Description : The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims... of claims practice, relevant statutes, and medical terminology Ability to identify, analyze and solve problems Computer...
Description : The Claims Specialist manages within company best practices lower-level, non-complex and non... limits Manages non-complex and non-problematic medical only claims and minor lost-time workers’ compensation claims...
Description : The Claims Specialist manages within company best practices lower-level, non-complex and non... limits Manages non-complex and non-problematic medical only claims and minor lost-time workers’ compensation claims...
Behavioral Health Utilization Management Clinical Support Specialist Work from Home within Oregon, Washington, Idaho... care easier and make lives better. As a member of the Behavioral Health team, our Clinical Support Specialist provides...
to their care. The Managed Care Coordinator and Insurance Verification & Patient Estimates Specialist are an integral part of the... referrals are not noted in the system, contacts the Managed Care Coordinator from specialist’s office requesting the admission...
. Knowledge of medical terminology. Ability to resolve billing issues and handle denied claims. Ability to work efficiently...Overview In the complex web of health care insurance and claims, you are a calm, organized problem-solver...
to their care. The Managed Care Coordinator and Insurance Verification & Patient Estimates Specialist are an integral part of the... referrals are not noted in the system, contacts the Managed Care Coordinator from specialist’s office requesting the admission...
to their care. The Managed Care Coordinator and Insurance Verification & Patient Estimates Specialist are an integral part of the... referrals are not noted in the system, contacts the Managed Care Coordinator from specialist’s office requesting the admission...
. Accurately complete Inter-Hospital Transfers and same-day admissions and obtain prior medical records as needed. Activates... for completion of workman’s compensation “827” and DOLI form for work related injuries. Initiates and completes claims for worker...
. Accurately complete Inter-Hospital Transfers and same-day admissions and obtain prior medical records as needed. Activates... for completion of workman’s compensation “827” and DOLI form for work related injuries. Initiates and completes claims for worker...
to employees who cannot work due to an illness or injury. As a Case Specialist, you will review claims for Short-Term Disability... U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical...
Good Day Distro is seeking a motivated and detail-oriented Sales Support Specialist to strengthen our connection... Provide product information, assist with order-related issues, and resolve concerns involving billing, damage claims...
Specialist role. Responsibilities Provides professional, accurate, and timely insurance verification. Initiates and secures... authorization and notification for in-scope hospital services based on medical and other liability plan requirements. Obtains plan...
and dental terminology, CPT/ICD-9 coding, claims payment systems (e.g. Facets), and Medical management software (e.g. Dynamo... as a member on the Utilization Management Team. Provide and coordinate dental/medical authorization processes in collaboration...
and maintenance of Medical and Dental member eligibility, member and billing reconciliation, customer service to assigned groups....do?reqGK=27766506&refresh=true Benefits: * Medical, Dental, Pharmacy, and Vision Coverage 401K FSA PTO and Paid Holidays...
and maintenance of Medical and Dental member eligibility, member and billing reconciliation, customer service to assigned groups...=true Benefits: * Medical, Dental, Pharmacy, and Vision Coverage 401K FSA PTO and Paid Holidays Required Skills...
Registration Perform established patient search methods for medical record number in computer database. Properly identify... Transfers and same-day admissions and obtain prior medical records as needed. Activates direct admissions based on notification...
Patient Registration Perform established patient search methods for medical record number in computer database. Properly... Transfers and same-day admissions and obtain prior medical records as needed. Activates direct admissions based on notification...
appeal and represents the interests of the appealing party to the medical director for final determination. Essential... appeal requests for appropriateness of care within established evidence-based criteria sets. Work with Medical Directors...
resolution of accounts. Review billing to determine medical records necessary to provide complete processing of claim. Analyze... by telephoning and/or sending written correspondence.) Analyze accounts and interpreting contracts that dictate how claims...