Maintains, confirms and secures referrals, authorization, or pre certifications required for patients to receive physician or medical services. Verifies the accuracy and completeness of patient account information. Maintains database of payer authorization requirements. Ensures information obtained is complete and accurate, applying acquired knowledge of Medicare, Medicai

This is a per diem position. Wellington Regional Medical Center is located in Wellington, Florida. It is a 235 bed, acute care hospital, owned by a subsidiary of Universal Health Services, Inc., a highly respected healthcare management organization. Wellington Regional is proud to have provided high quality healthcare services to the residents of Palm Beach County since 1

Come work at a place where we take pride in creating a workplace environment that values hard work, commitment, and growth . Job Description Education High School diploma or equivalent required Associate's degree in Business Administration or relevant field of study preferred Insurance adjuster license required Work Experiences 4+ years' claims experience working with wor

Are you a current UMass Memorial Health caregiver? CLICK HERE to apply through your Workday account. Schedule Details Monday through Friday Scheduled Hours 0800 1630 Shift 1 Day Shift, 8 Hours (United States of America) Hours 40 This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone

Verify eligibility and obtain authorization from insurance companies Ability to obtain authorizations for in office procedural injections Ability to obtain authorizations for MRI and Ct scans Ability to obtain authorizations for visco supplementations Follow up on authorizations submitted Ability to follow up with patient messaging Load or update insurance information as

Responsible for the accurate and timely processing of fee for service claims and account collections. Responsible for obtaining necessary information for the proper billing and/or collections of fee for service accounts. QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed be

Completes tasks for pre registration, registration, data collection, reception, information distribution, payment and collections, obtaining consents and releases, insurance authorization and verification, and patient safety security system. Performs general clerical and office duties. Essential Functions Gathers required information to schedule patients appropriately. Pe

At Boston Children's Hospital, the quality of our care and our inclusive hospital working environment lies in the diversity of our people. With patients from local communities and 160 countries around the world, we're committed to reflecting the spectrum of their cultures, while opening doors of opportunity for our team. Here, different talents pursue common goals. Voices

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

Reviews clinical authorization denials and determines appropriate actions per payor to overturn the denial. Functions as a hospital liaison with external third party payors to review authorization denials. Job Duties Monitors and completes claims on team appeals, reconsiderations, and claim investigations. Works with the precertification department and other physician off

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

Verifies patient benefits by phone or insurance platform. Documents benefits into Therapy Source New Patient Registration (NPR). Provide insurance data support to the clinics and Central Billing Office. Provide support with Special Projects. Essential Functions Verifies insurance eligibility by phone or approved online platforms. Knowledge of in network payers with use of

This opportunity is full time at 40 hours per week, offers full benefits and a convenient day shift schedule. Wellington Regional Medical Center is located in Wellington, Florida. It is a 235 bed, acute care hospital, owned by a subsidiary of Universal Health Services, Inc., a highly respected healthcare management organization. Wellington Regional is proud to have provid

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 Accounts Specialist is responsible for conducting utilization and quality assurance activities in accordance with Utilization Review, Business Office, Billing, and Coding policies and procedures. The Business Office clerk performs functions for providing ongoing administrative support to multiple departments. Business Office Clerk is responsible for the distri