Verifies claims are received by the payer and follows up to obtain payment via phone calls, portal or website use. Reviews claim adjustment reason codes or explanations of benefits received by the payer to determine what reasons for denials records are indicating for appropriate follow up. After denial review, evaluates next steps and takes action to call payer, follows u

Responds to all incoming telephone calls. Resolves all inquiries in a professional manner consistent with the mission of the health system. Assist callers with complaints, appeals, grievances and IRO requests. Attend seminars/training sessions. Add membership to the PBM software Add authorizations to the PBM software Processing all prescription claims (DMR) through the PB

Serves as A Subject Matter Expert (SME) with regards to the Specialty billing processes and the respective Patient Financial Services Specialty role, maintaining an advanced knowledge of payor updates including Federal and State guidelines, department workflows and resources needed to resolve payor rejections and troubleshoot identified denial trends. Knowledgeable in the

Serves as A Subject Matter Expert (SME) with regards to the insurance follow up processes and the respective Patient Financial Services Follow up role, maintaining an advanced knowledge of payor updates including Federal and State guidelines, department workflows and resources needed to resolve payor rejections and troubleshoot identified denial trends. Knowledgeable in t

Be part of something remarkable Reimagining health care working in our new state of the art facility on Madison's east side you will help transform the patient experience. We are seeking Patient Scheduling Specialists and Coordinators to Schedule appointments via phone, in person or electronic correspondence. Complete multi disciplinary scheduling comprehensive clinics wi

UW Hospital and Clinics benefits

Work Schedule 90% FTE, 36 hours per week. Variable 8/12 hour day/evening shifts Monday Friday and every other weekend between the hours of 0700 2330. Weekend and holiday shifts are required. Hours may vary based on the operational needs of the department. Join the #1 hospital in Wisconsin! We are seeking a Health Unit Coordinator Float to Utilize excellent communication a

Join the #1 hospital in Wisconsin! We are seeking a Health Unit Coordinator to Provide support to the unit by assisting front desk tasks and proving customer service to all. Assist with administrative work (answering phones, organizing files, ordering supplies, patient paperwork, etc.). Maintain control and order under stressful conditions and periods of high unit activit

This position demonstrates knowledge and skills necessary to assess patients in all age groups; demonstrates ability to provide patient care based on each patient's age appropriate needs. Identifies, reports, provides care and documents patient problems in collaboration with the physicians, nurses, and the technical staff. This position demonstrates effective communicatio

Presents a friendly, approachable, professional demeanor and appearance. Provides accurate information and timely updates to patients and customers. Addresses questions and concerns promptly, or identifies appropriate person and resources to do so. Provides directions or help to patients and customers with finding their way. Uses effective service recovery skills to solve

UW Hospital and Clinics benefits

Work Schedule 100% FTE, 40 Hours per week. Variable 8/12 hour day/evening shifts Monday Friday and every other weekend between the hours of 7 00 am 11 30 pm. Hours may vary based on the operational needs of the department. Join the #1 hospital in Wisconsin! We are seeking a Health Unit Coordinator to Utilize excellent communication and organizational skills to support pat

UW Hospital and Clinics benefits

The Patient Service Rep reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. This position will have comprehensive knowledge of CPG patients' needs and will work in partnership with

Work Schedule This is a part time, per diem position. Evening shifts primarily scheduled between 7 00pm 11 00 pm, every other weekend. Hours may vary based on the operational needs of the department. Join the #1 hospital in Wisconsin! We are seeking a Health Unit Coordinator to Utilize excellent communication and organizational skills to support patient care. Collaborate