The Experience Manager assists with controlling the optimization of the guest and employee experience by coordinating onsite service teams, training team members on enhanced engagement systems, and using recorded metrics to track and close service delivery gaps. This position reports into the Director of Experience. Key Responsibilities Experience Facilitation Owns the em

The Insurance Follow up Specialist Level I is responsible for following up directly with commercial and governmental payers to resolve billing issues and secure appropriate reimbursement in a timely manner, on both facility and professional claims. This individual identifies and analyzes denials and payment variances and enacts corrective measures as needed to effectively

Primary Duties and Responsibilities (details of the basic job functions) Assist in the implementation and oversight of The Auto Club Group (ACG) membership sales and service delivery in multiple retail locations across assigned region. Play a key role in the delivery of exceptional membership experience. Develop and implement initiatives to drive the attainment of members

Title Enrollment Processing Spec Employee Classification 52 Wks Unit Department Enrollment Management Salary Range 37,645.00 Who we are We are not for profit St. Louis Community college (STLCC) is a non profit institution dedicated to empowering students, expanding minds, and changing lives. Employees are committed to strengthening the St. Louis community with inclusive a

At Niagara, we're looking for Team Members who want to be part of achieving our mission to provide our customers the highest quality most affordable bottled water. Consider applying here, if you want to Work in an entrepreneurial and dynamic environment with a chance to make an impact. Develop lasting relationships with great people. Have the opportunity to build a satisf

EXCELLENT LOCAL OPPORTUNITY!

Works collaboratively with department leadership to review and manage open Accounts Receivable, accurately documenting follow up activities resulting in the resolution of underpayments and denials. Conducts root cause analysis of denials and takes the action necessary to resolve the denial escalating accounts to management that need to be submitted to the provider represe

Reporting directly to the Finance Department, the successful candidate will be responsible for coordinating insurance activities, analyzing insurance data, ensuring compliance with regulations, and fostering effective communication between internal and external stakeholders. This role will report directly to the Controller and will interact with third party insurance brok

The Accounts Receivables (A/R) Representative assists in review and resolution of hospital claims under general supervision of the Patient Financial Services Supervisor. Posting, processing and balancing activities related to third party remittances on both hospital and physician based claims and all forms of payments received from patients. The Payment Applications Repre

This position completes daily insurance verification/authorization for proposed services and patient notification for estimated payments due. The position works with clinicians audiologists and speech language pathologists, and schedules patients in the Practice Management database. The person hired will demonstrate the highest degree of accuracy and readability for all w

Obtains insurance prior authorization for patient prescriptions, treatments, services, or procedures and re authorization for additional units including performing any retro authorization requests as allowed by payers; appeal prior authorization denials and help facilitate peer to peer reviews as needed. Appropriately document authorization details in the patient's medica

Providing exceptional care for our patients as well as recognizing the value of your co workers is the expectation of all members of the Prevea Health organization. All members are expected to focus on the patient's needs; relate to all in a friendly, accepting manner, communicate in a positive and professional way to patients and co workers; use time effectively and effi

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

This position is responsible for ensuring institutional compliance with the Virginia Department of Behavioral health and Developmental Services, Virginia Medicaid Services, Tricare and Joint Commission. This position is tasked with ongoing compliance audits of current medical records. Key Responsibilities The Medicaid Specialist is tasked with auditing all open charts con

Manage incoming Bordereaux from program managers Review and ensure Bordereaux submitted have accurate template format Complete review of validation errors from Bordereaux ingestion, follow up with individual program managers for correction Ensure and maintain accurate data within the LOC, written and affiliate Bordereaux trackers Manage the LOC process Manage OFAC check p