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Receive and process electronic eligibility files for new and/or existing customers Review enrollment/eligibility files to identify unclear, missing, or invalid data Compare submitted enrollment/eligibility information to relevant internal systems Communicate with stakeholders to obtain new information and/or clarify concerns Submit and/or review new electronic eligibility
Posted Today
Health Care Service Corporation
- Richardson, TX / Houston, TX / Oklahoma City, OK / 1 more...
At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary This position is responsible for pe
Posted 1 day ago
This position provides the insurance verification functions for all scheduled and unscheduled patients, by contacting insurance companies, and by utilizing our electronic eligibility system. In addition, this position would analyze the eligibility information, and provide the estimate of the patients' portion per their insurance contract. This position would also pre cert
Posted 1 day ago
INVISTA
- Dallas, TX / Wichita, KS
Your Job INVISTA is seeking an experienced Senior Accounting Analyst to join our CFO organization in Wichita, KS. A successful candidate is highly motivated, self driven, and has a passion for driving continuous improvement and transformation. They should have an advanced understanding of accounting concepts, excellent critical and economic thinking, and strong communicat
Posted 1 day ago
This position is responsible for obtaining information to initiate verification and precertification process. Experience and Education High school and two (2) to four (4) years of benefit verification/authorization experience or equivalent. Additional Information Monitor and process insurance verification/eligibility Obtain PCP referrals for routine offices and surgical p
Posted 2 days ago
The essential duties and responsibilities (including but not limited to) Directs the daily operation of the revenue cycle liaison department to ensure client satisfaction. Ensures that daily, weekly, and monthly liaison functions are performed. Demonstrates thorough understanding of and oversees all aspects of liaison functions, to include monitoring and interpreting reve
Posted 2 days ago
The Insurance Specialist will report to the Insurance Manager within the Risk & Safety Department and work under the guidance of the Director of Risk & Safety Management. The Insurance Specialist will have limited supervisory oversight of the Claims Coordinator(s) and provide guidance and direction for complex or challenging insurance related transactions. This individual
Posted 3 days ago
At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary This position will work from the Ri
Posted 3 days ago
JOB TITLE Insurance Authorization Specialist (must be bilingual English/Spanish!) GENERAL SUMMARY OF DUTIES Responsible for obtaining managed care authorizations and verifying patient insurance benefits. Analyzing utilization data from health plans' claims as required. Maintains optimal patient, referring physician and insurance company satisfaction. SUPERVISION RECEIVED
Posted 3 days ago
The essential duties and responsibilities (including but not limited to) Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans.
Posted 3 days ago
The essential duties and responsibilities (including but not limited to) Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans.
Posted 3 days ago
Own the 911 Operating Procedures and associated Compliance Manual Develop, implement, and improve upon processes in the evolving 911 environment Responsible for timely notifications and reporting of 911 events internal and external as required and defined by the FCC and regulatory bodies; including reporting of noncompliance of any portion of FCC mandated orders Handle hi
Posted 3 days ago
JOIN OUR TEAM!!! Are you looking to be one of the team? To be part of the family and not just another number? Are you looking for a positive work environment where teamwork and diversity are key? We value your contributions. Every role in our hospital has an impact on each of our patients. We work hard to make sure our employees love their work here. Many have been with u
Posted 6 days ago
Thomson Reuters
- Ann Arbor, MI / Frisco, TX / Eagan, MN / 1 more...
The Client Executive Manager will lead their team of professionals towards achieving retention and upsell targets within Tax Workflow Mid Market segment. The CE Manager will direct their team by focusing on priority touchpoints, leveraging sales enablement tools, and sales process, to generate opportunities to facilitate conversations that reinforce the value of current T
Posted 7 days ago
Purpose This is a full time position to serve as a member of the Office of Risk and Compliance at Dell Medical School generally focusing on the University of Texas at Austin's clinical practice, UT Health Austin. This position is responsible for policy management at UT Health Austin. The Policy Administrator reports to the Office of Risk and Compliance. The position works
Posted 7 days ago
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