- R1 RCM (Chicago, IL)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Follow Up Associate , Medicare Advantage,** you will ... outcomes for our clients by following up on unresolved Medicare HMO claims. Every day you will...writing. **Here's what you will experience working as a Follow Up Associate , Medicare Advantage:**… more
- Crossroads Hospice & Palliative Care (Green, OH)
- …and paper claim processing + Knowledge of insurance guidelines, including HMO /PPO, Medicare , and state Medicaid + Follow up on unpaid claims within standard ... accounts are to be reviewed for insurance or patient follow -up + Research and appeal denied claims + Answer...experience in a medical office setting + Knowledge of HMO /PPO, Medicare , Medicaid, and other payer requirements… more
- Wipfli LLP (Spokane, WA)
- …We believe in flexibility. We focus on relationships. We encourage each individual to follow their own path. People truly matter and they feel it. For those looking ... projects. This role involves working closely with hospitals and RHCs to optimize Medicare and Medicaid reimbursement as well as manage the RHC enrollment process… more
- Emory Healthcare/Emory University (Decatur, GA)
- …service experience. Knowledge of Medicare , Medicaid, and other commercial payers ( HMO , PPO) preferred. + Associate or bachelor degree may be accepted ... understanding of insurance, registration, scheduling, referrals, authorizations, and account follow -up. + Maintains knowledge of multiple department system applications… more
- UCLA Health (Los Angeles, CA)
- …in Pend/Hold status and work with Examiners on timely resolution. + Review and follow up on Pended UM, Provider Ops, Benefit Ops, and Eligibility reports. + ... are seeking a detail-oriented and proactive individual with: + Associate Arts Degree or equivalent combination of education and...6-8 years of medical claims payment experience in an HMO environment (ie, MSO, IPA, or health plan) -… more
- LA Care Health Plan (Los Angeles, CA)
- …handle complex calls, research to identify timely and accurate resolution steps. Follow up with caller to provide response or resolution steps. Answer all ... manner. Perform other duties as assigned. Duties Continued Education Required Associate 's Degree in Nursing Education Preferred Bachelor's Degree in Nursing… more
- Surgery Care Affiliates (Panama City, FL)
- …account representative. + Candidate MUST HAVE knowledge of medical billing, payer follow -up, payer contracts, appeals, self-pay billing, Medicare and Medicaid ... Account Representative will be responsible for thorough and timely patient account follow up with insurances to ensure accurate accounts receivable reporting; to… more
- Wipfli LLP (Tinley Park, IL)
- …We believe in flexibility. We focus on relationships. We encourage each individual to follow their own path. People truly matter and they feel it. For those looking ... change management as we look to expand and up-skill our current associate roster and modernize and streamline operations through the implementation of technology,… more
- WMCHealth (Valhalla, NY)
- …and maintain professional attire and demeanor. Knowledge of medical insurances ( Medicare , Commercial, HMO 's, PPO's, etc.); EMTALA regulations, hospital billing ... on outstanding balances. + Maintain excellent organizational skills allowing for concise and timely follow up and follow through on accounts and situations. + A… more