The Commercial Assistant Account Manager is responsible for assisting other members of the department with meeting the service needs of customers and performing essential functions that include processing changes, rating, making calls, and assuring correct information is input into the automation systems to achieve the quality and service standards developed by the agency

Who We Are Join a team that puts its People First! Since 1889, First American (NYSE FAF) has held an unwavering belief in its people. They are passionate about what they do, and we are equally passionate about fostering an environment where all feel welcome, supported, and empowered to be innovative and reach their full potential. Our inclusive, people first culture has e

The Authorization Specialist MVP tracks and initiates authorizations and re authorizations. Accurately completes authorization requests, i.e. SAR's, TAR's and submit to insurance payer in a timely manner. Obtains pertinent documentations, i.e. history/physical, physician/progress notes, prescription, etc. to support the authorization request. Provides approved authorizati

of Position Responsible for processing capitation (ECap, NICE or CSP Facets C&S) Conducting variance analysis and reporting to support the monthly capitation payments to our Medical Groups, Hospitals and Ancillary providers or vendors Analyzing month on month data, identifying, documenting and resolving issues to ensure accurate and timely payments Researching variances ba

The Insurance Verification Representative 2 coordinates the registration process for patient of all reimbursement types. Responsible for verification of health care benefits and specific coverage, assist patients with referral and insurance related issues. Performs other duties as needed. Education and Experience High School Diploma or GED required. Minimum two years of h

Remote position flexible hours Ideal candidate 4+ years of experience with some previous laboratory management experience. Let's do this. Let's change the world. is seeking an Organizational Effectiveness Manager External Worker to join our Research team. In this vital role you will partner with the Chief of Staff of Research to drive and implement operational goals and in

The individual in this position works under direction of the Director of Case Management and coordinates utilization reviews of managed care contracts using established guidelines and processes. Ensures all clinical operations comply with Medicare and Medicaid guidelines and other managed care policies. Essential Duties 1. Responsible for complete and accurate data integr

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

Patient Account Representative Del Amo Behavioral Health System, a subsidiary of UHS ,offers a safe and compassionate environment for individuals looking for hope and healing from emotional, psychiatric and addiction issues. Del Amo Behavioral Health offers a wide range of options, including inpatient, outpatient and specialty programs that includes children, adolescents,

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

The Human Resources File Clerk is responsible for uploading digital files and data. They organize records and archive paperwork so it can be found when needed most by other departments or personnel who might require its services. They also make copies of documents and distribute them accordingly. The position reports to the Director, Human Resources and provides support t

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

The insurance verifier will be responsible collecting patient insurance data from the surgeon's office, verifying insurance coverage with insurance provider, determining patient's out of pocket estimate and communicating with patients their out of pocket estimate prior to surgery. The insurance verifier will be cross trained as a scheduler, on the front desk as well as as

Manage and cultivate relationships with new and existing clients, providing detailed project management to coordinate and execute campaign deliverables successfully. Handle key strategic campaigns and engage in effective communication with key stakeholders. Generate and maintain campaign analysis reports using internal tools to update clients on the status of their progra