- Stanford Health Care (Palo Alto, CA)
- …hardcopy claims editing and submission to various payers (Government, Managed Care , and Commercial ), Accounts receivable collections and payer follow-up, ... and accurate processing of patient accounts receivable billing and collections . The specific job duties will be comprised of...more of the following: Medicare, Medi-Cal, Worker's Comp or Managed Care (HMO,PPO,POS, etc.) + Knowledge of… more
- Insight Global (Los Angeles, CA)
- …knowledge (must be able to read and understand each contract) - Experience with high-dollar commercial managed care collections with a production of 40+ ... of claims from various insurance companies. Must have strong knowledge of managed care contracts and have knowledge of current regulatory requirements… more
- UCLA Health (Los Angeles, CA)
- …Five or more years of experience in Hospital Billing and Collections for Commercial and Managed Care health plans * Relevant certifications in healthcare ... billing and collections , highly desired * Strong communication skills * Ability...track, trend, and analyze payer data * Background in commercial and managed care denial… more
- Sevita (Detroit, MI)
- …+ Strong understanding of medical collections compliance, Medicare, Medicaid, Medicaid managed care , Commercial , Workers Comp, and Auto-no-fault payer ... our team members have provided home and community-based health care for adults, children and their families across the...career well lived. Do you have experience in Accounts Receivable/ Collections and a desire to work for a company… more
- TEKsystems (Plano, TX)
- …issues and creative solutions Work with and escalate payer issues where appropriate to Managed Care to address bulk/high dollar payer issues impacting cash ... policies and manage team meetings + Payer knowledge especially Medicare and commercial plans Description: The Collection Manager is responsible for daily functions… more
- Universal Health Services (Las Vegas, NV)
- …Specialist/ Collections is responsible for the follow up and resolution of Commercial , Managed Care and third-party insurance accounts receivable ... Consolidated Business Office provides business office services including: billing, collections , cash posting, pre-access management, variance and customer service to… more
- PruittHealth (Norcross, GA)
- …* Knowledge of insurance and governmental programs, regulations and billing processes, commercial third-party payers, and/or managed care contracts and ... timeliest manner. 7. Applies knowledge of specific payer billing/payment rules, managed care contracts, reimbursement schedules, eligible provider information… more
- HonorHealth (Phoenix, AZ)
- …to strategize and achieve AR objectives. Ensures a comprehensive understanding of managed care contracts and adheres to regulatory reporting and compliance ... you'll be part of a team, creating a multi-dimensional care experience for our patients. You'll have opportunities to...Network Director of Revenue Integrity & Specialty Billing and Collections , this role will be responsible for optimizing and… more
- CommonSpirit Health at Home (Milford, OH)
- …services accounts receivable preferred. + Thorough knowledge of medical terminology, managed care requirements, medical billing codes, universal billing formats, ... **Overview** CommonSpirit Health at Home is a full-service health care organization that believes the best place for someone to get better, and faster, is in their… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …of outstanding balances from all Commercial HMO PPO Medi-Cal & Managed Care payors professional claims. Responsible for identifying issues checking status ... of unpaid claims by telephone websites and/or any means available. Responsible for providing information & documentation to ensure timely & accurate reimbursement. Manages & assembles all data & documents required for accurate follow-up of claims. Ability to… more
- Prime Healthcare (Lynwood, CA)
- …closure. #LI-BF3 Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Minimum of three years hospital managed care / commercial collector experience 2. 2 years of ... Human Resources. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Senior Managed Care Biller/Collector is responsible for both… more
- Fair Haven Community Health Care (New Haven, CT)
- Fair Haven Community Health Care FHCHC is a forward-thinking, dynamic, and exciting community health center that provides care for multiple generations at nearly ... themselves, we are proud to offer a wide range of primary and specialty care services, as well as evidence-based patient programs to educate patients in healthy… more
- BrightSpring Health Services (Englewood, CO)
- …receivable (to include 2 years of supervisory experience) and working knowledge of Managed Care , Commercial Insurance, Medicare and Medicaid reimbursement, ... policies and all applicable laws and regulations regarding billing, collections , banking and the security of patient financial information....of CPR+ software a plus + Working knowledge of managed care , commercial insurance, Medicare… more
- Tidelands Health (Pawleys Island, SC)
- …based on payer responses and hospital and/or physician audits. + Proactive management of Commercial and Managed care accounts receivable. + Provide timely ... while maintaining responsibility for the primary, secondary, and tertiary collections and resolutions of Tidelands Health A/R + Attend...Commercial and Managed Care follow up compliance training to… more
- Mass Markets (Savannah, GA)
- POSITION OVERVIEW CUSTOMER SERVICE REPRESENTATIVE SUPPORTING COMMERCIAL AND PUBLIC SECTOR CLIENTS We are looking for Customer Service Representatives to support ... customer service, help desk, and back-office processing representatives for commercial and public sector support positions . In this.../ hour - POSITION RESPONSIBILITIES WHAT IS A CUSTOMER CARE & SALES AGENT? This position will resolve customer… more
- HCA Healthcare (Plano, TX)
- …hold and enrollment related denials. + Analyze insurance contract reimbursement and work with managed care department and local managed care contracting ... analysis. The objective of this position is to increase collections through detailed analysis and process improvement working together...data analysis that may already being done by the managed care department; use data already available… more
- Mass Markets (Dallas, TX)
- POSITION OVERVIEW CUSTOMER SERVICE REPRESENTATIVE SUPPORTING COMMERCIAL AND PUBLIC SECTOR CLIENTS We are looking for Customer Service Representatives to support ... inbound customer service, help desk, and back-office processing representatives for commercial and public sector support positions. In this role, you will handle… more
- Mass Markets (CA)
- POSITION OVERVIEW WORK AT HOME CUSTOMER CARE AGENT (FULL-TIME) We are looking for full-time customer care agents to support inbound customer service, help desk, ... and back-office processing representatives for commercial and public sector support positions. In this role,...the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital… more
- Mass Markets (Savannah, GA)
- POSITION OVERVIEW FULL-TIME CUSTOMER CARE AGENT We are looking for full-time customer care agents to support inbound customer service, help desk, and back-office ... processing representatives for commercial and public sector support positions. In this role,...the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital… more
- Mass Markets (Dallas, TX)
- …customer service agents. While your team operate the phone for a variety of commercial , state, and federal projects, you will assist and support them with your ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more