- BrightSpring Health Services (Arlington, TX)
- …Physician's offices as needed to obtain approvals + Works with Client Billing Service Offices, Pharmacy Directors, customers and prescription drug plans to ... a strong understanding of the insurance verification, adjudication, back-end billing process and become a subject matter expert on...a subject matter expert on the insurance queues and billing workflow. + Maintains a clean and organized work… more
- BrightSpring Health Services (Arlington, TX)
- …Physician's offices as needed to obtain approvals + Works with Client Billing Service Offices, Pharmacy Directors, customers and prescription drug plans to ... + Develop a strong understanding of the insurance verification, adjudication, back-end billing process and become a subject matter expert on the insurance queues… more
- UCLA Health (Los Angeles, CA)
- …As a member of the Medicare Advantage Operations team, the Senior Medicare Advantage Enrollment Representative plays a pivotal role in processing all ... disenrollment, and cancellation requests. This position requires a deep understanding of Medicare Part D programs and meticulous attention to detail to… more
- BrightSpring Health Services (Great Falls, MT)
- …minimum of 7 business days Responsibilities * Maintains current knowledge in pharmacy billing requirements related to facility ( Medicare A & Managed Care), ... environment for those who are willing to learn claims, billing and insurance processing. This is not a remote...commercial third party and Medicare Part D .* Demonstrate a clear understanding… more
- Logan Health (Whitefish, MT)
- …essential patient information for the electronic medical record and for insurance billing purposes. + Responsible for processing all forms and obtaining signatures ... patient's visits are available for the nurses and providers. D . Processes schedule changes as needed and informs involved...monies owed at the time of service. + Notifies Billing Department of promises made so that they may… more
- UNC Health Care (Smithfield, NC)
- …with prior authorizations and insurance verification to post-service with billing , follow-up and collections. Requires substantial knowledge of all carrier ... to resolve credit balances through refunds or posting adjustments. Compiles Medicare /Medicaid Cash Reports and quarterly Credit Balance reports. 6. Payor Audits… more
- University of Utah Health (Salt Lake City, UT)
- …discussion of HIPAA regulations and important messages from Medicare and Medicare coverage, including Part D . + Assists patients with questions about ... financial arrangements, billing and other financial policies, or refers patient to...+ Corrects and edits registration errors to ensure proper billing . + Collaborates with clinicians and other departments to… more
- University of Texas Rio Grande Valley (Rio Grande, TX)
- Position Information Posting NumberSRGV7558 Working TitlePATIENT SERVICES REPRESENTATIVE I Number of VacanciesMultiple LocationRio Grande Valley DepartmentSchool of ... and benefits through various payers, including commercial insurances, Medicaid, and Medicare . + Obtains the necessary prior authorizations, referrals, and other… more
- Trinity Health (Farmington Hills, MI)
- …Some knowledge of health insurance and governmental programs, regulations, and billing processes, eg, Medicare , Medicaid, Social Security Disability, Champus, ... Posting team at an assigned PBS location responsible for ensuring accurate billing , collections, and posting processes are followed. This position reports to the… more
- InnovaCare (San Juan, PR)
- …Service Operations Department - Call Center POSITION: Customer Service Representative REPORTS TO: Customer Service Supervisor CLASSIFICATION: Non Exempt POSITION ... or Call Center environment. Prefered someone with health plan, medical billing or customer service experience. Evidence of good communication, interpersonal and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …lowest possible days in accounts receivable in a cost effective manner and timely billing of NRP (next responsible party). Supports the Revenue Cycle team to achieve ... and ensure all levels of approval are being followed. d . Monitors credit balance and dashboard and conducts analytical...fraud. + Develop a business relation with the payer representative and their EDI lead person, this will expedite… more
- Nashville Center for Rehabilitation and Healing (Nashville, TN)
- …c) record all significant events in resident's life and social service contacts. d ) monitor and assist psychosocial staff in maintaining psychosocial notes as well ... and support to psychosocial aids. e) inform and educate residents/families/legal representative regarding the importance of pre-paid burial/ funeral arrangements and… more
- Molina Healthcare (Seattle, WA)
- …development and maintenance. The role regularly translates complex changes in billing guidelines, clinical guidelines, and regulatory changes into concise talking ... program implementations for Provider Relations team. They may also act as a representative between Molina Health plan and the Plan's Complex Provider Community that… more
- BrightSpring Health Services (Vancouver, WA)
- …to research, analyze and appropriately resolve rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid ... retail to office environment for those who are willing to learn claims, billing and insurance processing. Remote position. Applicants can reside anywhere with the… more
- Cardinal Health (Columbus, OH)
- …or equivalent preferred * Patient Support Service experience, preferred * Clear knowledge of Medicare (A, B, C, D ), Medicaid & Commercial payers policies and ... patient and/or program * Resolve patient's questions and any representative for the patient's concerns regarding status of their...preferred * 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience * 1-2 years experience… more