- US Tech Solutions, Inc. (Atlanta, GA)
- …benefit exception requests on behalf of as the client and in accordance with Medicare Part D CMS Regulations. Must apply information [provided through multiple ... Remote Duration: 12 months contract Job Description: The CD Representative II will work closely with providers to process...of Aetna as the client and in accordance with Medicare Part D CMS Regulations. . Must… 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
- BrightSpring Health Services (Raleigh, NC)
- …minimum of 7 business days Responsibilities * Maintains current knowledge in pharmacy billing requirements related to facility ( Medicare A & Managed Care), ... are looking for career progression! We are seekinga Pharmacy Billing Technicianto join our Team. This is an excellent...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
- 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
- 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
- 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
- Hackensack Meridian Health (Hackensack, NJ)
- …lowest possible days in accounts receivable in a cost effective manner and timely billing of NRP (next responsible party). Supports the Revenue Cycle team to achieve ... and ensure all levels of approval are being followed. d . Monitors credit balance and dashboard and conducts analytical...fraud. + Develop a business relation with the payer representative and their EDI lead person, this will expedite… 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 (Columbus, OH)
- …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
- Universal Health Services (Torrance, CA)
- …24 hours of the admission to ensure timeliness. + Prepares all cross-over Medicare billing . + Demonstrates a thorough knowledge and understanding of admitting ... Responsibilities Patient Account Representative Del Amo Behavioral Health System, a subsidiary of UHS ,offers a safe and compassionate environment for individuals… 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
