The Verifying Representative is responsible for researching patient and insurance records for our clients' EMS (ambulance) patients. You will receive EMS patient care reports and verify that all necessary information is received and recorded prior to coding claims. You must enjoy searching for information, working on deadlines, and able to multi task. Essential Duties and

Acts as the internal and external point of contact and coordinates the day to day operations of the front desk and medical records. Serves as the lead in clerical/administrative components of patient encounters as a member of the care delivery team. Acts as a mentor to all patient service representatives and ensures that the delivery of high quality, cost efficient, cultu

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

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

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

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

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

Maximize cash collections and minimize bad debt, while maintaining the integrity of each patient's account. Provide full charge responsibility for an assigned group of patient accounts to include third party billing, insurance follow up, reconciliation of account, and processing all applicable overpayments. Maintain knowledge of managed care contracts, Medicare/ Medicaid

Support & Service Performs data entry, processing, and risk analysis to place customer coverage. Services substantial customer accounts, including high net worth clients. Identifies opportunities to support sales goals during the course of daily activities. Offers guidance on complex and escalated service issues. Team Leadership Mentors and trains team members. Assists in

Support & Service Performs data entry, processing, and risk analysis to place customer coverage. Services substantial customer accounts, including high net worth clients. Identifies opportunities to support sales goals during the course of daily activities. Offers guidance on complex and escalated service issues. Team Leadership Mentors and trains team members. Assists in

Assist with the management of functional reviews, root cause analysis, and analysis of operational risk in REL Develop and implement tools, methods, and programs to identify and mitigate operational and regulatory risks to mitigate risk exposure Manage and partner on efforts to identify and develop innovative, creative, and strategic initiatives for process improvements t

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

RAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for an Insurance Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As an Insurance Specialist, you will provide expertise in insur

PRIOR AUTHORIZATION SPECIALIST Job Locations US OK OKLAHOMA CITY ID 2024 145712 Line of Business Amerita Position Type Full Time Our Company Amerita Overview Come join our closed door specialty infusion pharmacy! Amerita is a leading provider of Specialty Infusion services focused on providing complex pharmaceutical products and clinical services to patients outside of th

Description The Employee Benefits (EB) Consulting Practice offers excellent retirement, health, compensation, and investment consulting services to our clients. We are currently seeking an Actuarial Analyst with 0 2 years of relevant experience with at least one SOA exam success. Our principal values form the foundation of our truly distinctive student program. The Millim