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.

Accountable for a full range of provider relations including engagement with and development of prospective providers Design and implement strategies to increase the membership of providers in the network Create and execute a marketing plan to build and nurture provider network Identify needs in provider network, incorporating potential gaps related to composition, servic

3000 DaVita Way,Deland,Florida,32724 2039,United States of America GENERAL PURPOSE OF THE JOB The Specialist I, Cash Posting (Lab) knows and performs all essentials duties and responsibilities as outlined below. Understands the job and applies knowledge and skills to complete a wide range of tasks at a level which meets department standards and ensures goals and objectives

Review claims for completeness and accuracy to determine if additional information and/or supporting documentation is required Research and respond to inquiries from members and internal business units Process GAP claims and make decisions within established guidelines and policies Provide claim and contractual information to appropriate internal and external parties Rese

Analyzes, configures, develops, tests, implements, supports and maintains Epic revenue cycle applications, solutions and business processes to meet operational and technical requirements. Obtains and maintains in depth knowledge of software functionality and acquires as well as utilizes knowledge of operational workflows to be implemented. Areas of responsibility may be H

3000 DaVita Way,Deland,Florida,32724 2039,United States of America Job Description GENERAL PURPOSE OF THE JOB The Specialist I, Denials (Lab) is responsible for the review and resolution of denied claims due to benefit issues, verifying applicable insurance coverage for multiple states, and determining correct coordination of benefits information. Applies the knowledge and

Universal Health Services (UHS), one of the nation's largest and most respected providers of hospital and healthcare services, one of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. In 2024, UHS was recognized By Newsweek and Plant A Insigh

JOB DESCRIPTION Position Type Full time Type Of Hire Experienced (relevant combo of work and education) Travel Percentage 1 5% FIS is a leading provider of technology solutions for merchants, banks and capital markets firms globally. FIS stays ahead of how the world is evolving to power businesses in today's fast changing competitive landscape and help our clients run, gr

The SHOW comes alive at MGM Resorts International! Have you ever wondered what it would be like to work in a place full of excitement, diversity, and entertainment? Are you enthusiastic about being a team player in one of the most fascinating industries in the world? At MGM Resorts, we seek individuals like YOU to create unique and show stopping experiences for our guests

improving the quality, cost and experience of health care. Here, we focus on delivering the best patient care, rather than volume. Through innovation and superior care management, we support patients and your well being as a team member. Join a team at the forefront of value based care and discover the meaning behind Caring. Connecting. Growing together. All of us have a

The Patient Financial Counselor provides insurance verification and benefit collection for all outpatient ancillary services and inpatient surgeries and admissions. They verify & possibly obtain authorization and pre certification for services rendered. Additionally, they provide scheduled and non scheduled patients with estimates for procedures and assist the Patient Acc

Incumbent is responsible for obtaining all necessary authorizations in accordance with established guidelines. Verifies eligibility, obtains benefit information, and generates letters for authorizations. Responds to Member Services and Call Center inquiries and resolves any identified authorization issues which arise. Total Compensation In addition to the salary range lis

Support Project Directors/Principal Investigators and other stakeholders to ensure security and accountability of sponsored inventory through transaction documentation process, routine verification, and system review. Tags sponsored property and records assets in sponsored property inventory application. Compile and document all transactions for data entry. Conduct annual

Overview Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health. Ensures regulatory compliance, timeliness requirements and accuracy standards are met. Coordinates efficient functioning of day to day operations according to defined processes and proc

Performs those 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 qual