The System Provider Enrollment Specialist is responsible for the coordination and tracking process of managed care enrollment. Responsibilities 1. Individual Provider and Group Enrollment Responsible for application management, completion and submission of a variety of forms and supporting documentation that allows the health system and individual providers to participate

From the very start, Bright Horizons' founders believed that doing well was firmly intertwined with doing good. That mission was formalized in 1999 when the company created the Bright Horizons Foundation for Children. Since then, the organization has provided the framework and the support for employees, clients, vendors, families, and friends to leverage our early learnin

Perform duties necessary to ensure the proper interpretation, processing, recording, approval and payment of inpatient and outpatient medical claims. Accurately reviews information for processing claims into a computerized system in accordance with the primary payer specifications and billing guidelines. Monument Health offers competitive wages and benefits on qualifying

The Insurance Specialist will report to the Insurance Manager within the Risk & Safety Department and work under the guidance of the Director of Risk & Safety Management. The Insurance Specialist will have limited supervisory oversight of the Claims Coordinator(s) and provide guidance and direction for complex or challenging insurance related transactions. This individual

The Insurance Follow up Specialist Level I is responsible for following up directly with commercial and governmental payers to resolve billing issues and secure appropriate reimbursement in a timely manner, on both facility and professional claims. This individual identifies and analyzes denials and payment variances and enacts corrective measures as needed to effectively

Support & Service Performs data entry, processing, and risk analysis to place customer coverage. Services substantial customer accounts, including high net worth clients. Identifies opportunities to support sales goals during the course of daily activities. Offers guidance on complex and escalated service issues. Team Leadership Mentors and trains team members. Assists in

Acts as the internal and external point of contact and coordinates the day to day operations of the front desk and medical records. Serves as the lead in clerical/administrative components of patient encounters as a member of the care delivery team. Acts as a mentor to all patient service representatives and ensures that the delivery of high quality, cost efficient, cultu

This position completes daily insurance verification/authorization for proposed services and patient notification for estimated payments due. The position works with clinicians audiologists and speech language pathologists, and schedules patients in the Practice Management database. The person hired will demonstrate the highest degree of accuracy and readability for all w

include but are not limited to Follow up and collection of all inpatient and outpatient accounts from admission to discharge and final resolution of accounts. Other duties will include billing and cash posting responsibilities. KNOWLEDGE, SKILLS, AND ABILITY Knowledge of coding Knowledge of basic business office/average to high math skills. Knowledge of third party procedu

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $14.3 billion in 2023. During the year, UHS was again recognized as one of the

This position is responsible for ensuring the on~going receipt and transmission of daily data transactions of Electronic Data Interchange (EDI) edits within the GE systems as well as encounter claim edits for the various Advocate Physician Partners (APP) contracted payers. This position will be expected to collaborate heavily with various APP departments. The efficiency i

Inputs various data into specified computer system with limited judgment. Under direct supervision operates numerical and/or alphabetical data input from source documents received from clients. Follows basic specified data entry instructions. Refers problems to higherlevel operators. Maintains records of individual production. Data entry of test request form and rebill in

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high quality healthcare plans are designed to help keep people independent and living life on their own t

Primary Office Location One North Shore Center. Pittsburgh, Pennsylvania. 15212. Join our team. Make a difference for us and for your future. Position Title Employee Benefits Account Executive Business Unit INSA Reports to Director of Employee Benefits Position Overview This position manages a complex book of employee benefits business and acts as the primary service cont

Inputs various data into specified computer system with limited judgment. Under direct supervision operates numerical and/or alphabetical data input from source documents received from clients. Follows basic specified data entry instructions. Refers problems to higherlevel operators. Maintains records of individual production. Data entry of test request form and rebill in