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* Assist customers with payment processing, invoice explanation, payment due dates and billing questions * Assist with follow up on claim denials...
* Assist customers with payment processing, invoice explanation, payment due dates and billing questions * Assist with follow up on claim denials...
* Assist customers with payment processing, invoice explanation, payment due dates and billing questions * Assist with follow up on claim denials...
* Assist customers with payment processing, invoice explanation, payment due dates and billing questions * Assist with follow up on claim denials...
* Assist customers with payment processing, invoice explanation, payment due dates and billing questions * Assist with follow up on claim denials...
* Provide daily utilization oversight and external communication with network physicians and hospitals * Daily UM reviews - authorizations...
* Gathers necessary clinical information and processes referrals, pre - certification, pre - determinations, and pre - authorizes according...
* Prepare examination rooms and sterilize medical equipment & instruments * Room patients, obtain health history and check vital signs * Document...
* Remain knowledgeable with changing workflows * Training * Orienting and onboarding new team members * Testing and developing new workflows...
* Participate in telephonic outreach for collaboration with treating providers. This will include discussion of evidence - based guidelines...
* Completes telephonic outreach to members utilizing auto - dialer and manual dialing * Receive inbound calls from members and transfers from...
* Provide daily utilization oversight and external communication with network physicians and hospitals * Daily UM reviews - authorizations...
* Provide daily utilization oversight and external communication with network physicians and hospitals * Daily UM reviews - authorizations...
* Responsible for overseeing and participating in day to day clinical care of patients. Employees are involved in direct patient care (in a clinic...
* Answers a minimum of 11 calls per hour resolving moderate to complex issues. * Schedule and verify appointments in clinical information system...
* Completes telephonic outreach to members utilizing auto - dialer and manual dialing * Receive inbound calls from members and transfers from...
* Perform outbound calls to existing patients to schedule appointments for follow up care. * Update patient's chart to reflect current demographics...
* Completes telephonic outreach to members utilizing auto - dialer and manual dialing * Receive inbound calls from members and transfers from...
* Completes telephonic outreach to members utilizing auto - dialer and manual dialing * Receive inbound calls from members and transfers from...
* Perform Data Analysis utilizing basic database SQL queries to ensure data integrity, accuracy and completeness * Assist in developing and executing...
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