- University of Rochester (Rochester, NY)
- …balances of aged insurance accounts which have not been collected through routine billing and collection activities. Claim Resolution Rep III will make ... conforms to federal and state regulations bringing concerns to the attention of billing Manager and Supervisor. The Claim Resolution Rep III will represent… more
- Covenant Health Inc. (Knoxville, TN)
- …(835) to determine and take appropriate actions for resolution and for secondary billing processes. Recruiter: Suzie McGuinn || ###@covhlth.com Responsibilities ... "Best Employer" seven times. Position Overview: Demonstrates expanded knowledge of the billing requirements for UB and 1500 claims for acute care facilities and… more
- BJC HealthCare (Farmington, MO)
- …guidelines, must be able to understand, articulate and enforce hospital compliance with Medicare Secondary Payer (MSP), HIPAA Privacy Standards, Patient Bill of ... Role** Parkland is hiring a Part Time Patient Access Rep I! **Additional Preferred Requirements** + 2 days per...the country. **Preferred Qualifications** **Role Purpose** The Patient Access Representative is often the first point of contact for… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a*Prior Authorization Representative Senior*to join our**Financial Securing**team. This full-time role will primarily work ... * Verifies medical necessity in accordance with the Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage/eligibility… more
- University of Rochester (Rochester, NY)
- …and secondary claims to insurance. + Identifies and clarifies billing issues, payment variances, and/or trends that require management intervention. + Assists ... and all audits. + Coordinates response and resolution to Medicaid and Medicare credit balances. + Requests insurance adjustments or retractions. + Reviews and… more
- University of Rochester (Albany, NY)
- …and secondary claims to insurance. + Identifies and clarifies billing issues, payment variances, and/or trends that require management intervention. Assists ... and all audits. Coordinates response and resolution to Medicaid and Medicare credit balances. Requests insurance adjustments or retractions. Reviews and works… more
- Sharp HealthCare (San Diego, CA)
- …of Benefits (COB) standards to prioritize billing order of insurance plans. Medicare patients - Medicare Secondary Payer (MSP) questionnaire is ... Medi-Cal regulations. + Knowledge of ICD-10, CPT, and/or RVS coding. + Knowledge of Medicare Important Message, Medicare Secondary Payor, Tricare Third Party… more
- Cardinal Health (Concord, NH)
- …remote position Schedule: Monday - Friday, 8:00am - 4:30pm **_What Contract and Billing contributes to Cardinal Health_** Contracts and Billing is responsible ... and vendor contract administration customer and vendor pricing, rebates, billing (including drop-ships), processing chargebacks and vendor invoices and developing… more
- Surgery Care Affiliates (Boise, ID)
- …patient account representative . + Candidate MUST HAVE knowledge of medical billing , payer follow-up, payer contracts, appeals, self-pay billing , Medicare ... change. If you join our team, they will. Responsibilities The Patient Account Representative will be responsible for thorough and timely patient account follow up… more
- University of Miami (Palm Beach Gardens, FL)
- …Off Campus Medicare Co-insurance and Advance Beneficiary Notices, and Medicare Secondary Payer Questionnaire. + Serves as gatekeeper, performs insurance ... an exciting full time opportunity for a Patient Access Representative 1 (On-Sie) H in Palm Beach Gardens, Florida....H in Palm Beach Gardens, Florida. The Patient Access Representative 1 (On-Site) (H) registers patients for clinical services… more
- University of Miami (Miami, FL)
- …Off Campus Medicare Co-insurance and Advance Beneficiary Notices, and Medicare Secondary Payer Questionnaire. + Serves as gatekeeper, performs insurance ... an exciting full time opportunity for a Patient Access Representative 2 in Miami, Florida. The Patient Access ...Representative 2 in Miami, Florida. The Patient Access Representative 2 (On-Site) registers patients for clinical services by… more
- Catholic Health Initiatives (Houston, TX)
- … billing issues 10. Ensures payers are listed Accurately, pertaining to primary, secondary , and/or tertiary coverage and billing when a patient has multiple ... and/or family members during initial evaluation. 3. Advises patients on insurance and billing issues and options. Serves as a resource for patients and their family… more
- Carle Health (Eureka, IL)
- …detailed information clearly, concisely, actively, and in a timely manner. Completes Medicare Secondary Payer (MSP) form in accordance with Medicare ... functions in an effective and efficient manner to enhance coding, billing and case coordination efforts. Makes appropriate independent decisions that require… more
- Catholic Health Initiatives (Houston, TX)
- …accounts. **Essential Function** Ensures payers are listed Accurately, pertaining to primary, secondary , and/or tertiary coverage and billing when a patient has ... numbers in HBOC approval field number 7 to appear on the UB for billing . Notify hospital Case Managers on all in‐house patients regarding insurance plan changes/COB… more
- Fresenius Medical Center (Bowling Green, VA)
- …options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid, Medicare Supplement, State Renal programs and COBRA). + ... + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: + Determining… more
- Rush University Medical Center (Chicago, IL)
- …copies of submitted yearly Profile Reports and confirmation of receipt by EDI representative . + Coordinates Medicare Secondary Recovery Reporting Portal ... + Tracks legal and regulatory developments pertaining to Section 111 Reporting and Medicare Secondary Payer Recovery Portal. Rush is an equal opportunity… more
- University of Washington (Seattle, WA)
- …in the EPIC billing system. + Update/edit charge entry detail for Medicare claims that have been corrected and need to be resubmitted electronically. + Research ... has and outstanding opportunity for a **Claims Specialist (Patient Account Representative 2).** This position is responsible for claims review, clearing claim… more