- BrightSpring Health Services (Arlington, TX)
- …Physician's offices as needed to obtain approvals + Works with Client Billing Service Offices, Pharmacy Directors, customers and prescription drug plans to ... a strong understanding of the insurance verification, adjudication, back-end billing process and become a subject matter expert on...a subject matter expert on the insurance queues and billing workflow. + Maintains a clean and organized work… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Professionally handle incoming inquiries from providers regarding Medicaid Managed Long Term Care, Medicare Advantage and Medicare Part D Prescription Drug ... Provider Services Representative 75 Vanderbilt Ave, Staten Island, NY 10304,...Plans including but not limited to inquiries regarding cost, billing , drug coverage, deductible and co-pays, prospective members and… more
- UNC Health Care (Chapel Hill, NC)
- …with prior authorizations and insurance verification to post-service with billing , follow-up and collections. Requires substantial knowledge of all carrier ... to resolve credit balances through refunds or posting adjustments. Compiles Medicare /Medicaid Cash Reports and quarterly Credit Balance reports. 6. Payor Audits… more
- University of Utah Health (Salt Lake City, UT)
- …discussion of HIPAA regulations and important messages from Medicare and Medicare coverage, including Part D . + Assists patients with questions about ... financial arrangements, billing and other financial policies, or refers patient to...+ Corrects and edits registration errors to ensure proper billing . + Collaborates with clinicians and other departments to… more
- HUB International (Lafayette, LA)
- …to legislation and benefit laws such as HIPAA, COBRA, FMLA, PPACA, Mental Parity & Medicare Part D , etc. + Assist in the implementation of new business, the ... leading success in Mergers and Acquisitions. **Position Summary** The Internal Service Representative addresses all employee benefit issues as brought up by HUB… more
- University of Texas Rio Grande Valley (Rio Grande, TX)
- Position Information Posting NumberSRGV7558 Working TitlePATIENT SERVICES REPRESENTATIVE I Number of VacanciesMultiple LocationRio Grande Valley DepartmentSchool of ... and benefits through various payers, including commercial insurances, Medicaid, and Medicare . + Obtains the necessary prior authorizations, referrals, and other… more
- Access Dubuque (Dubuque, IA)
- …Rotating Shift **Description:** **POSITION PURPOSE:** The Patient Access Representative greets patients/family members and obtains and/or verifies demographic, ... manner to ensure good patient relations and a smooth billing process. + Informs patient/guarantor of their liabilities and...payment receipt. + Validates medical necessity (LMRP/LCD review) of Medicare and Non- Medicare cases to ensure clinical… more
- State of Colorado (Aurora, CO)
- …07 Please describe your experience performing account receivable duties including Medicaid and Medicare billing experience in a long term care setting. 08 Please ... manage/Reconcile Petty Cash Account + Resolve any issue related to Pharmacy Part D including enrollment. + Reconcile the meal ticket each day including refilling the… more
- Cardinal Health (Columbus, OH)
- …or equivalent preferred * Patient Support Service experience, preferred * Clear knowledge of Medicare (A, B, C, D ), Medicaid & Commercial payers policies and ... patient and/or program * Resolve patient's questions and any representative for the patient's concerns regarding status of their...preferred * 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience * 1-2 years experience… more
- Cardinal Health (Columbus, OH)
- …work experience, preferred + Patient Support Service experience, preferred + Clear knowledge of Medicare (A, B, C, D ), Medicaid & Commercial payers policies and ... patient and/or program + Resolve patient's questions and any representative for the patient's concerns regarding status of their...preferred + 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience + 1-2 years' experience… more
- AIDS Foundation Chicago (Chicago, IL)
- …to other public and private programs for which they may be eligible (Medicaid, Medicare , Part D , ADAP, etc.) Documentation & Recordkeeping * Enters participant ... and required documentation in participates files * Enters all billing , and other required data elements into Provide Enterprise...is required for this position. The work environment is representative of that found in a general office environment.… more