To be added by the recruiter

Review and analyze medical claims to determine coverage and eligibility Investigate and gather information to support claim decisions Evaluate medical records, bills, and other documentation to ensure accuracy and compliance with coding standards Apply knowledge of medical terminology, coding systems (ICD 10, ICD 9), and billing procedures to process claims Communicate wi

Review the hospital census or utilize established referral method to identify self pay patients consistently throughout the day. Screen those patients that are referred to Firstsource for State, County and/or Federal eligibility assistance programs. Initiate the application process bedside when possible. Identifies specific patient needs and assist them with an enrollment

The principal duties include, but are not limited to Identify and separate mail according to procedural guidelines Perform electronic indexing if necessary Scan processed documents verify quality and content JOB REQUIREMENTS Must have an excellent attention to detail Must be able to lift 5 20 lbs Must be able to multi task Must be able to maintain our high standards of qu

Immediate Start Date Must have Default experience and Director 7 Experience The Issues Management (IM) Analyst is responsible for ensuring adherence, by the business, and timely closure of identified issues that may have impact to customers and Cenlar clients. The issues management process is a complicated work flow with many moving parts including intake, root case analy

The purpose of the Customer Service Representative is to provide members with accurate, consistent, timely, and meaningful information. Build rapport and collaborative relationships with current and prospective members in accordance with compliance guidelines. Essential Duties and Responsibilities (include but are not limited to) Be available to handle inquiries. Represen

The Quality Analyst plays a critical role in enhancing the skills and performance of team members. Primary responsibilities include working closely with various departments to assess and improve the quality of the workforce through training, evaluation, and development initiatives to ensure that employees consistently meet the highest standards of performance. Roles & Res

The Quality Analyst plays a critical role in enhancing the skills and performance of team members. Primary responsibilities include working closely with various departments to assess and improve the quality of the workforce through training, evaluation, and development initiatives to ensure that employees consistently meet the highest standards of performance. Roles & Res

Call Center environment Handling a high volume of inbound calls for Healthcare Member and Provider inquiries Maintain awareness of the way performance and actions affect members. Web camera visibility Schedule Flexibility Key Performance Indicators Inquiry Accuracy and Completeness Productivity Call Resolution Overall Satisfaction Call Handle Time Reporting Structure Repo

Lead, supervise and develop departmental teams Oversee and direct the daily activities of the Receivables staff Coordinate account inventories and report daily/weekly to the Department Manager Prepare and conduct staff training Maintain time and attendance records for staff Problem solve operational issue Conduct performance reviews Assist with hiring Delegation and inspe

The Team Lead plays a crucial role in ensuring the HPHS team operates efficiently and effectively, delivering exceptional service to our clients. Roles & Responsibilities Lead and mentor a team of professionals, ensuring they meet performance targets and objectives. Assist team members with daily tasks and resolve operational issues to ensure client needs are met promptly

The Team Lead plays a crucial role in ensuring the HPHS team operates efficiently and effectively, delivering exceptional service to our clients. Roles & Responsibilities Lead and mentor a team of professionals, ensuring they meet performance targets and objectives. Assist team members with daily tasks and resolve operational issues to ensure client needs are met promptly

The Team Lead plays a crucial role in ensuring the HPHS team operates efficiently and effectively, delivering exceptional service to our clients. Roles & Responsibilities Lead and mentor a team of professionals, ensuring they meet performance targets and objectives. Assist team members with daily tasks and resolve operational issues to ensure client needs are met promptly

The Team Lead plays a crucial role in ensuring the HPHS team operates efficiently and effectively, delivering exceptional service to our clients. Roles & Responsibilities Lead and mentor a team of professionals, ensuring they meet performance targets and objectives. Assist team members with daily tasks and resolve operational issues to ensure client needs are met promptly

The Supervisor plays a crucial role in ensuring the HPHS team operates efficiently and effectively, delivering exceptional service to our clients. Roles & Responsibilities Lead, mentor and manage a team of professionals, ensuring they meet performance targets and objectives. Set performance expectations, provide regular feedback, and conduct performance evaluations to enh