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Proactively identifies problems and opportunity for improvements related to system usage, training and end user education, practice and user trends and makes recommendations to the Manager of Revenue System Operations and partners with the Manager of Epic Training and/or the perspective departments with high volume/high dollar value for resolution.
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LogixHealth was founded in the 1990s by physicians to service their own practices and has grown to become the nation’s leading provider of unsurpassed software-enabled revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients in 40 states.
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Adjudicates claims in medical stop loss system (ESL) and or (UGAN) approving, denying based on compliance with SPD and Stop loss policy. The Claims Manager supports medical insurance customers (including administrators, MGUS, brokers) by confirming eligibility, determining insurance coverage, examining and resolving medical stop loss claims, documenting actions, maintaining quality customer service, ensuring compliance.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Obtain information from and perform actions on a variety of systems including hospital legacy billing systems (EPIC – HB and PB/BICS/PATCOM/Soarian/Invision), TRAC, QUIC, physician organization billing systems (IDX), document imaging (Sovera), eligibility verification systems (NEHEN, payer web sites) and other document backup (Document Direct) in order to analyze claims, resolve issues and respond to the patient’s inquiry.
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Utilizes and reviews Warehouse Management System(WMS) for inventory reconciliation and audits on a daily basis. Maintains continuous dialogue with 3PL vendor partner(s) to address and resolve claims and complaints received involving In Home Customer Delivery experiences.
Full-timeExpandApply NowActive JobUpdated 28 days ago - UpvoteDownvoteShare Job
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Serve as the primary liaison for members and providers for all lines of business including MassHealth, and Commercial members regarding general program inquires such as eligibility verifications, authorizations, referrals, claims, material fulfillment, address changes and Primary Care Physician assignments as well as member related policy and procedures.
Full-timeRemoteExpandApply NowActive JobUpdated 17 days ago - UpvoteDownvoteShare Job
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In this role as part of a dynamic team, you will work across multiple departments beyond accounting, including underwriting, IT, compliance, and claims. Maintaining an up-to-date accounts receivable system with primary focus on cash application.
Full-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Since our first day, we have had a clear vision of a better healthcare system and have continually evolved to get there. Overall experience in healthcare operations, medical billing and coding.
Full-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Participate in root cause analysis to address customer performance issues or warranty claims. Create and execute verification tests for Rockwell PLC Add-On-Instruction (AOI) code releases and regression test bug fixes for system hardware components.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Schedules examinations through IME Centric or office specific system database. Members of our credentialed medical panel conduct physical examinations or medical record reviews, delivering reports that assist clients in the resolution of automotive, disability, liability, and workers' compensation claims.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Serve as the primary liaison for members and providers for all lines of business including MassHealth and Commercial members regarding general program inquiries such as eligibility verifications, authorizations, referrals, claims, material fulfillment, address changes, and Primary Care Physician assignments as well as member-related policy and procedures.
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