Job Duties The duties of this position include filing dental insurance claims and pre treatment estimates for privately insured patients; obtaining and providing the clinical documentation necessary for claims processing, i.e. x rays, chart notes and letters of necessity; investigating certain denied claims, following up on those investigations and submitting claims appea

Claim Specialist II ID 2024 23167 Location Professional Fee Billing Work Location US NC Greensboro Division Name System Wide Department Name SW Pro Fee Billing Category CLERICAL/ADMIN Position Sub Category INSURANCE/BILLING Position Type Full Time (40 hours/week) Employment Type Employee Exempt/NonExempt Non Exempt FTE 1.00 Workforce Status Hybrid I Work Hours 40.00 Provi

Person Memorial Hospital Who We Are Our passion and purpose at Person Memorial Hospital are centered around people. We value individuals for who they are, not just for what they can do. Our fully accredited, 98 bed hospital has modern facilities and state of the art equipment to provide the highest quality healthcare. We offer four fully digital operating rooms, post anes

This position supervises a staff of medical coders, either inpatient or outpatient, and related support positions across all entities that are owned or managed that have opted into shared services. 100% remote This is a remote position eligible for hire from Alabama, Alaska, Arizona, Arkansas, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Mi

Qualifications Minimum Experience/Education Bachelor's degree and one year of experience related to the area of assignment; or equivalent combination of training and experience. All degrees must be received from appropriately accredited institutions. Other Required Qualifications Commitment to working in a collaborative and inclusive environment Ability to exercise good j

Responsible for managed care portfolio performance for assigned payors. Work with Management on implementation of contracting strategy for the System. Independently negotiate contract language and rates for minor payors, or major payors when the scope of the negotiation is limited. Negotiate payor agreements with Director/AVP support. Monitor contract performance versus e

We are a high powered insurance team with explosive growth. We are looking for licensed life insurance agents to join us. Even if you’re not licensed, our fast track program will guide you through getting licensed in as little as a few weeks. We will also sponsor your pre licensing classes for those who are a good fit. Hybrid Sales Platform – Face to Face or V

The System Provider Enrollment Specialist is responsible for the coordination and tracking process of managed care enrollment. Responsibilities 1. Individual Provider and Group Enrollment Responsible for application management, completion and submission of a variety of forms and supporting documentation that allows the health system and individual providers to participate

The Medicaid Eligibility Specialist screens, coordinates and facilitates the Medicaid application process across multidisciplinary entities for patients who meet the eligibility criteria. Obtains eligibility for patients entitled to Medicaid for the purpose of obtaining reimbursement for services provided by Wayne UNC Health Care. Responsibilities 1.Performs coverage disc