- Healthfirst (FL)
- …data integrity and address discrepancies related to member eligibility and enrollment . + Manage premium billing cycles, invoice generation, and payment ... the design and effectiveness of controls to ensures core Enrollment and Billing activities are managed in...compliance with State and CMS guidelines and to ensure member satisfaction + Lead cross functional risk assessment root… more
- TEKsystems (Columbia, SC)
- …renewals, and database updates. *50% Receives and logs subscriber and member enrollment applications to the system. Processes/keys applications including ... issues/problems. *10% Participates in special projects as assigned related to enrollment , billing and reconciliations. Additional Skills & Qualifications… more
- CUNY (New York, NY)
- …student enrollment , registration, financial aid, academic records, accounts, and billing functions. With services designed to simplify and improve the user ... Enrollment Coordinator **POSITION DETAILS** **ABOUT JOHN JAY COLLEGE**...One Stop: Jay Express Services, and serving as key member of the department's Front Counter operations ,… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …applications to respond to administrative issues related to health plan operations including claims resolution, premium billing , medical benefit interpretation, ... and coverage determinations, referral inquiries, Prescription Drug inquiries and enrollment /disenrollment activities. Member Service Representatives II-KSPA handles… more
- Robert Half Office Team (Pearland, TX)
- …applications to respond to administrative issues related to health plan operations including claims resolution premium billing medical benefit interpretation ... and coverage determinations referral inquiries Prescription Drug inquiries and enrollment /disenrollment activities. . Member Service Representatives II handles… more
- CDPHP (Albany, NY)
- …as Marketing, Enrollment , Pharmacy (internal and external), Provider Services, and Claims Operations to resolve member inquiries as defined within Member ... problems related to benefits, claims processing, claims and benefit appeals/complaints, enrollment and premium billing issues required. Demonstrated ability to… more
- Seton Education Partners (Bronx, NY)
- …requirements on time. + Assist NDOOs in per-pupil cross-checking for accurate quarterly billing . + Partner with the Data and Operations teams to support ... Operations Compliance Manager Brilla Schools Network Seton Education...community that honors the dignity of each student, family member and staff. About El Camino Network El Camino,… more
- Robert Half Office Team (Pearland, TX)
- Description We are looking for a dedicated Member Services Representative II to join our team in Pearland, Texas. This role is a long-term contract position where ... a strong understanding of Medicare policies and health plan operations , as well as the ability to handle both...* Address and resolve inquiries related to claims, premium billing , benefit coverage, referrals, and prescription drug issues. *… more
- CenterLight Health System (NY)
- …Health Solutions, and Team Care Medical, ensuring timely delivery of requested information. Billing Operations + Oversee the day-to-day operations of ... manage and perform the end-to-end process of Revenue Optimization and Entitlement operations , overseeing member and provider outreach for Dual conversion, ESRD,… more
- State of Colorado (Pueblo, CO)
- …daily tasks of High School Programs, with particular focus on Dual Enrollment Senior to Sophomore. This full-time administrative professional position works closely ... with various campus departments, students, and parents to increase program enrollment , course offerings, teaching personnel, and to assist in the transition of high… more
- Guardian Life (Holmdel, NJ)
- …is seeking a resolute motivated individual to join our team as a Benefits Operations Specialist. This role is responsible for serving as a subject matter expert on ... procedures and key resource for day-to-day tier 3 escalations related to eligibility, enrollment , and claims. This includes but is not limited to: + Overseeing the… more
- Covenant Health Inc. (Knoxville, TN)
- … Operations Manager who supervises the managed care payer enrollment process for the Covenant facilities and Covenant employed/contracted physicians, including ... enrollment . + Oversee the Credentialing Verification Office (CVO) Operations Manager who supervises the Credentialing Verification Office functions of system… more
- Hunterdon Health Care System (Flemington, NJ)
- + + Position Summary + The Revenue Cycle (RC) Sr Business Operations Analyst, reporting directly to the Director of Business Intelligence will serve as a critical ... member of the BI team to enable financial, patient,...across the RC workflow and reporting applications within hospital operations , along with ongoing development and utilization of analytical… more
- University of Pennsylvania (Philadelphia, PA)
- …Takeshita Lab is to independently coordinate the regulatory compliance and operations of research protocols including quantitative, qualitative, and mixed method ... studies. The CRC C will plan, coordinate, and conduct recruitment, enrollment , and data collection procedures with study participants at various on-site and off-site… more
- Providence (Missoula, MT)
- …at providence.jobs/benefits. **Requsition ID:** 365275 **Company:** Providence Jobs **Job Category:** Member Services Enrollment & Billing **Job Function:** ... Health Plans Services **Job Schedule:** Full time **Job Shift:** Day **Career Track:** Leadership **Department:** 3501 MISSOULA CARDIOLOGY **Address:** MT Missoula 500 W Broadway **Work Location:** St Patrick Hospital-Broadway Bldg-Missoula MT **Workplace… more
- Marriott (Bethesda, MD)
- …organization. Prior hospitality experience a plus. **CORE WORK ACTIVITIES** **Loyalty Program Billing ** + Manage member Bonvoy point purchase activity including ... She will partner with the Finance Business Partner Consumer Operations (FBP CO) team, Loyalty business partners, Marriott Business...monthly billings (via MIGL or OFB) for elite referral member upgrade(s). + Other Bonvoy partnership billing :… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- …support and handles matters professionally and responsibly and administer medical billing tasks. Quality customized services, client care and satisfaction are the ... and appeals processes + Survey, track, trend, and report on member /provider experiences + Provide behavioral health, customer service, outreach, education, and… more
- Trinity Health (Athens, GA)
- **Employment Type:** Full time **Shift:** **Description:** Serving as a member of the SMMG leadership team, responsible for payer enrollment applications and ... file maintenance processes for provider and facility billing which includes Medicare, Medicaid, Anthem/BCBS, managed care, and commercial plans. Directs all… more
- EAB (Washington, DC)
- … operations and strategic objectives of the Company's customer billing and collections processes. This includes designing, implementing, maintaining and managing ... leaders and practitioners to accelerate progress and drive results across enrollment , student success, institutional strategy, data analytics, and advancement. We… more
- Trinity Health (Columbus, OH)
- …for ensuring accurate CPT and/or ICD-10 documentation for the patient billing process and educating colleagues and providers in accurately document services ... ICD-10, revenue codes and modifiers), charging processes and audits, and clinical billing as normally obtained through a bachelor's or associate degree in Healthcare… more