- 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
- 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 ... + Develop a strong understanding of the insurance verification, adjudication, back-end billing process and become a subject matter expert on the insurance queues… more
- Wellpath (Pembroke Pines, FL)
- …at a time. **How you make a difference** This position entails managing Medicare /Medicaid billing processes and processing medical claims, including CMS 1500 ... Administration (SSA) forms and securing signatures for changes in SSDI representative payees. Additionally, responsibilities involve completing Medicare Cost… more
- BrightSpring Health Services (Great Falls, MT)
- …minimum of 7 business days Responsibilities * Maintains current knowledge in pharmacy billing requirements related to facility ( Medicare A & Managed Care), ... environment for those who are willing to learn claims, billing and insurance processing. This is not a remote...commercial third party and Medicare Part D .* Demonstrate a clear understanding… more
- UNC Health Care (Raleigh, 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
- University of Texas Rio Grande Valley (Mcallen, TX)
- Position Information Posting NumberSRGV7644 Working TitlePATIENT SERVICES REPRESENTATIVE I (UT Health RGV Primary Care - McAllen) Number of Vacancies1 ... and benefits through various payers, including commercial insurances, Medicaid, and Medicare . + Obtains the necessary prior authorizations, referrals, and other… more
- Trinity Health (Farmington Hills, MI)
- …Some knowledge of health insurance and governmental programs, regulations, and billing processes, eg, Medicare , Medicaid, Social Security Disability, Champus, ... Posting team at an assigned PBS location responsible for ensuring accurate billing , collections, and posting processes are followed. This position reports to the… more
- HUB International (Gulfport, MS)
- …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 ... (including assistance in the appeals process), enrollment, termination, and billing issues. + Provides knowledgeable answers regarding policy coverage information… more
- InnovaCare (San Juan, PR)
- …Service Operations Department - Call Center POSITION: Customer Service Representative REPORTS TO: Customer Service Supervisor CLASSIFICATION: Non Exempt POSITION ... or Call Center environment. Prefered someone with health plan, medical billing or customer service experience. Evidence of good communication, interpersonal and… 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
- Nashville Center for Rehabilitation and Healing (Nashville, TN)
- …c) record all significant events in resident's life and social service contacts. d ) monitor and assist psychosocial staff in maintaining psychosocial notes as well ... and support to psychosocial aids. e) inform and educate residents/families/legal representative regarding the importance of pre-paid burial/ funeral arrangements and… more
- BrightSpring Health Services (Arlington, TX)
- …Center to set up RFMS Account* Assure individuals who qualify are enrolled with right Medicare Part D provider* Completes PAC form for new admission and submits ... ALL ADMISSION DOCUMENTS listed on attached forms Submits documentation concerning Representative Payee to Client Trust Fund* Responsible for working with Client… more
- Molina Healthcare (Seattle, WA)
- …development and maintenance. The role regularly translates complex changes in billing guidelines, clinical guidelines, and regulatory changes into concise talking ... program implementations for Provider Relations team. They may also act as a representative between Molina Health plan and the Plan's Complex Provider Community that… more