- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Authorization Technician Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... safety net required to achieve that purpose. Job Summary The Supervisor, Authorization Technician supports the Utilization Management (UM) Specialist by handling all… 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 ... authorization submissions for timely response * Follows up on any prior authorization denials; assists Utilization Management with appeals , as needed *… more
- Intermountain Health (Broomfield, CO)
- …all necessary demographic, financial, and clinical information from the patient or representative . As an Insurance Authorization Specialist you need to know ... Work daily reports to ensure all payer specific billing requirements and authorization requirements are met. Obtain and verify necessary demographic and billing… more
- Veterans Benefits Administration (Huntington, WV)
- Summary The Supervisory Veterans Service Representative - Assistant Veterans Service Center Manager (AVSCM) shares in the responsibility of managing Veterans Service ... administration of work involving the development, examination, Adjustment, reconsideration, or authorization of the settlement of claims filed by veterans, their… more
- State of Colorado (Durango, CO)
- Program Reporting and Transparency (PRTO) Representative - Durango Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4721159) Apply Program ... Reporting and Transparency (PRTO) Representative - Durango Salary $70,140.00 - $91,176.00 Annually Location...obtained at any time after receipt of the applicant's authorization . As part of the employment screening an applicant… more
- Carle (Urbana, IL)
- Revenue Cycle Denials Receivable Representative + Department: Revenue Cycle - CFH_10_19 + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin + ... Apply Now Position Summary: Proficient in Revenue Cycle Denials Receivable Representative 1. Responsible for handling escalated account and payer issues. Handles… more
- US Tech Solutions (May, OK)
- …phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers ... assigned by the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception requests for multiple clients or lines of… more
- Houston Methodist (Cypress, TX)
- At Houston Methodist, the Case Management Representative position is responsible for providing clerical assistance and data management support to the case management ... securing signatures on the form from the patient or their legal representative , and answering questions regarding the appeal process + Distributes the Medicare… more
- UT Health (Houston, TX)
- Patient Account Representative II - Rev Cycle **Location:** Houston, Texas **Category:** Professional/Managerial McGovern Medical School at UTHealth Houston ... and elder care + Plus many more! **Position Summary:** The patient account representative is responsible for the timely collection of third party and private pay… more
- Access Dubuque (Dubuque, IA)
- Member Services Representative **Medical Associates** 1 Positions ID: oXDJufwx Posted On 11/04/2024 **Job Overview** **Description** If you are looking for a ... Health Plans is looking for a **full-time Member Services Representative ** to join our team! **Who You Are:** +...and enter necessary data and documentation into member and authorization subsystems of core business processing system as necessary… more
- UNC Health Care (Smithfield, NC)
- …teamwork and reflects UNC Health Care's mission and philosophy. Responsibilities: 1. Appeals & Managed Care Escalations: Project Manage all 3rd party appeals ... of experience in Hospital or Physician Insurance related activities ( Authorization , Billing, Follow-Up, Call-Center, or Collections). **Knowledge/Skills/and Abilities Requirements:**… more
- Carle (Urbana, IL)
- Accounts Receivable Representative + Department: Patient Financial Services + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin + Employment Type: ... a Friend Save Save Apply Now Position Summary: The Accounts Receivable Representative 1 manages the accounts receivable in accordance with compliance, regulatory and… more
- Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
- JOB DESCRIPTION JOB TITLE: Insurance Follow up Representative DEPARTMENT/DIVISION: Billing STATUS: Full-time, Non-Exempt REPORTS TO: Billing Manager POSITION ... SUMMARY: The Insurance Follow up Representative is responsible for collecting and resolving outstanding third...up for various insurance plans + Working denials, submitting appeals and corrected claims + Thorough knowledge and understanding… more
- Corewell Health (Big Rapids, MI)
- …prior authorization has been obtained; assists with retroactive insurance denials/ appeals . + Responsible for complex EMR/EHR scanning and Right Fax faxing and ... maintenance gaps. + Ability to perform the role of Patient Services Representative , Associate when necessary. + Actively participates in safety initiatives and risk… more
- UNC Health Care (Chapel Hill, NC)
- …for the accurate and timely submission of claims follow up, reconsideration and appeals , response to denials, and re-bills of insurance claims, and all aspects of ... of experience in hospital or physician insurance related activities ( Authorization , Billing, Follow-Up, Call-Center, or Collections) **Job Details** Legal Employer:… more
- Houston Methodist (Houston, TX)
- …Methodist, the Case Management (CM) Coordinator position is a proficient CM representative that provides technical, clerical and data management support to the case ... and discharge planning. This position performs the duties and responsibilities of a CM Representative , in addition to a wide variety of duties of a higher complexity… more
- State of Colorado (Denver, CO)
- …families, including expectations, responding to questions, and requesting signed authorization for release of information and disclosure statements. Review relevant ... families, including expectations, responding to questions, and requesting signed authorization for release of information and disclosure statements. Communicate… more
- State of Colorado (Grand Junction, CO)
- …Engineer delegated by the Chief Engineer to act as a fully authorized representative in direct charge of the construction for assigned projects. This position ... Prepares contract documents such as task orders and formal agreements, authorization payment for consultant billings, maintaining accurate summaries and staying… more
- State of Colorado (Colorado Springs, CO)
- …families, including expectations, responding to questions, and requesting signed authorization for release of information and disclosure statements. Review relevant ... families, including expectations, responding to questions, and requesting signed authorization for release of information and disclosure statements. + Communicate… more
- Carle (Urbana, IL)
- …a Friend Save Save Apply Now Position Summary: The Accounts Receivable Representative 2 is proficient in Accounts Receivable Representative 1 responsibilities. ... Responsible for handling escalated account and payer disputes. Handles complex edits, appeals and advanced account activities such as settlement and refund requests,… more