Eligibility Specialist

Job Summary:The Eligibility Specialist assist with the application process and referrals to all State and Federally funded assistance programs, including but not limited to Medicare, Medicaid, Disability and Charity programs. The Eligibility Specialist not only acts as an advocate for the customer, but also serves as a liaison between colleagues, clients,...

Job descriptionDuties and responsibilities:The medical Billing and collection specialist is responsible for monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care, commercial insurance, and Work Comp payers.Key Success Indicators /...

About the Junior SEM Specialist role…The manila-based team member will be at the forefront for creating opportunities to generate revenue for one of Siteminder’s top SKU in the digital ads space that aim to maximise the user’s travel experience trends. This person is expected to exhibit great enthusiasm in learning new aspects of the digital marketing...

Be a part of our fast-growing team and unchain all the possibilities!What is your mission?We are looking for a Medical Billing Specialist to manage accurate billing data, verify U.S. health insurance eligibility, submit claims with proper codes, and resolve denials or rejections. The role includes handling billing inquiries, posting payments, and ensuring...

Job descriptionDuties and responsibilities:The medical Billing and collection specialist is responsible for monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care, commercial insurance, and Work Comp payers.Key Success Indicators /...

Job Specifications:Open to hybrid work arrangement.Graduate of Bachelor’s Degree – RN License is required.Minimum of 2 years experience and must have impressive track record in reviewing treatment plans and services to ensure the efficient use of patient utilization systems and quality care using appropriate medical resources.Effective team...

What does a day in the life as a General Accounting Specialist look like?Handling AP, corresponding Zendesk inquiries in between vendor, hopefully handle AR inquiries, booking daily cash transactions, month end close in NetSuite, handle payroll, reconciliationOversee and process day-to-day accounting activities, including but not limited to: accounts...

About the Junior SEM Specialist role...The manila-based team member will be at the forefront for creating opportunities to generate revenue for one of Siteminder's top SKU in the digital ads space that aim to maximise the user's travel experience trends. This person is expected to exhibit great enthusiasm in learning new aspects of the digital marketing...

Be a part of our fast-growing team and unchain all the possibilitiesWhat is your mission?We are looking for a Medical Billing Specialist to manage accurate billing data, verify U.S. health insurance eligibility, submit claims with proper codes, and resolve denials or rejections. The role includes handling billing inquiries, posting payments, and ensuring...

In the Aeven Compliance & Risk Management department we are looking for new colleagues to join our team. If you join us, then you would support our business in core processes and directly contribute to the success of our quality and compliance mindset across all business units and international affiliates of Aeven.As Associate Quality Specialist your...

Job Specifications:Open to hybrid work arrangement.Graduate of Bachelor's Degree – RN License is required.Minimum of 2 years experience and must have impressive track record in reviewing treatment plans and services to ensure the efficient use of patient utilization systems and quality care using appropriate medical resources.Effective team playerExcellent...

QualificationsAt least 2 years of relevant BPO experience as a Quality Auditor for Clinical AuthorizationWilling to report onsite and on a night shift scheduleResponsibilitiesContact insurance carriers to verify patient’s insurance eligibility, benefits and requirements. Request, track and obtain pre-authorization from insurance carriers within time...

What does a day in the life as a General Accounting Specialist look like?Handling AP, corresponding Zendesk inquiries in between vendor, hopefully handle AR inquiries, booking daily cash transactions, month end close in NetSuite, handle payroll, reconciliationOversee and process day-to-day accounting activities, including but not limited to: accounts...

Essential Duties & ResponsibilitiesVerify/obtain eligibility and/or authorization utilizing payer web sites, client eligibility systems or via phone with the insurance carrier/providersUpdate patient demographics/insurance information in appropriate systemsResearch/ Status unpaid or denied claimsMonitor claims for missing information, authorization, and...

JOB RESPONSIBILITIES:Obtains client information by answering telephone calls; interviewing clients; verifying information.Determines eligibility by comparing client information to requirements.Establishes policies by following the process flow of the call.Informs clients by explaining procedures; answering questions; providing information.Maintains...

ROLE AND RESPONSIBILITIES: You will respond to customer service inquiries and issues by identifying the topic and type of assistance the customer needs. This may include, among others, inquiries or concerns on their benefits, eligibility and claims.You will guide and educate the customer about the fundamentals and benefits of consumer- driven health care...

Toyota Mobility Solutions is looking for a Loans Processing Specialist to join our team based in Makati City, Metro Manila, Philippines.Responsibilities:-  Loan Processing Specialist is primarily in-charge of document and system review and analysis to ensure eligibility of accounts for booking.- Responsible in checking the accuracy and consistency of loan...

ResponsibilitiesAdjudicate disability for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional and occupational information. Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical...

ROLE AND RESPONSIBILITIES:You will respond to customer service inquiries and issues by identifying the topic and type of assistance the customer needs. This may include, among others, inquiries or concerns on their benefits, eligibility and claims.You will guide and educate the customer about the fundamentals and benefits of consumer- driven health care...

Medical Prior Authorization-Insurance Verification SpecialistPosition Summary:The Prior Authorization Specialist plays a crucial role in the healthcare industry by ensuring that medical services, procedures, and medications are approved by insurance companies or third-party payers before they are rendered or prescribed. They work closely with healthcare...