash transfers, and reconciles inter-company balances with system office ... and other HMs. + Identifies opportunities for process optimization and efficiency enhancements within the accounting function. Implements best practices and streamlines workflows to improve overall effectiveness and accuracy. + Completes special projects,… more