Coordinates administrative duties associated with daily physician practice operations and acts as a resource to the front line scheduling colleagues. Provides education and support to clerical staff. Functions as the primary practice resource for insurance information, clerical standard work, EMR scheduling, referrals, and other appointment functions. Job Duties Oversees

Production/Indirect Contract and PO monthly audits of Defense/Commercial/Fabrication Supply Chain which are tied to U. S. Government (USG) contracts. This requires checking for both accuracy and content KPI's distributed to Defense/Commercial/Fabrication SCM Leadership, Defense Senior Leadership, Government Compliance Leadership, and others, as needed Facilitate individua

Primary Office Location One North Shore Center. Pittsburgh, Pennsylvania. 15212. Join our team. Make a difference for us and for your future. Position Title Employee Benefits Account Executive Business Unit INSA Reports to Director of Employee Benefits Position Overview This position manages a complex book of employee benefits business and acts as the primary service cont

Receive, screen, and process all referral information to the appropriate team member. Perform insurance verification or obtain authorization from any organization making referral that is at risk and requires prior authorization. Consult with the Director of Patient Care Services as necessary to ensure that all services are authorized and reimbursable prior to providing th

Summary Under immediate supervision, performs eligibility related paraprofessional work of routine difficulty; and performs related work as required. Distinguishing Features An employee in this class assists Eligibility Counselors in case management activities and learns the rules and regulations necessary to determine eligibility for monetary benefits and social services

Insurance billing follow up in compliance with government rules and regulations Submits, processes, and resolves claim rejections and denials Verifies patient insurance eligibility for denial resolution Completes the appeal process Monitors and follows up on unpaid balances Resolves issues and resubmits for payment Utilizes resources to reconcile accounts Performs demogra

This classification learns to perform eligibility determination work of average difficulty. An employee in this class is customer facing and learns to interview customers and determine eligibility for SNAP and TANF programs. This classification performs responsibilities at the learning level under direct supervision. This class differs from the Eligibility Counselor 2 in

Under general supervision of the Claims Administration Follow up Supervisor perform all clerical duties necessary to properly process patient bills to customers taking appropriate follow up steps to obtain timely reimbursement of each 3rd party claim and ensure the financial stability of the Hospital. Responsibilities Consistently applies the corporate values of respect h

MARS Solutions Group is looking for an Post Approval Processor to join one of our client's in the Franklin, WI area. Location Onsite at Franklin, WI Campus $15.00/hr to start! 1st Shift Mon Fri FREE LUNCH DAILY IN THE CORPORATE CAFETERIA! The Post Approval Processor is responsible for demonstrating the Company's partnership with the Field and its commitment to qual

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

EXCELLENT LOCAL OPPORTUNITY!

Insurance billing follow up in compliance with government rules and regulations Submits, processes, and resolves claim rejections and denials Verifies patient insurance eligibility for denial resolution Completes the appeal process Monitors and follows up on unpaid balances Resolves issues and resubmits for payment Utilizes resources to reconcile accounts Performs demogra

The Authorization Specialist is responsible for daily oversight of authorization request and approvals requiring interface with internal and external persons/entities and any other activities related to reimbursement for services for ABH, CFS, or Crisis programs. Performs regular updates and verification of insurance coverage. Other regular work duties may also involve me

The Department of Internal Medicine in the University of Iowa Carver College of Medicine is seeking an outstanding physician scientist Health Services Researcher for an Assistant Professor tenure track faculty position. The successful candidate must have an MD or equivalent medical degree and biomedical informatics fellowship training. Completion of an ACGME accredited Re

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.