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Take on a key administrative role within an award winning health system. Elevate the operational efficiency of a world class healthcare leader. Take your career in an exciting new direction. You can do all this and more at UCLA Health. In this role, you'll facilitate the enrollment of physicians and practitioners. This will include new and existing enrollment applications

Works collaboratively with department leadership to review and manage open Accounts Receivable, accurately documenting follow up activities resulting in the resolution of underpayments and denials. Conducts root cause analysis of denials and takes the action necessary to resolve the denial escalating accounts to management that need to be submitted to the provider represe

As the Insurance Verification, you will be responsible for Determining insurance eligibility, authorization and benefit verification Contacting health care insurers, transcription of information as quoted, type, proofread and mail clarification correspondence Answer telephone and written inquires Maintain filing systems Interface with medical staff and administrative pers

Position Highlights Position Insurance Representative I Location Skokie, IL Full Time/Part Time Full Time Hours Monday Friday, 8am 4 30pm What you will do Initial collection on hospital accounts on the insurance portion Ensure correct payment received based on expected reimbursement for What you will need Education High School Graduate, required 2yrs post high school or d

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

Aya Healthcare has an immediate opening for the following position Claims Examiner in Whittier, CA. This is a 13 week contract position that requires at least one year of Claims Examiner experience. Make $1040.67/week $1266.01/week. Want a job close to home? We've got you! We'll work with you to build the career of your dreams. Aya delivers Front of the line access to exc

Supports Clinic Supervisor and/or Manager in instruction of coding education classes provided to providers, and clinic support staff Assists Coding Supervisor and/or Manager with annual and ongoing updates to clinic encounter forms. Required qualifications Upon hire Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Registered Health Information Te

Function as a clinical liaison to internal and external managed care customers. Partner with external case managers to transition patients to appropriate levels of care. Monitors variances in service utilization and implements improvement processes with staff. Monitors service utilization, cost, and rehospitalization. Collaborate with the education department, identifies

Job Description PT 15 hrs 8a 4p Serve as the central patient advocate for uninsured and underinsured patients as well as those who need services in the community. Responsible for assessing patient's eligibility for no cost or low cost insurance. Assists patients and families with Government sponsored program enrollment such as Medicaid. Collects payments from patients, an

include Ensure accurate completion of enrollments in accordance with CMS and other Managed Care Guidelines Process all Enrollment, Disenrollment, cancellation requests, reinstatements and managed retro reconciliation files or requests Reconcile daily Transaction Reply Report (TRR) and retro reconciliation files Maintain oversight on the accuracy and timeliness of acknowled

Under the direction of the Associate Director, reviews medical record documentation to identify pertinent diagnoses and/or procedures that require coding. The Certified Professional Coder reviews medical records to assure accurate specificity of diagnoses, procedures, and appropriate reimbursement for professional and/or facility charges. Effectively utilizes ICD 10, CPT,

The Insurance Follow Up Specialist contributes to the financial viability of the organization by assuring that accounts have been properly billed and reimbursed. Responsibilities include contacting the appropriate insurance company to secure and expedite payments through the follow up and appeals resolution processes, and acting as a functional leader or reference source.

The Corporate Insurance team at UHS is looking for motivated Senior Program Manager Claims to join our innovative team and contribute to the maintaining of a rolling diary of claims. This position will be located in Dallas, TX. Essential Job Duties Maintain a rolling diary of 150 175 claims at any given time. Work with Risk and Defense counsel will be available to assist

Under the direction of the Associate Director, reviews medical record documentation to identify pertinent diagnoses and/or procedures that require coding. The Certified Professional Coder reviews medical records to assure accurate specificity of diagnoses, procedures, and appropriate reimbursement for professional and/or facility charges. Effectively utilizes ICD 10, CPT,