The Account Specialist II, Insurance Follow Up & Denials Management is responsible for all insurance follow up responsibilities for Cook Childrens Physician Network. Primary duties are; follow up, analysis, and resolution of outstanding insurance claims; initiation of the appeals process on behalf of CCPN providers. The Account Specialist II, Insurance Follow Up & Denials

Financial Assistance Responsible for screening patients for MassHealth, CarePlus, Connector Care, Health Safety Net, assisting in the application process when appropriate. Submits applications all Massachusetts applications for health coverage via the Health Connector. The PBR will keep track of all cases using ONTRAC as well as a paper tickle file system. The PBR will al

The Revenue Cycle Department has a new opportunity available for the role of Transplant Specialist. Currently there are four team members who report to the manager. The ideal candidate has experience in transplant programs including contracting, provider relations, or transplant billing and collections. Willing to train the right candidate if you have like experience but

Responsible for the accounts receivables reconciliation process for patient accounts including but not limited to examining, correcting and consistently updating patient health information to ensure accurate insurance payment/follow up and applying appropriate contractual allowances. Resolves patient and insurance carrier inquiries in a timely manner to avoid increasing 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

This is a hybrid role; 3 days in office, 2 days remote The Claims Examiner investigates, and processes Workers' Compensation claims for VCUHS employees. This job assists in the coordination of an effective commercial insurance and self insured Workers' Compensation Claim Program that is compliant with state laws and that meets the needs of VCUHS. This job is responsible f

Processing of appraisal requests from various commercial lending groups and the Special Assets Group. Creating detailed Requests for Proposals (RFP's) to procure bids on each assignment from eligible vendors within established SLA's. Contractually engaging the selected vendor within established SLA's. Monitoring the progress through appraisal completion/delivery, while ad

Position will be responsible for answering of Health Plan phone lines and response to Provider inquiries relating to claims, benefits, and Health Plan policies. The position is also responsible for developing and maintaining working relationships with CCHP Providers. The position is responsible for meeting department production and quality goals. Dependable attendance is

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

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! This is a Union Role Job Summary This Position

Western Region CBO The Western Region Consolidated Business Office provides business office services including billing, collections, cash posting, pre access management, variance and customer service to our affiliated UHS facilities. We are seeking dynamic and talented individuals to join our team. Job Description Responsible for verification of benefits for all hospital

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

The Financial Counselor is responsible for verifying benefits and eligibility for potential and actual patient admissions, for completing the actual admission/registration process required for the patient's admission to the hospital and for assisting in the preparation of the financial folder. The position is also responsible for providing patient financial counseling and

Property/Asset Specialist (Ashburn, VA) Job Locations US VA Ashburn Job ID 2024 11021 # of Openings 1 Category Supply Chain Overview LMI seeks a Property/Asset Specialist to support a federal program management office in the National Capital Region (Ashburn, VA). Join our team of collaborative self starters focused on delivering practical and efficient solutions to help o

As a not for profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Women's Hospital and Massachusetts General Hospital, Mass General Brigham supports a complete continuum of care including community and specialty hospitals, a manage