66 jobs found

Overview: Summary:   Responsible for obtaining appropriate reimbursement for Accounts Receivables for professional services of patients seen in physician offices, out-patient hospital, in-patient hospital, ASC, urgent care, ER, off-site hospitals and Telehealth locations while maintaining timely claims submissions. Registers patients and completes necessary documentation including insurance verification and benefits determination. Research charges to submit to appropriate carrier according to Federal/Managed Care rules, regulations and compliance guidelines. Review codes using CPT, ICD10, HCPCS and CCI guidelines to ensure compliance with institutional compliance policies for coding and claim submission. Enter and bill professional charges into automated billing system program. Utilize resources and tools in the resolution of invoices following company policy for assigned payor/s. Resolving outstanding balances with internal and external communication with customers....

Overview:   Summary: Responsible for obtaining appropriate reimbursement for Accounts Receivables for professional services of patients seen in physician offices, out-patient hospital, in-patient hospital, ASC, urgent care, ER, off-site hospitals and Telehealth locations while maintaining timely claims submissions. Registers patients and completes necessary documentation including insurance verification and benefits determination. Research charges to submit to appropriate carrier according to Federal/Managed Care rules, regulations and compliance guidelines. Review codes using CPT, ICD10, HCPCS and CCI guidelines to ensure compliance with institutional compliance policies for coding and claim submission. Enter and bill professional charges into automated billing system program. Utilize resources and tools in the resolution of invoices following company policy for assigned payor/s. Resolving outstanding balances with internal and external communication with customers....

Overview:   Summary: Responsible for obtaining appropriate reimbursement for Accounts Receivables for professional services of patients seen in physician offices, out-patient hospital, in-patient hospital, ASC, urgent care, ER, off-site hospitals and Telehealth locations while maintaining timely claims submissions. Registers patients and completes necessary documentation including insurance verification and benefits determination. Research charges to submit to appropriate carrier according to Federal/Managed Care rules, regulations and compliance guidelines. Review codes using CPT, ICD10, HCPCS and CCI guidelines to ensure compliance with institutional compliance policies for coding and claim submission. Enter and bill professional charges into automated billing system program. Utilize resources and tools in the resolution of invoices following company policy for assigned payor/s. Resolving outstanding balances with internal and external communication with customers....

Overview:   Summary: Responsible for obtaining appropriate reimbursement for Accounts Receivables for professional services of patients seen in physician offices, out-patient hospital, in-patient hospital, ASC, urgent care, ER, off-site hospitals and Telehealth locations while maintaining timely claims submissions. Registers patients and completes necessary documentation including insurance verification and benefits determination. Research charges to submit to appropriate carrier according to Federal/Managed Care rules, regulations and compliance guidelines. Review codes using CPT, ICD10, HCPCS and CCI guidelines to ensure compliance with institutional compliance policies for coding and claim submission. Enter and bill professional charges into automated billing system program. Utilize resources and tools in the resolution of invoices following company policy for assigned payor/s. Resolving outstanding balances with internal and external communication with customers....

Overview: Under the direction of the Revenue Cycle Administrator, develop and deliver employee-training programs. Performs work under general supervision. Handles moderately complex issues and problems, and refers more complex issues to higher-level staff. Possesses solid working knowledge of subject matter. May provide leadership, coaching, and/or mentoring to a subordinate group. Responsibilities: Triage invoices and determine appropriate action andcomplete the process required to obtain reimbursement for alltypes of professional services by physicians and nonphysicianproviders maintaining timely claims submissionsand timely Appeals processes as defined by individualpayors. Resubmit insurance claims when necessary to theappropriate carrier based on each payor's specific processwith the knowledge of timelines. Research, respond and take necessary action to resolveinquiries from PSRs (Patient Service Reps), CashDepartment, Charge Review and Refund Departmentrequests. Follow-up...

Overview: Responsible for obtaining appropriate reimbursement for Accounts receivables for professional services of patients seen in all types of locations while maintaining timely claims submissions. Registers patients and completes necessary documentation including insurance verification and benefits determination. Research charges to submit to appropriate carrier according to Federal/Managed Care rules, regulations and compliance guidelines. Review codes using CPT, ICD10, HCPCS and CCI guidelines to ensure compliance with institutional compliance policies for coding and claim submission. Enter and bill professional' charges into automated billing system program. Utilize resources and tools in the resolution of invoices following company policy for assigned payor/s. Resolving outstanding balances with internal and external communication with customers. Responsibilities: Triage invoices and determine appropriate action andcomplete the process required to obtain reimbursement for...

Overview: Under the direction of the Revenue Cycle Administrator, develop and deliver employee-training programs. Performs work under general supervision. Handles moderately complex issues and problems, and refers more complex issues to higher-level staff. Possesses solid working knowledge of subject matter. May provide leadership, coaching, and/or mentoring to a subordinate group. Responsibilities: Triage invoices and determine appropriate action andcomplete the process required to obtain reimbursement for alltypes of professional services by physicians and nonphysicianproviders maintaining timely claims submissionsand timely Appeals processes as defined by individualpayors. Resubmit insurance claims when necessary to theappropriate carrier based on each payor's specific processwith the knowledge of timelines. Research, respond and take necessary action to resolveinquiries from PSRs (Patient Service Reps), CashDepartment, Charge Review and Refund Departmentrequests. Follow-up...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Business Insurance Agent - Intermediate, you will work in an inbound sales environment advising business owners on insurance and risk management, using a full suite of Commercial Insurance Products to address each member and/or non-member’s unique risk profile. You will use knowledge of insurance marketplace, carrier appetite, and leverage underwriter relationships and knowledge of carrier contracts to place coverage for member’s business. On a daily basis you will take incoming calls throughout...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Business Insurance Agent - Mid-level, you will work in an inbound sales environment advising business owners on insurance and risk management, using a full suite of Commercial Insurance Products to address each member and/or non-member’s unique risk profile. You will use knowledge of insurance marketplace, carrier appetite, and leverage underwriter relationships and knowledge of carrier contracts to place coverage for member’s business. On a daily basis you will take incoming calls throughout the...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity Are you a proven sales leader with a passion for achieving results and building high-performance teams? We are seeking a dedicated Director to lead a large-scale, multi-carrier contact center team serving businesses across all 50 states. In this role, you’ll provide effective coaching and support to a team of General Lines Managers and Agents with advanced knowledge of Commercial Lines Products. You'll champion a competitive sales culture focused on revenue growth, premium expansion, and multiline effectiveness....

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity It is all about learning and growing. Our Insurance Professional role may be a new career for you. There’s a lot to learn, but the journey is mapped out and USAA is willing to invest in you! Our comprehensive, fully paid six-month training program includes all training materials, class discussions, hands-on training, e-learning modules, and the instructor led guidance will help you to support our membership independently. We also pay for all licensing costs! We have new training classes starting every month....

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Injury Examiner , you will be responsible to adjust complex bodily injury claims, UM/UIM, and small business claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Responsible for delivering a concierge level of best-in-class member service through setting appropriate expectations, proactive communications, advice, and empathy. This role is remote eligible in the continental U.S....

\u003cp>\u003cstrong>The first 3 letters in workplace safety are Y-O-U!\u003c/strong>\u003c/p>\u003cp>Responsible for (1) supporting in all phases of litigation, (2) managing caseload of claims and lawsuits (general liability (insured) and commercial liability (uninsured), and (3) advising corporate decision makers. Requires collaboration with internal attorneys, external counsel, and business stakeholders to ensure efficient case management, meticulous document preparation, and adherence to legal procedures and deadlines.\u003c/p>\u003cp>\u003cstrong>ESSENTIAL JOB FUNCTIONS:\u003c/strong>\u003c/p>\u003cp>\u003cstrong>Operational Responsibilities: \u003c/strong>Responsibilities include, but are not limited to, the following:\u003c/p>\u003cul>\u003cli>Developing and maintaining a litigation management system to track assignments to external counsel and insurers, to track court dates and all other time-sensitive deadlines, and to log...

Overview: To deliver excellent patient centered service by facilitating established financial processes that enable and expedite the billing and collection of professional services. This includes: entering charges; applying coding/billing rules; maximizing collections; verifying insurance; obtaining authorizations for services; reviewing patient account detail; and financial counseling of patients. Accountable for resolution of front-end edits, rejections, and information requests to achieve practice goals. This position interacts directly with internal and external customers of the practice. May be required to float to other UFHP practices or flex time, as needed, for staffing. Qualifications: Minimum Education and Experience Requirements: High school graduate or equivalent. Two years of business/financial/physician practice experience required, e.g., preferably related to patient accounts and collections required. Knowledge of CPT and diagnosis coding preferred....

Overview: Reports directly to the Departmental Manager/Supervisor. Completes the admission/registration process and other admission finance functions. Serves as liaison between patients, nurses, physicians and others. Responsible for handling walk-in patients and incoming telephone calls from customers seeking assistance with matters involving the patient accounting function. This position must be knowledgeable of admitting, billing and collection functions and be able to resolve any outstanding issues without involving other staff members. Provides excellent customer service. Qualifications: Required Education: GED or High School Diploma. Preferred Education: Bachelor's degree, CHAA certification, Healthcare/Medical Insurance environment. Necessary Skills: 1. Strong interpersonal skills. 2. Ability to communicate with people of diverse backgrounds. 3. Knowledge of insurance requirements preferred. 4. Requires excellent decision-making skills and initiative. 5. Must be...

Overview: Reports directly to the Departmental Manager/Supervisor. Completes the admission/registration process and other admission finance functions. Serves as liaison between patients, nurses, physicians and others. Responsible for handling walk-in patients and incoming telephone calls from customers seeking assistance with matters involving the patient accounting function. This position must be knowledgeable of admitting, billing and collection functions and be able to resolve any outstanding issues without involving other staff members. Provides excellent customer service. Qualifications: Required Education: GED or High School Diploma. Preferred Education: Bachelor's degree, CHAA certification, Healthcare/Medical Insurance environment. Necessary Skills: 1. Strong interpersonal skills. 2. Ability to communicate with people of diverse backgrounds. 3. Knowledge of insurance requirements preferred. 4. Requires excellent decision-making skills and initiative. 5. Must be...

Overview: Reports directly to the Departmental Manager/Supervisor. Completes the admission/registration process and other admission finance functions. Serves as liaison between patients, nurses, physicians and others. Responsible for handling walk-in patients and incoming telephone calls from customers seeking assistance with matters involving the patient accounting function. This position must be knowledgeable of admitting, billing and collection functions and be able to resolve any outstanding issues without involving other staff members. Provides excellent customer service. Qualifications: Required Education: GED or High School Diploma. Preferred Education: Bachelor's degree, CHAA certification, Healthcare/Medical Insurance environment. Necessary Skills: 1. Strong interpersonal skills. 2. Ability to communicate with people of diverse backgrounds. 3. Knowledge of insurance requirements preferred. 4. Requires excellent decision-making skills and initiative. 5. Must be...

Overview: To deliver excellent patient centered service by facilitating established financial processes that enable and expedite the billing and collection of professional services. This includes: entering charges; applying coding/billing rules; maximizing collections; verifying insurance; obtaining authorizations for services; reviewing patient account detail; and financial counseling of patients. Accountable for resolution of front-end edits, rejections, and information requests to achieve practice goals. This position interacts directly with internal and external customers of the practice. May be required to float to other UFHP practices or flex time, as needed, for staffing. Qualifications: Education: - Highschool Graduate or equivalent   Licensure/Certification/Registration: N/A   Special Skills/Qualifications/Additional Training/Experience Required:   - Two years of business/financial/physician practice experience required, e.g., preferably related to patient...

Overview: FTE- 1.0 Mon-Fri 8:00 am - 5:00 pm   Provides direct supervision to staff responsible for financial counseling for inpatients, ambulatory surgical patients, and their guarantors. Responsibilities: Key Responsibilities Patient Financial Counseling: Secures appropriate socio-economic data for each account. Establishes and/or confirms medical record identification numbers and patient registration information. Conducts detailed financial screenings and analyses. Verifies insurance or other third-party coverage. Obtains necessary signatures and supporting documentation from patients and guarantors. Coordinates financial issues with internal and external departments. Resolves or refers non-financial patient concerns to the appropriate department or agency. Billing Coordination: Coordinates billing processes by assisting in the preparation and management of clean, accurate, and complete claims and bills for patients and third-party...

Overview: Ensures the financial integrity of the UF Health Physicians Billing and Accounts receivables by performing established financial processes that enable and expedite the billing and collection of professional services. This includes: billing claims according to Federal/Managed Care rules, regulations and compliance guidelines, patient account research and resolution, insurance verification and benefits determination, identification of reimbursement issues, resolution of credits and issuance of refunds, identification of payment variance invoices, follow up and resolution of denied claims. Qualifications: Minimum Education and Experience Requirements: High school graduate or equivalent. Six months of healthcare/billing and collections/financial experience required or minimum one year experience in business setting dealing with finance, accounting, insurance or collection system. Associates degree may substitute for required work experience. Working knowledge of CPT,...