Sentences with phrase «processing claims for reimbursement»

Pharmacy technicians work under the direct supervision of a licensed pharmacist, preparing prescriptions, entering patient information into computers and processing claims for reimbursement.

They are quick to process claims for reimbursement and I love that you can upload invoices and check on claims directly via their app.

Not exact matches

In the past couple of years, he said, she's secured $ 162,000 in grant funds, benefiting flood analysis studies and other town projects, which include streamlining a solar application process, and finalizing a six - figure FEMA hurricane claim to pay local contractors who have been waiting four years for reimbursement, among other accomplishments.

Your claims representative may suggest ways to protect your property to prevent further damage and to ensure the claims process and reimbursement for costs goes smoothly.

This being my first claim (hopefully last), they helped me through the claims process which allowed for a quick reimbursement of my vet expenses.

Eliminating paper work makes for speedy reimbursement and many clients state claims were processed within a day or two.

Having dealt with the human insurance game, I was expecting to have to fight through the process, but no need — it was really easy to submit the claim and I received a reimbursement check quickly for everything my plan covers.

They have wonderful customer service, claims are processed and paid in a matter of days, and reimbursement is based on the invoice total and not on predetermined values for each veterinary service, as is the case with other companies.

We have had to file multiple claims on our dogs over the years and remain impressed and thankful for the speedy processing and reimbursements on these claims.

While successful plaintiffs are able to collect compensation for their losses in the form of reimbursement for medical expenses and other costs, filing a claim and establishing fault can be difficult, so if you were involved in an accident caused by another person's negligence, it is important to speak with an experienced personal injury attorney who can walk you through the filing process.

After your claim is processed, it may take up to 7 - 10 business days to receive your check for reimbursement.

It's important to our company to hear that our claims processes are fair and reimbursement for losses are received promptly.

The process for receiving reimbursement for claims is unnecessarily complicated and seems to be structured so as to discourage anyone from receiving reimbursement even for legitimate claims.

I wish to commend Kathy Haught for finally getting our claim processed and getting us our reimbursement checks.

Process for providing benefits: Employees can file claims directly or assign benefits to the provider for reimbursement.

The company will then process and adjust the claim, and depending on your coverage you'll receive a benefit, or reimbursement, for the damages and injuries.

Your claims representative may suggest ways to protect your property to prevent further damage and to ensure the claims process and reimbursement for costs goes smoothly.

Register your claim with HDFC ERGO inhouse claims services team (HCS) / Third Party Administrator (TPA) for processing and reimbursement by submitting duly filled claim form along with required documents as mentioned in the claim form.

3) Register your claim with HDFC ERGO inhouse claims services team (HCS) / Third Party Administrator (TPA) for processing and reimbursement

Since launching its U.S. operation in 2013, APRIL's mission has been to change consumers» perception of travel protection that has often been associated with the anticipation of having to fight tooth and nail for reimbursements through a lengthy claims process.

Additionally, if Car Rental Reimbursement is part of your policy, you may be covered for certain rental costs incurred while your claim is being processed.

In order to expedite the claims process, you have to be prepared for your Fort Smith renters insurance for quick reimbursement.

Claims Processors are responsible for processing insurance claims, performing duties such as analyzing insurance information, performing data entry and handling insurance claims reimburseClaims Processors are responsible for processing insurance claims, performing duties such as analyzing insurance information, performing data entry and handling insurance claims reimburseclaims, performing duties such as analyzing insurance information, performing data entry and handling insurance claims reimburseclaims reimbursements.

They are required to calculate the insurance premium for the client, assist clients with the reimbursement and claim process, or providing assistance in having the insurance claim processed and ensuring that the customer is paid the amount.

Ensure proper compliance to payer guidelines for medical insurance claims processing and reimbursement.

Processed claims, reimbursements, and resolved issues for private insurance companies, workers» compensation, Medicaid, and Medicare

Submit invoices to Accounts Payable for processing of monthly Workers» Compensation, automobile, and other claims reimbursements to carriers.

• Working knowledge of ICD - 9 and ICD - 10 and OASIS • Excellent skills in reviewing delinquent accounts and creating avenues for overdue payments • Demonstrated expertise in translating medical procedures into codes that can be easily translated by payers and medical facilities • Proficient in appropriately and confidentially handling patient treatment, diagnosis and procedural information • Well - versed in investigating rejected claims and ensuring that they are resubmitted and paid • Special talent for investigating insurance fraud and determining ways to counter / avoid sticky situations • Skilled in verifying and completing charge information in company defined databases • Familiar with documentation needs (and manners of obtaining them) for insurance claims submission and approval • Qualified to work efficiently with external collection agencies to ensure maximization of reimbursement • Particularly effective in handling appeals for denials by employing exceptional knowledge of carriers and appeal processes • Special talent for increasing reimbursements by investigating denied claims and providing alternatives to denials

• Track record of managing medical payment collection activities by indulging in extensive medical billing activities • Demonstrated expertise in acting as a liaison between medical facilities and insurance carriers including HMOs, PPOs, Medi - cal and Medicare • First - hand experience in using coded data to produce and submit claims to insurance companies to ensure prompt payments • Competent at reviewing and appealing unpaid and denied claims • Documented success in effectively and efficiently translating medical procedures into codes which can be easily translated by payers and medical facilities • Familiar with transmitting coded patient treatment information to intended recipients • Proven record of coding treatment information using designated CPT codes and effectively reviewing medical records for accuracy and integrity • Unmatched ability to create reimbursement claims and coordinate reimbursement activities with payers • Qualified to process patient data such as treatment records and insurance information to verify data accuracy and integrity • Proven ability to liaise with insurance companies to facilitate payments of outstanding claims • Particularly effective in verifying coding and billing information to ensure that outstanding payments are paid on time

Medical Billing Manager BRONX MEDICAL CENTER, Bronx, NY 6/2012 to Present • Lead medical billing and collection processes by handling calls and correspondence on all overdue balances • Coordinate efforts with management to develop meaningful metrics and ensure that they are achieved • Develop and train team members to carry out specific medical billing, coding and collection activities • Oversee the operations of the billing department to ensure coordination of medical coding, charge entries, claims submissions and payment postings • Follow up on accounts receivables and handle reimbursement management duties • Analyze billing and claims for accuracy and completeness and ensure that claims are submitted to appropriate insurance entities • Prepare and analyze accounts receivable reports and insurance contracts • Audit present procedures to monitor and improve the efficiency of billing and collection procedures • Participate in the development and implementation of operating policies and protocols • Realign staff members to meet changing trends impacting coding, collections and accounts receivables

Executive Consultant in establishing a start - up health plan for all technical, business and operational and data management and information systems security areas including member enrollment and eligibility, developing coverage, benefits and plan products including procedure and diagnosis codes, claims processing with rules definition, billing and premium, provider - physician and hospital contracting, credentialing, provider reimbursement methodologies, finance, revenue and payments, clinical care, medical management and authorizations and coverage guideline policies, broker / agent operations, EDI, IT Integration, IVR scripting, Microsoft SharePoint and C - Suite data management and reporting, and all Kentucky Dept of Insurance product and benefit filings including SERFF and HIOS.

Curriculum in the certificate program helps build the basic skills and knowledge to submit medical claims for reimbursement, process bills, operate computerized billing systems, and gain a working knowledge of various insurance plans.

Both discipline's goal is to assure that medical reimbursement claims are promptly processed and submitted to health insurance carriers, and the health care provider and facility gets paid for medical services rendered.

Winthrop University Hospital (Mineola, NY) 2003 — 2006 Surgical Specialist • Assisted in the booking and scheduling of all surgical, medical, and diagnostic procedures for 8 doctors within a cardiovascular and thoracic practice • Maximized third - party reimbursement for both new and experimental procedures by 11 % • Initiated a thorough appeals process on all denied claims, increasing pay rates by 20 % • Aided in other administrative and operational functions associated with surgical procedure management

AFLAC (Columbus, GA) 10/2008 — 7/2009 Claims Specialist • Assisted in the booking and scheduling of all surgical, medical, and diagnostic procedures for 8 doctors within a cardiovascular and thoracic practice • Maximized third - party reimbursement for both new and experimental procedures by 11 % • Initiated a thorough appeals process on all denied claims, increasing pay rates by 20 % • Aided in other administrative and operational functions associated with surgical procedure manaClaims Specialist • Assisted in the booking and scheduling of all surgical, medical, and diagnostic procedures for 8 doctors within a cardiovascular and thoracic practice • Maximized third - party reimbursement for both new and experimental procedures by 11 % • Initiated a thorough appeals process on all denied claims, increasing pay rates by 20 % • Aided in other administrative and operational functions associated with surgical procedure manaclaims, increasing pay rates by 20 % • Aided in other administrative and operational functions associated with surgical procedure management

Director of Business — Duties & Responsibilities Recruit and train staff of 30 in hospital policies, procedures, best practices, and corporate branding Design and implement staff development, recognition, and disciplinary policies and procedures Oversee admissions, utilization review, PB X, imaging center, billing, collections, and wound center registrations Set and strictly adhere to departmental budgets and schedules Author and present financial reports concerning revenue, expenses, and outstanding collections Identify performance indicators and benchmarks for integration into reporting systems Conduct surveys regarding patient / staff satisfaction, benchmarks, accreditation, and employee benefits Maintain a 99 % patient satisfaction score through attentive and professional standards of care Negotiate contracts and claims with insurance carriers, Medicare, Medicaid, and other payer sources Increase revenue by 30 % through effective contract renegotiation with suppliers, carriers, and other parties Implement policies, procedures, and equipment to cut hospital costs while enhancing patient care Utilize strong management experience to drive operations in an efficient and professional manner Develop and implement billing controls, cash processing measures, lockboxes, and other financial processes Coordinate and oversee internal and external audits ensuring compliance with industry and legal standards Recruit physicians through successful marketing, networking, and other tactics Implement automated Chargemaster financial application (Craneware) and maintain patient accounts Responsible for HCAHPS and the yearly Quality Assurance Plan Appeal claims when appropriate resulting in $ 400,000 reimbursement from PPO insurance over the last year Build and strengthen professional relationship with community leaders, coworkers, and industry figures Consistently promoted for excellence in financial management, team leadership, and dedication to mission Develop working knowledge of hospital operations from patient admission to senior level strategic planning Represent company with poise, integrity, and positivity

Professional Experience Social Security Administration (San Francisco, CA) 8/2003 — 12/2009 Administrative Technician • Trained and supervised clerical support staff ensuring effective and efficient operations • Prepared executive calendars, staffing and recruitment logs, and governmental forms • Directed official correspondence including responses to public inquiries • Oversaw Department of Homeland Security guard service contracts for federal buildings • Streamlined department financial analysis, reporting, and recordkeeping • Processed reimbursement claims, invoices, and account statements • Planned and directed special events including regional conventions and conferences