- Strategic Health Partners (Kennesaw, GA)
- … claims and analyze accounts for insurance payment accuracy/completeness and for payer claim processing accuracy per contract. Work with clinical staff as ... The Accounts Receivable representative is responsible for ensuring all eligible accounts...to secondary insurances, reporting any delay in unbilled secondary claims to your Lead . *Consistently meet the… more
- UCLA Health (Los Angeles, CA)
- …In this role, you will: + Manage an assigned portfolio of accounts across payer types, executing complex claim reviews, resolving payment delays, and optimizing ... Description UCLA Health is seeking a Senior Cross-Functional Collections Representative to support Patient Business Services by managing a diverse portfolio of… more
- Trinity Health (Farmington Hills, MI)
- …of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates ... activities. Adheres to proactive practices which includes contacting the payer directly for payment due on accounts and reviewing...objective of maximizing reimbursement for services rendered and ensuring claims are paid or settled in a timely and… more
- Truman Medical Centers (Kansas City, MO)
- …billing, Medicare/Medicaid reimbursement, financial assistance programs, and all the latest in payer regulations. + ** Lead by example** : Become the go-to ... for positions and apply.** Oral and Maxillofacial Surgery Prior Authorization Representative 101 Truman Medical Center **Job Location** University Health 4 (UH4)… more
- University of Miami (Coral Gables, FL)
- …non-contracted HMO payers and refers to proper managing department.8. Serves as a lead Insurance Verification Representative and assists in training new staff.9. ... sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . CORE JOB SUMMARYThe Sr. Insurance Verification Representative verifies insurance eligibility and authorization for all contracted… more
- University of Rochester (Albany, NY)
- …the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working ... and closure. Responsibilities include, but are not limited to, independent research, claim correction and resubmission, handling payer specific appeal process… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Patient Account Representative - Insurance Claim Follow-Up Full Time , 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is ... for proper resolution. + Responsible for learning & understanding payer rules, as well as state/federal guidelines. + Responsible...departments in order to correct any issues with billed claims to ensure correct billing and proper claim… more
- Omnicell (Fort Worth, TX)
- **Reconciliation Lead ** The Lead Reconciliation Analyst leads the team that provides reconciliation services to FDS Amplicare customers and oversees the customer ... assistance with completion of required documentation to establish third-party payer data transmittal. . Communicate necessary customer actions, including deposit… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Patient Account Representative , Business Office Full Time , 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's ... position primarily works to resolve patient accounts through effective insurance claim follow-up, as defined by the department's established policies and procedures.… more
- Trinity Health (Nampa, ID)
- …the results. + Identifies routine payer or provider issues and escalates to Lead Patient Financial Services Representative . + Acts as a point of contact for ... routine issues and escalates to Supervisor, Patient Access. + Processes insurance claim forms. + Reviews claims /accounts for complete information, corrects and… more
- WestCare Foundation (Henderson, NV)
- …accurate reimbursement for services rendered while maintaining compliance with payer rules, regulations, and organizational policies. The Director provides strategic ... operations, including patient registration, insurance verification, coding, charge capture, claims submission, payment posting, A/R management, and collections. + … more
- The County of Los Angeles (Los Angeles, CA)
- …new or revised procedures. + Works with Professional Standards Review Organization representative to orient new staff to Federal laws and regulations pertaining to ... to patients are appropriate and covered by the insurance payer . They are responsible for ensuring that patient services...so may result in an incomplete application and may lead to disqualification. We will send notifications to the… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Patient Account Representative , CMG Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Medical Group is ... All work shall be completed in a timely and accurate manner. The Patient Account Representative (PAR) Level II position serves as a resource to PAR Level I staff by… more
- Medtronic (Los Angeles, CA)
- …and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in a more connected, ... impact the access to the innovative Medtronic Diabetes Devices and Systems. You'll lead with purpose, breaking down barriers to innovation in a more connected,… more
- Ochsner Health (Jefferson, LA)
- …1942, but one thing has never changed - our commitment to serve, heal, lead , educate,** **and innovate. We believe** **that every award earned, every record broken ... and CPT codes; conforms to applicable Medicare, Medicaid and other third-party payer guidelines to ensure receipt of accurate reimbursement. In the inpatient… more
- Ochsner Health (Jefferson, LA)
- …1942, but one thing has never changed - our commitment to serve, heal, lead , educate,** **and innovate. We believe** **that every award earned, every record broken ... patients. Remains in conformance with applicable Medicare, Medicaid and third-party payer guidelines to ensure receipt of accurate reimbursement. To perform this… more
- Ochsner Health (Jefferson, LA)
- …1942, but one thing has never changed - our commitment to serve, heal, lead , educate,** **and innovate. We believe** **that every award earned, every record broken ... and CPT codes; conforms to applicable Medicare, Medicaid and other third-party payer guidelines to ensure receipt of accurate reimbursement; works in collaboration… more
- Pfizer (San Francisco, CA)
- …a focus on pneumococcal conjugate vaccines (PCVs). The senior director will lead RWE and epidemiologic studies generating evidence on disease burden, vaccine ... related pipeline vaccines. **Role Responsibilities** In this role, you will: + Lead epidemiology studies- both field studies involving primary data collection and… more
