Perform timely review of assigned WQs to ascertain next steps; prioritizing requests based on due date, stat, urgent, etc. Monitor and process external order WQs Review patient chart for MD orders to determine services/CPTs/HCPCs and reasons for requests. Review insurance guidelines. If services requested meet medical necessity, gather data to be prepared for phone call,

Determines and facilitates appropriate action for claim resolution and correct financial responsibility via DOFRs, IPA and health plan/IPA contacts. Effectively uses detailed documentation in EMR and/or billing system(s) of all activities undertaken. Maintains timely follow up on outstanding insurance claims in appropriate EPIC WQs, ensuring claims are billed/rebilled wit

CAREGIVER/HOME HEALTH AIDE Job Locations US CA ANTIOCH | US CA BRENTWOOD | US CA DISCOVERY BAY Requisition ID 2024 142738 Line of Business All Ways Caring HomeCare Pay Min USD $16.40/Hr. Pay Max USD $16.40/Hr. Our Company All Ways Caring HomeCare Overview Who we are looking for At All Ways Caring HomeCare our Caregivers play a crucial role in providing individualized care

Prior to a patient receiving treatment; obtains insurance coverage information and demographics; educates patient on insurance coverage, benefits, co pays, deductibles, and out of pocket expenses. Assess patients ability to meet expenses and discusses payment arrangements. May educate patients on financial assistance programs as well as identify sources and provide assist

The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en

At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities that will put customers at the center of what we do best protecting and restoring their dreams when they need us most. We're leveraging our expertise, technology and new ways of working to actively reinvent one of America's largest industries creating

Prepares and dispenses medication orders. Maintains and evaluates patient profile and comprehensive drug data file to evaluate orders for any incompatibilities. Checks all orders for completeness of information. Verifies patient information and proper physician authorization. Checks all orders for insurance approval before admixing. Admixes drugs as ordered by physician i

Responsible for providing back up support to all tasks assigned in the Credentialing Specialist Job Description Create & Manage Physician on call calendars. Distribute Vacation Dates for Providers and facilitate appropriate clinical coverage. Manage Answering Service input calls on a monthly/bi monthly basis. Responsible for Onboarding and Off boarding Providers and updat

Escorts patients to and from exam rooms, physician offices, and treatment room as appropriate. Records patient data prior to each physician visit, including but not limited to, vital signs, height, weight, allergies, and medication changes. Obtains all necessary patient records as required by physician prior to treatment or procedures. Prepares and stocks exam/treatment r

Perform all imaging scheduling functions Respond to incoming telephone calls regarding imaging appointments Enter patient information accurately into Epic EMR system when applicable Follow through on all direct clinician requests communicated by phone, email or through Epic EMR Ensure proper medical records are present in Epic EMR prior to imaging appointment Provide moda

Develop relationships with key customers, advocacy groups, and influencers to increase referrals to practice. Develop new business opportunities by building and sustaining strong, trusting relationships with existing referral sources and prospects. This includes outbound prospecting and follow ups with targeted marketing leads. Leverage technology and use a customer relat

Provides expertise to the organization which includes human resource programs, compensation and benefits, leaves of absence, disciplinary matters; disputes and investigations; performance and talent management; employee recognition and engagement; and employee training and development. Plans, leads, develops, coordinates, and implements policies, processes, training, init

If you enjoy interacting with people, Club Demonstration Services (CDS) may be the right fit for you! As the preferred marketing provider to Costco, we drive sales and engage with customers in a creative way. CDS Part Time Product Demonstrators enjoy a flexible, part time schedule and conduct demonstrations that introduce customers to new products. You Are looking to make

What You Will Do All Lowe's associates deliver quality customer service while maintaining a store that is clean, safe, and stocked with the products our customers need. As an Asset Protection Agent (APA) this means Coaching and training Store Associates and Leaders on identifying and deterring external theft through implementing Lowe's shrink programs. Monitoring merchand

Have you considered being a Bus Driver in your community? Now's your chance! Get PAID to do what you love! $2000 SIGN ON BONUS! First Transit Drivers provide transportation via the city of Antioch, TriDelta Transit. Our drivers connect people to jobs, healthcare, education, and leisure activities! As a Bus Driver, you would provide our clients with the freedom and conveni