- Verifies insurance benefits and eligibility on all new referrals.
- Performs monthly verification of DSHS coverage for long term Medicaid patients and weekly verification for capitated Hospice patients.
- Assist in evaluation of documentation to determine if patient meets criteria for coverage of therapy.
- Gather necessary information to assure accuracy and completeness of forms and reports; Work with management and staff to correct omissions, errors, office systems problems, etc.
- Responsible for creating Cost Disclosure/Advance beneficiary notices for Medicare patients and tracking for signed form.
- Responsible for generating benefits letter to inform patient/responsible party of financial responsibility and sending to patient.
- Responsible for entering new patient and physician date into the software database, including new therapy sessions on existing patients; Enter ICD-9/ICD-10 codes as needed.
- Obtain PCP referral request and follow-up.
- Document appropriately in patient electronic record regarding payer/billing information.
- Obtain initial pre-authorizations as required by insurance plans.
• Verification of physician licensure on an ongoing basis. - Support and incorporate Sisters of Providence Health System Mission into daily activities.
- Participate in QA/QI.
• Responsible for performing Medicare Part D eligibility and drug formulary checks. - Prepare hospital charity agreements and send and track patient financial assistance applications.
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Banner Health Sun City West, United States**Primary City/State**: · Sun City West, Arizona · **Department Name**: · C/P-SCW Gastroenterology-Clnc · **Work Shift**: · Day · **Job Category**: · Administrative Services · **Gastroenterology** is the treatment of conditions and diseases of the digestive system. Whether patien ...
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Travel Echo Technologist
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TikTok Shop
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Tik Tok Seattle, United StatesResponsibilities · TikTok is the leading destination for short-form mobile video. Our mission is to inspire creativity and bring joy. TikTok has global offices including Los Angeles, New York, London, Paris, Berlin, Dubai, Singapore, Jakarta, Seoul and Tokyo. · Why Join Us · C ...
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Compliance Specialist
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HumanGood Seattle, United StatesThis position develops, monitors, and maintains HUD and Tax Credit and other regulatory occupancy compliance at the affordable housing communities under the supervision of the Senior Compliance Specialist and Director of Compliance. · Perform file audits of resident initial cert ...
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DSHS ESA Public Benefits Specialist 3
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State of Washington Seattle, United StatesPublic Benefits Specialist 1-3 in TrainingEconomic Services Administration (ESA) Community Service Division has an exciting opportunity for a Public Benefits Specialist to join our team in our King North Community Service Office. When you work for DSHS's CSD, your compassion show ...
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Compliance Specialist
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Knewin Seattle, United StatesThis position develops, monitors, and maintains HUD and Tax Credit and other regulatory occupancy compliance at the affordable housing communities under the supervision of the Senior Compliance Specialist and Director of Compliance. · Perform file audits of resident initial certi ...
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DSHS ESA Public Benefits Specialist 3
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State of Washington Seattle, United StatesPublic Benefits Specialist 1-3 in Training · Economic Services Administration(ESA) Community Service Division has an exciting opportunity for a Public Benefits Specialist to join our team in our King North Community Service Office. When you work for DSHS's CSD, your compassion s ...
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DSHS ESA Public Benefits Specialist 3
2 weeks ago
State of Washington Seattle, United StatesPublic Benefits Specialist 1-3 in Training · Economic Services Administration (ESA) · Community Service Division · has an exciting opportunity for a Public Benefits Specialist to join our team · in our King North Community Service Office. · When you work for DSHS's CSD, your ...
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Field Inventory Specialist
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Douglas-Guardian Services Corporation Seattle, United StatesDo you enjoy traveling to new locations and working with exciting new people every day? How about the flexibility to set your own schedule? Then this may be the opportunity for you. · Douglas-Guardian conducts verifications of financed assets for manufacturers, banks, and financ ...
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IT Helpdesk Specialist
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UIC Government Services and the Bowhead Family of Companies Seattle, United StatesOverview · IT Helpdesk Specialist (HHSIT : · Bowhead seeks an IT Helpdesk Specialist to provide support via the IT Help Desk to FDA employees across six (6) regions in the United States: Mid-Atlantic, Northeast, Southeast, Southwest, Central, and Pacific. They will be providing t ...
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Medical Laboratory Scientist
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AltPep Corporation Seattle, United StatesAltPepCorporation is a biotechnology startup based along Seattle's Lake Union focused on developing early disease-modifying treatments and detection tools for amyloid diseases by targeting one of the earliest molecular triggers - toxic soluble oligomers. These toxic oligomers are ...
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Cimarron Software Services Seattle, United States**Job Details** · **Retail Sales Specialist - (BRSS051121)** · This details all the information about the job posting. Share this job as a link in your status update to LinkedIn. **** · Job Title Retail Sales Specialist Location North Charleston, SC 29418 US · Renton, WA 9805 ...
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senior pre service specialist remote
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Payroll Specialist
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Addison Group Seattle, United StatesJob Description · Job DescriptionJob Name: Payroll Specialist · Location: Downtown Seattle, WA · Pay Rate: $90,000 / year · Job ID: · Our Downtown Seattle based client is looking for an Payroll Specialist. Candidate must be have multi-state processing experience and have 4+ yea ...
Insurance Verification Specialist - Seattle, United States - A.P.R., Inc. (AlphaProTemps)
Description
Job Description
Job DescriptionUp to 1 Year Contract, may convert to Fulltime Hire
Must be Covid-19 vaccinated
Monday - Friday, 8:00 - 4:30
Manager is looking for someone long-term, possibly go from Contract to Hire position.
Must have Experine in:
Perform front-end revenue cycle duties using specific knowledge of medical terminology to investigate insurance benefits and submit authorizations for a variety of infusion and enteral therapies.
Duties include compiling and recording medical charts, reports, and correspondence.
Job Duties:
Required 1 year Experience in medical office setting.
Reimbursement experience.
Experience with verification of insurance benefits.
Ability to type quickly and accurately.
• Ability to communicate effectively both written and orally.
• General computer knowledge and skills, including word processing, spreadsheets and database software.
• Knowledge of office equipment.
• Knowledge of medical terminology.
• Customer service skills.
• Knowledge of medical reimbursement.