on outstanding receivables timely. Focus is upon resolving any issues that may be causing delay of payment, including contacting payers and using appropriate websites to determine claim status. Investigation and resolution of denied claims including identification of trends and payer behavior that is contributing to inaccurate or delayed reimbursement for services rendered by our providers.
Primary function is to overcome obstacles to ensure timely and accurate insurance payment, validation that insurance liability has been met prior to assigning patient liability. Research and identification of clinic and payer behavior and trends that may risk reimbursement, addressing those scenarios
to mitigate unnecessary write offs/ losses. Insurance Follow-up Representative is distinguished by the level of experience, span of payer knowledge and denial resolution expertise.
Levels I and II positions are primarily that of processing, documenting, and securing accurate insurance claim payments under the guidance of the Supervisor. Levels III (Lead) positions are generally focused on more complex payer and denial scenarios. Leads also accountable for effective on-boarding, training and real time support of teammates. Independently works directly with straight forward payer contracts and guidelines to obtain accurate payment of insurance claims. Easily resolving eligibility denials
but needing increased support to resolve billing related denials Performs follow up actions including correcting payer rejections, checking claim status, updating patient registration related items, and rebilling claims as necessary to ensure claims are processing in a timely fashion; escalate issues as appropriate to leadership.
Primary Responsibilities: Contacts insurance carriers/patients regarding outstanding insurance claims to obtain proper payment based on EOB and/ or Experian contract modeling expectations. Knowledge of clinic operating policies to help in the identification of denial root causes Prepares proper documentation for appeals to insurance carriers Processes the appealing of claims reimbursed incorrectly by payors Ensures all accounts are set-up correctly in the computer using knowledge of A/R software, understanding of eligibility requirements and use of the internet and payer portals Has thorough knowledge of insurance carrier procedures and processes Understands contract reimbursement rates for individual carriers/networks Able to examine documents for accuracy and completeness including preparing records in accordance with detailed instructions Must meet minimum production and quality standards as set by management Managing their assigned worklist and following standard work to take actions to resolve no response claims, understand and respond to denied claims and effectively minimize over 90 aged claims and preventable adjustments Able to examine documents for accuracy and completeness including preparing records in accordance with detailed instructions Maintains Over 90 aging quality measures as determined by payer baselines and expectation In addition to the above: Maintains payer or subject matter expertise, provides elbow to elbow support with teammates, training and information retention.
Works under minimal supervision to perform various routine and complex tasks including payer/claim trends, escalations, and resolving high level system/payer/claim issues.
Additional responsibilities are distribution of work assignments, identification and documentation of payer trends and escalation as appropriate. Monitoring workflow/quality, audits, and recommendations for performance evaluations. Could potentially be asked to participate in the hiring process, making recommendations to a Supervisor or Manager. Always promotes collaboration and team spirit to maximize group effectiveness, including offering assistance and encouragement to others.
Projects a compassionate, and professional demeanor while dealing with patients, staff and all parties encountered. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Years of post-high school education can be substituted/is equivalent to years of experience Required Qualifications: 2+ years of medical insurance billing and/or follow up 1+ years Lead or Supervisor experience Washington Residents Only: The hourly range for Washington residents is $16.00 to $31.44 per hour.
Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, United Health Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with United Health Group, you'll find a far-reaching choice of benefits and incentives. At United Health Group, our mission is to help people live healthier lives and make the health system work better for everyone.
We believe everyone-of every race, gender, interactionuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: Optum Care is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, interaction, age, national origin, protected veteran status, disability status, interactionual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Optum Care is a drug-free workplace. Candidates are required to pass a drug test before beginning employment Requisition #: 21965876ahf9io63
HTTP) and standard network architectures. Strong knowledge of databases, No SQL, storage, and distributed persistence technologies. Strong troubleshooting and performance tuning skills. Virtualization experience would be a huge plus. BS or MS degree or equivalent experience relevant to functional area An Oracle career can span industries, roles, Countries and cultures, giving you the opportunity to flourish in new roles and innovate, while blending work life in.
Oracle has thrived through 40+ years of change by innovating and operating with integrity while delivering for the top companies in almost every industry. In order to nurture the talent that makes this happen, we are committed
to an inclusive culture that celebrates and values diverse insights and perspectives, a workforce that inspires thought leadership and innovation. Oracle offers a highly competitive suite of Employee Benefits designed on the principles of parity, consistency, and affordability.
The overall package includes certain core elements such as Medical, Life Insurance, access to Retirement Planning, and much more. We also encourage our employees to engage in the culture of giving back to the communities where we live and do business. At Oracle, we believe that innovation starts with diversity and inclusion and to create the future we need talent from various backgrounds, perspectives, and abilities.
We ensure that individuals with disabilities are provided reasonable accommodation to successfully participate in the job application, interview process, and in potential roles.
to perform crucial job functions. That's why we're committed to creating a workforce where all individuals can do their best work. It's when everyone's voice is heard and valued that we're inspired to go beyond what's been done before. Oracle is an Equal Employment Opportunity Employer . All qualified applicants will receive consideration for employment without regard to race, color, religion, interaction, national origin, interactionual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law.
Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law. Which includes being a United States Affirmative Action Employer PDN-9abfa2ee-ad31-4e84-915a-c74f8ce5038a
support of high-quality light-, medium- and heavy-duty trucks under the Kenworth, Peterbilt and DAF nameplates. PACCAR designs and manufactures advanced diesel engines and also provides customized financial services, information technology and truck parts related to its principal business.
Whether you want to design the transportation technology of tomorrow, support the staff functions of a dynamic, international leader, or build our excellent products and services — you can develop the career you desire with PACCAR. Get started! Division Information Kenworth Truck Company is the manufacturer of The World’s Best® heavy and medium duty trucks. Kenworth is an industry leader in providing
fuel-saving technology solutions that help increase fuel efficiency and reduce emissions. The company’s dedication to the green fleet includes aerodynamic trucks, compressed and liquefied natural gas trucks, and medium duty diesel-electric hybrids.
Here's what you will do in this role: Support design and release of electrical wiring and electronic components and systems for heavy commercial truck. Integrate various electrical subsystems into vehicle electrical system. Complete engineering change notice documentation to manage old and new parts and use proprietary software to issue part bid requests. Familiarity with Siemens Capital to design integrate and design wire harnesses and schematics
Support engineering and project management processes to maintain schedule, budget, and functionality.
Assist planning and track validation of components. Support launch at truck assembly plants as needed, and resolve field issues as identified. Help ensure industry leading quality and reliability is met/maintained/exceeded on all components. Work as part of a multi-disciplinary team with mechanical engineers, manufacturing engineers and other professionals to ensure quality heavy duty truck electrical designs. Support investigation and resolve warranty issues for powertrain electrical related claims. Up to 10% travel. Role Requirements: BSEE or equivalent degree required; MS in appropriate technical field (CS or EE preferred) and/or Professional Engineering license.
Ability to work in a fast-paced, lean, collaborative team environment. Excellent communication and interpersonal skills. Good planning/tracking skills. Competency with standard business software tools (word processing, spreadsheets, etc. ). Able to learn and use new processes and techniques and resourcefully solve complex technical issues. Commitment to reliability, value, and quality in all aspects of work; desire to join the World’s Best team. Willingness to grow continuously, both personally and professionally and a strong results orientation.
0-1 years knowledge of design & release of automotive or commercial vehicle electrical components, including software, wire harnesses, electronic controls, switches, driver input devices, and/or HMI preferred. Familiarity using Engineering tools (Siemens Capital, Creo, Windchill). Awareness of heavy duty commercial truck regulations, especially affecting instrumentation, emissions, safety, On Board Diagnostics, and other areas that impact electrical and electronic design, architecture, and functionality. Why work for PACCAR/Kenworth?
Global Fortune 500 Company with a wide array of growth and development opportunities Work alongside experienced goal-oriented colleagues recognized as experts in their fields Support and/or design the commercial vehicles of the future with a focus on emerging technologies such as electric and autonomous trucks As a U. S. PACCAR employee, you have a full range of benefit options including: 401k with up to a 5% company match Fully funded pension plan that provides monthly benefits after retirement Comprehensive paid time off – minimum of 10 paid vacation days (additional days are provided with additional seniority/years of service), 12 paid holidays, and sick time Tuition reimbursement for continued education Medical, dental, and vision plans for you and your family Flexible spending accounts (FSA) and health savings account (HSA) Paid short-and long-term disability programs Life and accidental death and dismemberment insurance EAP services include wellness plans, estate planning, financial counseling and more Additional Job Board Information At PACCAR, we value talent and promote growth and development.
We carefully consider numerous compensation factors including your education, training, or experience.
The salary range for an Electrical Design Engineer is $72,200-$108,000 annually. This position is also eligible for a holiday gift. Additionally, this role is eligible for the full range of benefit options listed above. PACCAR promotes equal employment opportunities by implementing policies and practices that ensure employees and applicants are not discriminated against because of their race, color, religious creed, national origin, ancestry, interaction, gender, gender identity or expression, interactionual orientation, age, mental or physical disability, medical condition, genetic information, military or veteran status or other legally protected status.
This applies to recruitment, selection, placement, promotion, termination, rates of pay, and other conditions of employment.
