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Familiarity and comfort with navigating local IPA/HMO portals, including Optum, Hoag Physician Partners, Availity, etc. Navigate local IPA/HMO portals such as Optum, Hoag Physician Partners, Availity, and others efficiently.
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Maintains 100 % compliance with confidentiality protocols as well as the security and integrity of the ADAP Electronic Enrollment System as determined by the Florida Department of Health HIV/AIDS Section of the Bureau of Communicable Diseases, as well as all other databases, including Medicaid, Health Management System (HMS), Availity, Change Revenue as assigned.
Full-timeExpandUpdated 9 days ago - UpvoteDownvoteShare Job
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Proficient with different portals/systems (like Passport, OneSource, or Availity) An employer is looking for a Physician Biller/Insurance Verification Specialist in the Los Angeles, CA area.
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Uses Web IVR to generate authorizations (Availity, Careplus, Healthhelp NIA and any other approved web IVR for authorization processing). Uses Web IVR to generate authorizations (Availity, Careplus, Healthhelp NIA and any other approved web IVR for authorization processing.
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Follows up on all Home Health and DME orders to ensure patient receives services ordered. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care. This process does not apply to Care Specialist) Retrieves consultation notes from the consult tracking tool.
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Use EFT such as Ability, Availity, Change Healthcare, and other methods to submit claims. Use EFT such as Ability, Availity, Change Healthcare, and other methods to submit claims. Use proper ICD-10 & CPT codes based on services rendered.
$16 - $20 an hourExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Availity offers Paid Parental Leave for both moms and dads, both birth parents and adoptive parents. Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, thriving organizations.
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Minimum of 2 years’ experience with EDI clearinghouses such as Availity or CHANGE Healthcare, and direct EDI connection to payers. Support all aspects of revenue cycle management (RCM) pertaining to pharmacy services provided as a medical benefit (claim posting and submission, payment posting and claim reconciliation, denials management, repot generation.
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Verifies eligibility and benefits on the Department of Social Services Website and Availity or other web sites for commercial providers. Verifies eligibility and benefits on the Department of Social Services Website and Availity or other web sites for commercial providers.
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Experience navigating commercial insurance portals such as United Healthcare, Availity, and Navinet in the submitting, review and management of prior authorizations and referrals. The PCS Business Integration Analyst is the link between Product, Client Success and Development with the goal of providing superior service and support to the various stakeholders responsible for the various Waystar Robotic Process Automation (RPA) product lines.
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Familiarity with NaviNet and Availity, as well as payer portals. Strong working knowledge of ICD-10, CPT, HCPCS, referrals and pre-certification procedures, as well as documentation guidelines.
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Knowledge with using Avaya-One X, Availity, Change HealthCare and/or CoverMyMeds. Knowledge with using Avaya-One X, Availity, Change HealthCare and/or CoverMyMeds. You must have a direct/hardwired internet connection to a modem/router within 10 feet of your computer and a minimum download speed of 25 mbs download and 3 mbs upload.
Full-timeWork from homeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Proficiency in Insurance verification - including using online tools such as Navinet and Availity. Candidates must have practical experience with verification including by phone and with online services such as Availity and Navinet.
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Preferred NextGen, Waystar, Availity. Heaton Eye Associates has been serving East Texas vision needs for more than 40 years, with three locations offering state-of-the-art technology and services, including primary vision care, pediatrics, oculoplastic, glaucoma, cosmetic, and world-class laser surgery.
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Proven experience utilizing payer portals including but not limited to: Availity, Navinet, Experian, Passport, and others. Must be accustomed and have recent experience in industry leading EMR systems (Epic, Cerner, Nextgen, Sorian, EClinicalWorks, Meditech, etc.
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