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Utilize insurance websites (Availity, Humana Military (Tricare), United Healthcare, etc.) Utilize insurance websites (Availity, Humana Military (Tricare), United Healthcare, etc.) Benefits : Contacting insurance companies via phone or internet to obtain effective date of insurance coverage, type of coverage, co-pay or co-insurance information, coverage for x-rays and casting, PCP information if required, whether referral is required, and address for claims submission.
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Medicaid, Medicare, CAQH, and Availity knowledge is a plus. Medicaid, Medicare, CAQH, and Availity knowledge is a plus. We are currently seeking a Credentialing Specialist who is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages.
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We are looking for a candidate with previous medical office billing experience using medical software and electronic systems such as Availity, Trizetto, NexTech, Palmetto and Tricare. ~Secure all surgical authorizations using Availity or telephonically or via fax prior to surgery date.
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Familiarity with practice management systems and payer software solutions (e.g., Navinet, Availity). Familiarity with practice management systems and payer software solutions (e.g., Navinet, Availity.
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Fixing the broken provider data management process and creating real time communication of risk and quality information are just two of the ways Availity is streamlining this process. Availity holiday parties/events are available to ALL associates no matter if you are fully remote or have a hybrid or onsite schedule.
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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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Computer literate and ability to use multiple systems and acquire proficiency in the following electronic systems: UChart Cadence/Prelude/Enterprise Billing, Passport HealthWorks Compliance Checker, Availity, RIS-PACS, CaneCare, UMCare, Intellidose, MCSL, Experian and all online verification systems used by contracted payors.
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Experience with Healthcare Clearinghouses (e.g. Availity, Change, etc.) Experience with EMR systems and platforms (e.g. Epic, Oracle/Cerner, Athena, etc.) Experience with Healthcare Clearinghouses (e.g. Availity, Change, etc.
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The Patient Access department has an exciting opportunity for a full-time Patient Registration Representative (Patient Access Representative 1) to work at the UHealth Deerfield location. The Patient Access Representative 1 (On-site) registers patients for clinical services by obtaining pertinent information, verifying insurance benefits, and collecting payments.
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Availity offers Paid Parental Leave for both moms and dads, both birth parents and adoptive parents. We have several Diversity & Inclusion teams, a Young Professionals Group, a She Can Code IT group for women in tech, and various ways to engage with fellow Availity associates.
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Experience working with Availity or other EDI clearinghouses. Experience working with Availity or other EDI clearinghouses. NOTE: Benefits for Term Limited Temporary (TLT) or Short Term Temporary (STT) positions, including leave eligibility and/or participation in the pension plan through the Washington State Department of Retirement Systems, will vary based upon the terms and details of the position.
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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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Will navigate through the Availity or Ability software systems to obtain patient's financial responsibility. Under the general direction of the Practice Manager and the Business Services Manager, the Patient Access Representative will provide assistance to non-emergent patients as well as perform the registration for patients presenting for services, maintain documentation, verify insurance, accept payments, in accordance with The Joint Commission, federal, state, and local guidelines, organizational and departmental policies and procedures.
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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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