Incumbent is responsible for obtaining all necessary authorizations in accordance with established guidelines. Verifies eligibility, obtains benefit information, and generates letters for authorizations. Responds to Member Services and Call Center inquiries and resolves any identified authorization issues which arise. The essential functions listed below are not intended

Come join our team and love what you do! We are currently hiring a full time Patient Account Rep for Fremont Hospital ! The Patient Accounts Rep is responsible for the effective and creative use of proven follow up techniques, and self directed initiative, to contact patients and third party payers to collect payments and resolve outstanding account balances. The Collecto

Responsible for the accurate and timely processing of fee for service claims and account collections. Responsible for obtaining necessary information for the proper billing and/or collections of fee for service accounts. QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed be

As a member of the Medicare Advantage Operations team, the Senior Medicare Advantage Enrollment Representative plays a pivotal role in processing all enrollment, disenrollment, and cancellation requests. This position requires a deep understanding of Medicare Part D programs and meticulous attention to detail to ensure accurate and timely processing. The ideal candidate w

As an Insurance Verifier, you will be responsible for Determining insurance eligibility, authorization and benefit verification Contacting health care insurers, transcription of information as quoted, type, proofread and mail clarification correspondence Answer telephone and written inquires Maintain filing systems Interface with medical staff and administrative personnel

Take on a key administrative role within an award winning health system. Elevate the operational efficiency of a world class healthcare leader. Take your career in an exciting new direction. You can do all this and more at UCLA Health. In this role, you'll facilitate the enrollment of physicians and practitioners. This will include new and existing enrollment applications

Incumbent is responsible for obtaining all necessary authorizations in accordance with established guidelines. Verifies eligibility, obtains benefit information, and generates letters for authorizations. Responds to Member Services and Call Center inquiries and resolves any identified authorization issues which arise. Total Compensation In addition to the salary range lis

Aya Healthcare has an immediate opening for the following position Claims Processor in Whittier, CA. This is a 13 week contract position that requires at least one year of Claims Processor experience. Make $1040.67/week $1266.01/week. Want a job close to home? We've got you! We'll work with you to build the career of your dreams. Aya delivers Front of the line access to e

As the Insurance Verification, you will be responsible for Determining insurance eligibility, authorization and benefit verification Contacting health care insurers, transcription of information as quoted, type, proofread and mail clarification correspondence Answer telephone and written inquires Maintain filing systems Interface with medical staff and administrative pers

Take on an important role within an award winning health organization. Help ensure the efficient operation of a complex health system. Take your career to the next level. You can do all this and more at UCLA Health. You will receive urgent, routine, pre service, and retro authorization requests, as well as process prior authorization requests with accuracy and timeliness.

Authorization Coordinator ENT Clinic Full Time 8 Hour Days (Non Exempt) (Non Union) Keck Medicine of USC Hospital Los Angeles, California The Authorization Coordinator coordinates communication with admitting, case management, patient financial services, and payers to ensure all inpatient services provided by the hospital are authorized by appropriate payer. He/She will f

Insurance Representative aka NOFO/NOFI Representative Medical Group Business Services Full Time 78210BR Job Summary The Insurance Representative for Not Our Facility Out pt and In pt aka "NOFO/NOFI" is responsible for all NOFO/NOFI tasks. The incumbent will be responsible for, but not limited to, the following Analyzing patient demographic registration Visit creation Insu

Processes claims accurately and efficiently. Reviews all incoming claims to verify necessary information. Determines that correct member and provider records are chosen and utilized to process claims. Enters claims data and information into the computerized Claims Processing System. Maintains all required documentation of claims processed and claims on hand. Adjudicates c