Apply if looking for Flexibility and Financial Freedom

Provider Relations Representative is responsible for assisting in the full range of provider relations and service interactions for all lines of business within Prominence Health Plan. Will assist in the design and implementation of programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice

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

BASIC FUNCTION This position is responsible for constructing forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and required or available data elements. May provide consultation to users and lead cross functional teams to address business issues. Produ

Apply if looking for Flexibility and Financial Freedom

Population Specific Care No Direct Patient Care Denials Analysis & Resolution 1) Conducts root cause analysis of denials to determine where improvements within PFS or other departments may be necessary. 2) Collaborates with and provides support to PFS staff and management in appeals including, but not limited to, follow up with departments where letters of medical necessi

The Financial Coordinator is part of a team who handles the direct interaction with patients and their families during difficult times, providing financial insurance and payment information to assist them in planning and managing their account balances related to specific services performed in the clinic. The Financial Coordinator educates patients on the various sponsors

The Charge Data Specialist is responsible to complete the services of charges posted for areas of Children's National Health System. The Charge Data Specialist provides financial analysis, guidance, and advice to management consistent with standard charge posting practices. The Charge Data Specialist will ensure accurate and timely charge capture and quality assurance pro

/Objective We are looking for customer service focused individuals to build a rewarding long term career with us as a Claims Associate. Our objective is to return our customers to a pre loss condition of their specialty product while providing a high level of customer service. We are responsible for processing and approving claims for our Insurance customers at a fair and

Adjudicates claims submitted by outside purchased services for PMC's enrolled capitated population and communicates those actions. Adjusts complex claims for advanced processing needs. Responds to Customer Service Requests and resolves problem claim situations. Providence caregivers are not simply valued they're invaluable. Join our team at Pacmed Clinics DBA Pacific Medi

Provide leadership and oversight of Disability Income claims operations, ensuring claims are being administered in compliance with applicable state laws and regulations. Manages teams that both administer claims and support claims through recruitment, selection, training, development, motivation, and salary administration of staff. Primary Duties & Responsibilities Respon

Under the direction of the Coordinator of Financial Counseling and Private Pay Balance follow up, consistently maintains compliance with department and payer regulations and requirements to ensure the facility optimum reimbursement for Medicaid payers, assists patient with on line forms and applications for Medicaid eligibility and Financial assistance; collects deposits

Advantage Resourcing is seeking a dedicated Medical Insurance Verification Specialist to join our team in Lafayette, LA. Take the next step in your career with a leading healthcare company and embark on an exciting journey today! Pay $15 per hour Hours Monday Friday, 8 AM 5 PM As a Medical Insurance Verification Specialist, you'll play a crucial role in ensuring Medicaid

Providence caregivers are not simply valued they're invaluable. Join our team and thrive in our culture of patient focused, whole person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Providence is calling a Senior Claims Insurance Manager Medical Profe

Identifies and coordinates all aspects of financial obligations for private pay patients. Including, but not limited to, patient relations, physician liaison regarding financial liabilities, deposit estimates and collection. Assures that customer needs and/or complaints related to financial services are responded to and documented in a timely and professional manner and i