- Fallon Health (Worcester, MA)
- …Under the direction of the Supervisor or Manager, the Enrollment & Billing Operations Representative III supports Fallon Health's mission, vision and ... Manager to determine course of action. The Enrollment & Billing Operations Representative III collaborates effectively with co-workers and other… more
- UCLA Health (Los Angeles, CA)
- …As a member of the Medicare Advantage Operations team, the Medicare Advantage Enrollment Representative plays a crucial role in the enrollment process by ... + Experience in a Medicare or Managed Care environment, Member Enrollment and Billing experience preferred + Ability to analyze and organize complex federal… more
- Integrative Emergency Services (Dallas, TX)
- …care contracting plans, and third-party billing entities that require provider enrollment . This position will support operations in states including, but not ... proactively and builds strong relationships with payors to facilitate enrollment and obtain provider billing numbers. +... for all providers and groups. + Will support operations in states including, but not limited to, Florida,… more
- Integrative Emergency Services (Dallas, TX)
- …vider Enrollment Manager. This position leads and oversees all provider enrollment operations and ensures timely, accurate, and compliant processes across ... Oversee new group set-ups and ensure required documentation is submitted to the billing company. + Monitor and report on enrollment -related SLAs, KPIs, and… more
- LogixHealth (Bedford, MA)
- …reports + Communicate provider enrollment status to providers, Client Services and Billing Operations as needed + Adjusting procedures as necessary to create ... WV This Role: Supervise the day to day responsibilities for the Provider Enrollment Department workflow to ensure efficiency and accuracy of work. Supervise and… 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 member and… more
- CDPHP (Albany, NY)
- …problems related to benefits, claims processing, claims and benefit appeals/complaints, enrollment and premium billing issues required. Demonstrated ability to ... invites you to be a part of that experience. The Member Service Representative shall assume full responsibility and ownership for all aspects regarding education of… 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
- TEKsystems (Honolulu, HI)
- …banking services including technical troubleshooting, product information, online enrollment support, service utilization assistance, billing research, ... Fraud Representative Opening in Honolulu! 6 month contract fully...downloads, etc. + Resolve and/or handle customer problems such enrollment errors, login errors, transaction failures, unexpected text and… more
- Integrative Emergency Services (Dallas, TX)
- Integrative Emergency Services, LLC ("IES") is seeking an Operations Specialist of Hospital Medicine . This role is responsible for supporting the operational and ... financial analysis, and workflow optimization, to ensure efficiency and compliance. The Operations Specialist serves as a key resource for hospitalist teams and the… more
- Guardian Life (Bethlehem, PA)
- …and claims. This includes but is not limited to: + Overseeing the Field Representative billing process and collaborating with internal stakeholders and the ... motivated individual to join our team as a Benefits Operations Specialist. This role is responsible for serving as...billing administrator to resolve billing disputes. +… more
- University of Colorado (Boulder, CO)
- **Assistant Director of Residential Operations ** **Requisition Number:** 64123 **Location:** Boulder Colorado **Employment Type:** University Staff **Schedule:** ... at CU Boulder encourages applications for an Assistant Director of Residential Operations ! Residence Life at the University of Colorado Boulder focuses on student… more
- University of Colorado (Boulder, CO)
- **Assistant Director of Apartment Operations ** **Requisition Number:** 64122 **Location:** Boulder Colorado **Employment Type:** University Staff **Schedule:** Full ... Life at CU Boulder encourages applications for an Assistant Director of Apartment Operations ! Residence Life at the University of Colorado Boulder focuses on student… more
- Enhanced Protection Services (Richardson, TX)
- …active law enforcement, and subcontractors to posts, while meeting company pay and billing guidelines. The Customer Service Representative plays a critical role ... order requests, ensuring all details are accurate and ready for payroll and billing + Coordinate work order adjustments with Operations Managers, Off-Duty… 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 ... Description We are looking for a dedicated Member Services Representative II to join our team in Pearland, Texas. As a Member Services Representative II, you… more
- OLV Human Services (Lackawanna, NY)
- …care liaison/coordinator 2. Will attend all meetings with OCFS to discuss enrollment numbers, utilization of services, denials and issues with managed care plans. ... Develop a relationship with each carrier's credentialing or contracting representative and stay up to date on any changes...for the MMCP to assist with the following: MMCP enrollment , disenrollment, and transitions, immediate issuance of a Welcome… more
- Actalent (Hackensack, NJ)
- …processes, data management plans, and potential subject risks. + Oversee subject enrollment to ensure informed consent is properly obtained and documented. + ... tests, radiology testing, and other medical exams. + Draft study-specific orders, billing templates, and study calendars in collaboration with the study team. +… more
- MetroLink (Los Angeles, CA)
- …reports of expenses versus budget, and assist accounting department with timely billing on projects. + Review submittals from contractors and consultants for ... duties, and obligations of contracts. + The responsibilities outlined above are representative of the role but not exhaustive. Additional duties may be assigned… more
- Pfizer (Springfield, IL)
- …to coverage and reimbursement matters, such as Patient Assistance Programs and billing and coding reference guides. + Provide education for HCPs/office staff ... regarding Hub financial assistance offerings, enrollment process, Hub HCP portal(s), and other Hub financial...reimbursement is preferred but not required. + Coding and billing knowledge or certification a plus but not required.… 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