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Knowledge of insurance types related to claims billing and follow-up such as governmental, HMO, PPO, Commercial, etc. Bills assigned primary, secondary, tertiary, etc claims on a daily basis using Meditech, Optum, and other software programs utilized in the Patient Accounts Department.
Part-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Knowledge of Product Lines - PPO and HMO to include Medicare, Medical, Commercial plans. Process inquiries from claims to determine if the billed serices from the provider requires an authorization, has an authorization or has to be reviewed by clinical.
Full-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Uses knowledge of hospital policy, department procedures, Wisconsin Uniform Billing Regulations (UB04 Mannual), HMO/PPO agreements and other contractual arrangements to maintain accounts receivable, manage commercial payors, and manage appeals.
Full-timeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Resolves underpaid claims from various payer products including HMO, PPO, Medicaid, Medicare, and Workers' Compensation. Resolves underpaid claims from various payer products including HMO, PPO, Medicaid, Medicare, and Workers' Compensation.
Full-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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We are looking for someone who has worked processing dental claims and is knowledgeable in PPO/HMO insurances! Knowledge of insurance plans (HMO/PPO) The Dental Receptionist for this position must have 2 years of hands on experience working as a Receptionist in a dental healthcare office with excellent customer service skills.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Minimum four (4) years of medical claims in an health plan environment adjudication experience (HMO, PPO, Indemnity environment). Under general supervision, assess and analyze inquiries related to medical claims/bills, authorizations and adjustments for payment or denial within contract agreement or regulatory requirements using knowledge or medical claim/bill payment processing and medical regulations.
Full-timeExpandApply NowActive JobUpdated 27 days ago - UpvoteDownvoteShare Job
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Operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; is also the third-party administrator for self-funded employee health benefit plan.
$23 - $26 an hourExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Able to identify stop loss claims, implants and missing codes. The Biller is responsible to bill all insurance companies, workers compensation carriers, as well as HMO/PPO carriers. Able to identify stop loss claims, implants and missing codes.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Reviews, edits, processes and submits electronic and hardcopy claims to various payers (Medicare, Medicaid, Managed Care and Private Insurance) for FQHC (Federally Qualified Health Centers) and FFS (Fee-For-Service) reimbursement to ensure accuracy of payment entries and completeness of charge captured information.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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The Insurance Billing Coder is responsible for processing all insurance claims, i.e., private, Medicare, Workers' Compensation, PPO, and HMO, including secondary claims. All claims will be coded with CPT and ICD-10 codes according to the findings in the medical record.
$19 - $22 an hourFull-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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The Practice Manager will set goals for the ARCS regarding denials and no response status claims, and the ARCS will work with the Practice Manager to complete these projects by the due date. Medical benefits: reCLAIM offers $120 per month to go towards Anthem PPO & HMO plans as well as dental and vision plans.
Part-timeExpandApply NowActive JobUpdated 25 days ago - UpvoteDownvoteShare Job
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Industry experience with dental claims, provider relations, Medicare Advantage. Manage PPO and Medicare Advantage recruitment efforts and network retention within assigned territories. Ideal candidates will demonstrate a track record of success in Dental PPO Networks and/or Dental third-party networks.
Full-timeExpandUpdated Today - UpvoteDownvoteShare Job
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4 years’ experience in a health care management field, claims processing, customer service or marketing/ sales involving decision making, self-direction, and finance/product analysis OR Bachelor degree and 2 years health care management, customer service or marketing/sales experience.
Full-timeExpandUpdated Yesterday - UpvoteDownvoteShare Job
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Five years HMO/PPO claims experience required. Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO. Amisys claims processing system experience preferred.
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Healthcare Cost Management, PPO Network Management, Healthcare Information Services & Delivery, Healthcare Claims Processing, Health Insurance, Data Analytics, Provider Networks, and Payment Integrity.
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