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Complete pre-authorization request to third party payors. The utilization review rep duties will include monitoring provider documentation performance, manage daily utilization review, episodes with payors and research all “denials” with a forensic record review in a timely manner with a follow up plan of correction.
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Under general supervision and following established practices, policies, and guidelines, provides commercial collections support to Patient Financial Services, performing duties which may include reviewing and resubmitting claims to third party payors, performing account follow-up activities, updating information on account, etc Positions at this level require advanced knowledge in specialized functions and a full understanding of the revenue cycle.
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Discusses company and third party reimbursement policies and guidelines with the patient/family and discuss treatment plans with the Patient Care Coordinator, physician, and patient/family.
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As a lead logistics partner (LLP), third-party logistics provider (3PL) and supply chain consultant, we help customers leverage supply chain management as a competitive advantage, reducing total system costs, transforming business processes, improving service and facilitating growth and change.
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This will allow the patients with no transportation to follow-up with SSD face-to-face interviews on the bi-weekly schedule. Knowledge of and skill in applying an extensive body of Business Office rules and procedures concerning benefits programs such as Medicare/Medicaid, SSA, County DDS Offices, and Tribal programs and other related agencies to advocate for and assist patients in securing Third Party resources.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Communicates their functional activities to their leader, senior management as it relates to billing, insurance follow-up, cash flow, cash application, revenue enhancement, organizational profitability, customer service, accounts receivable results and revenue management results.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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To perform intermediate patient financial service functions such as billing, follow up, receiving and reviewing correspondence, reviewing third-party and patient billing, and review and resolution of billing questions, register and schedule patients, ensure proper data integrity for patient demographics and billing.
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The Medical Insurance Collections Representative is responsible for all third party follow-up associated with the dispensing of prescription medication; maintain supporting chronological notes that detail action taken to resolve outstanding account balances.
$17 - $27.9 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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The Land Acquisition Manager will be responsible for assisting in the growth of our extended stay hotel portfolio and is accountable to locate land opportunities, both listed and non-listed; build and foster relationships with brokers, city officials and third party consultants; research zoning and land use code; putting together entitlement timelines and steps; highly organized and communicative to ensure that the land acquisition pipeline is one that aligns with Company expectations and goals.
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The patient account representative is responsible for accurate and timely collection of claims to third party payers and patients, codes and enters charges, post payments, arranges payment plans, provides cost estimates and updating patient accounts.
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The notes recorded in Veeva should be limited to basic information for follow up calls (i.e., diagnosis codes, CPT codes, reason for denial) and office contact logistics. Serve as a technical expert in government and third party reimbursement and coverage policies and as a source for reimbursement information for internal (Marketing, Sales, Medical Affairs, etc.
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Provide adequate follow up on accounts with any issues identified on claims/denials regarding current insurance status, i.e. coordination of benefits, termination of insurance, change of insurance, and communicate these issues to feedback to team lead scheduler, DON and administrator and the patient.
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Manage future land opportunity pipeline, as well as follow up from missed opportunities (including SmartSheet, Google Maps and other tools). Concord Hospitality Enterprises is hiring a Land Acquisition Manager to join our team.
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Ability to follow and apply insurance guidelines/requirements regarding Third Party Payors, Coordination of Benefits, and Managed Care contractual requirements. The physical requirements of this position are: light work - exerting up to 25 lbs.
Part-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Evaluate and recommend referrals to agency, law firm, Financial Assistance and Bad Debt. Understand third party billing and collection guidelines Demonstrate knowledge of the current functionality of the patient accounting systems.
Work from homeExpandApply NowActive JobUpdated 5 days ago
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