- 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
- UCLA Health (Los Angeles, CA)
- …As a member of the Medicare Advantage Operations team, the Senior Medicare Advantage Enrollment Representative plays a pivotal role in processing all ... disenrollment, and cancellation requests. This position requires a deep understanding of Medicare Part D programs and meticulous attention to detail to… 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
- Logan Health (Whitefish, MT)
- …essential patient information for the electronic medical record and for insurance billing purposes. + Responsible for processing all forms and obtaining signatures ... patient's visits are available for the nurses and providers. D . Processes schedule changes as needed and informs involved...monies owed at the time of service. + Notifies Billing Department of promises made so that they may… more
- UNC Health Care (Smithfield, 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 (Edinburg, TX)
- Position Information Posting NumberSRGV7609 Working TitlePATIENT SERVICES REPRESENTATIVE I (UT Health RGV Multispecialty Surgical Specialty - Edinburg) Number of ... and benefits through various payers, including commercial insurances, Medicaid, and Medicare . + Obtains the necessary prior authorizations, referrals, and other… more
- Insight Global (Spokane Valley, WA)
- …System Mission into daily activities. Participate in QA/QI. Responsible for performing Medicare Part D eligibility and drug formulary checks. Prepare hospital ... problems, etc. Responsible for creating Cost Disclosure/Advance beneficiary notices for Medicare patients and tracking for signed form. Responsible for generating… 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)
- …**Employment Type:** Full time **Shift:** **Description:** The Patient Access Representative greets patients/family members and obtains and/or verifies demographic, ... and courteous manner to ensure good patient relations and a smooth billing process. Informs patient/guarantor of their liabilities and collects appropriate patient… 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 (Atlanta, GA)
- …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
- State of Georgia (Fulton County, GA)
- …technical assistance to DD providers concerning service delivery design/utilization and authorization/ billing practices. d . Partners with Central Office and ... issues, standard operating procedures development and updates. e. Acts as state representative for DBHDD Division of IDD for various stakeholder meetings (eg CMS,… 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
- 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
- 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
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …Juris Doctorate will substitute for the one year of required experience. d . A Ph. D . in Business Administration, Public Administration, Human Resources/Personnel, ... Office of State Uniform Payroll policies, benefits (insurance and retirement plans), Medicare , FMLA, FLSA, and rules and procedures governing all types of payroll… more