5 care manager jobs found

Overview: Ensures the financial integrity of the UF Health Physicians Billing and Accounts receivables by performing established financial processes that enable and expedite the billing and collection of professional services. This includes: billing claims according to Federal/Managed Care rules, regulations and compliance guidelines, patient account research and resolution, insurance verification and benefits determination, identification of reimbursement issues, resolution of credits and issuance of refunds, identification of payment variance invoices, follow up and resolution of denied claims. Qualifications: Minimum Education and Experience Requirements: High school graduate or equivalent. Six months of healthcare/billing and collections/financial experience required or minimum one year experience in business setting dealing with finance, accounting, insurance or collection system. Associates degree may substitute for required work experience. Working knowledge of CPT,...

Overview: Under the direction of the Revenue Cycle Administrator, develop and deliver employee-training programs. Performs work under general supervision. Handles moderately complex issues and problems, and refers more complex issues to higher-level staff. Possesses solid working knowledge of subject matter. May provide leadership, coaching, and/or mentoring to a subordinate group. Responsibilities: Triage invoices and determine appropriate action andcomplete the process required to obtain reimbursement for alltypes of professional services by physicians and nonphysicianproviders maintaining timely claims submissionsand timely Appeals processes as defined by individualpayors. Resubmit insurance claims when necessary to theappropriate carrier based on each payor's specific processwith the knowledge of timelines. Research, respond and take necessary action to resolveinquiries from PSRs (Patient Service Reps), CashDepartment, Charge Review and Refund Departmentrequests. Follow-up...

Overview: Under the direction of the Revenue Cycle Administrator, develop and deliver employee-training programs. Performs work under general supervision. Handles moderately complex issues and problems, and refers more complex issues to higher-level staff. Possesses solid working knowledge of subject matter. May provide leadership, coaching, and/or mentoring to a subordinate group. Responsibilities: Triage invoices and determine appropriate action andcomplete the process required to obtain reimbursement for alltypes of professional services by physicians and nonphysicianproviders maintaining timely claims submissionsand timely Appeals processes as defined by individualpayors. Resubmit insurance claims when necessary to theappropriate carrier based on each payor's specific processwith the knowledge of timelines. Research, respond and take necessary action to resolveinquiries from PSRs (Patient Service Reps), CashDepartment, Charge Review and Refund Departmentrequests. Follow-up...

Overview: Under the direction of the Revenue Cycle Administrator, develop and deliver employee-training programs. Performs work under general supervision. Handles moderately complex issues and problems, and refers more complex issues to higher-level staff. Possesses solid working knowledge of subject matter. May provide leadership, coaching, and/or mentoring to a subordinate group. Responsibilities: Triage invoices and determine appropriate action andcomplete the process required to obtain reimbursement for alltypes of professional services by physicians and nonphysicianproviders maintaining timely claims submissionsand timely Appeals processes as defined by individualpayors. Resubmit insurance claims when necessary to theappropriate carrier based on each payor's specific processwith the knowledge of timelines. Research, respond and take necessary action to resolveinquiries from PSRs (Patient Service Reps), CashDepartment, Charge Review and Refund Departmentrequests. Follow-up...

Overview: FTE- 1.0 Mon-Fri 8:00 am - 5:00 pm   Provides direct supervision to staff responsible for financial counseling for inpatients, ambulatory surgical patients, and their guarantors. Responsibilities: Key Responsibilities Patient Financial Counseling: Secures appropriate socio-economic data for each account. Establishes and/or confirms medical record identification numbers and patient registration information. Conducts detailed financial screenings and analyses. Verifies insurance or other third-party coverage. Obtains necessary signatures and supporting documentation from patients and guarantors. Coordinates financial issues with internal and external departments. Resolves or refers non-financial patient concerns to the appropriate department or agency. Billing Coordination: Coordinates billing processes by assisting in the preparation and management of clean, accurate, and complete claims and bills for patients and third-party...