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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! Job Summary This position will work from the Ri
Posted 1 day ago
The essential duties and responsibilities (including but not limited to) Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans.
Posted 1 day ago
The essential duties and responsibilities (including but not limited to) Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans.
Posted 1 day ago
The essential duties and responsibilities (including but not limited to) Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans.
Posted 1 day ago
Own the 911 Operating Procedures and associated Compliance Manual Develop, implement, and improve upon processes in the evolving 911 environment Responsible for timely notifications and reporting of 911 events internal and external as required and defined by the FCC and regulatory bodies; including reporting of noncompliance of any portion of FCC mandated orders Handle hi
Posted 1 day ago
Thomson Reuters
- Ann Arbor, MI / Frisco, TX / Eagan, MN / 1 more...
The Client Executive Manager will lead their team of professionals towards achieving retention and upsell targets within Tax Workflow Mid Market segment. The CE Manager will direct their team by focusing on priority touchpoints, leveraging sales enablement tools, and sales process, to generate opportunities to facilitate conversations that reinforce the value of current T
Posted 5 days ago
Zelis Healthcare, LLC
- Atlanta, GA / Plano, TX / Boston, MA / 3 more...
The Regulated Claims Settlement Coordinator supports the Claims Settlement Team through leading the review and response to disputed claims submitted through state and federal arbitration processes. The Regulated Claims Settlement Coordinator will be responsible for supporting Zelis' settlement offers and pricing after disputes have been filed to federal and state arbitrat
Posted 6 days ago
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
Posted 7 days ago
The Commercial Lines Assistant Account Manager is responsible for assisting other members of the department with meeting the service needs of customers and performing essential functions that include processing changes, rating, making calls, and assuring correct information is input into the automation systems to achieve the quality and service standards developed by the
Posted 7 days ago
The Producer is responsible for prospecting, soliciting and selling new commercial accounts. Continuing to counsel and market to existing clients professionally is another essential function of the position. Specific sales goals and service responsibilities are determined during yearly planning process for this position. Meets service and sales standards of volume with ti
Posted 8 days ago
Be responsible for oversight of the insurance authorization process regarding case management of care clusters and patient pathways. To include timely and complete processing of eligibility and benefit verification, initial and ongoing authorization requests following set guidelines and accurate entry of related information in designated software system. Review and build
Posted 13 days ago
Coordinates Medicare and Medicaid enrollment/re enrollment and managed care credentialing and contracting processes for providers. Serves as administrator for billing system and assists practices with system issues. Maintains NPI files and provider numbers. Serves as customer service liaison. Monitors accounts receivable to maintain appropriate levels and reviews payments
Posted 18 days ago
Provide administrative support to multiple underwriters, including monitoring email correspondence, and completing administrative tasks to expedite the underwriting process. Maintains a solid understanding of AmTrust's mission, vision, and values. Upholds the standards of the AmTrust organization. Responsibilities Responsibilities Performs underwriting support associated
Posted 21 days ago
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
Posted 26 days ago
This position completes daily insurance verification/authorization for proposed services and patient notification for estimated payments due. The position works with clinicians audiologists and speech language pathologists, and schedules patients in the Practice Management database. The person hired will demonstrate the highest degree of accuracy and readability for all w
Posted 27 days ago
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