Review and classify incoming grievance and appeals documents while ensuring accuracy in line of business assignment. Access client portals to verify member demographics and index data into internal systems following HIPAA guidelines.
firstsourc
34 Remote Job Openings at firstsourc
Audit mortgage loan files to ensure accuracy of information and verify the presence of all required documentation. Analyze credit, collateral, and capacity while maintaining a high accuracy rate and mentoring junior analysts.
Manage customer communications via email and outbound calls while documenting all transactions in the host system. Ensure strict compliance with regulatory guidelines and the security of protected health information.
Perform specialized collection work to reduce outstanding accounts receivables for healthcare clients. This involves handling inbound and outbound calls to negotiate payment arrangements with patients while maintaining strict confidentiality.
Responsible for performing clerical tasks including data entry, scanning, copying, and mail handling. The role ensures information is loaded into systems with minimal errors while meeting daily productivity goals.
The specialist manages patient accounts by handling incoming and outbound calls to settle outstanding balances and process payments. They are also responsible for investigating insurance benefits, evaluating charity eligibility, and maintaining accurate account documentation.
The role involves performing clerical tasks such as data entry, scanning, copying, and mail handling. The specialist must ensure data accuracy and meet daily productivity goals while adhering to security and compliance policies.
Acts as a strategic partner to business units to drive HR initiatives including talent management, performance evaluations, and workforce planning. Focuses on enhancing employee engagement, resolving complex employee relations issues, and ensuring compliance with employment laws.
Perform clerical tasks including data entry, scanning, copying, and mail handling. Ensure data accuracy and meet daily productivity goals while adhering to security and compliance policies.
Perform clerical tasks including data entry, scanning, copying, and mail handling. Ensure high accuracy in system data loading and meet daily productivity goals set by management.
The specialist manages patient accounts by handling incoming and outbound calls to resolve outstanding balances and process payments. They are also responsible for investigating insurance benefits and evaluating patients for charity eligibility.
Review and classify incoming grievance and appeals documents while ensuring accurate data entry into internal systems. Validate member information across multiple portals and adhere to strict HIPAA and data privacy regulations.
Perform specialized collection work to reduce outstanding accounts receivables for healthcare clients through inbound and outbound calls. Negotiate payment arrangements with patients while ensuring full compliance with FDCPA regulations.
The specialist is responsible for collecting on aging medical insurance claims by filing claims and researching account denials. They must verify patient benefits and document all efforts within the CUBS system to ensure claim integrity.
The role focuses on collecting aging medical insurance claims by filing claims, researching denials, and submitting written appeals. It also involves verifying patient benefits and documenting all efforts within the CUBS system.
Manage and resolve clinically related claim denials by reviewing documentation and submitting professional appeals. Track denial trends and identify process improvement opportunities to ensure compliance with federal and payer regulations.
The specialist is responsible for managing hospital and physician claims to ensure timely reimbursement and resolve insurance denials. This includes monitoring outstanding claims, submitting appeals, and documenting all follow-up activities in the billing system.
The specialist is responsible for collecting on aging medical insurance claims and filing claims with appropriate documentation. They must research account denials, file written appeals, and maintain detailed documentation in the CUBS system.
The role focuses on ensuring timely reimbursement by following up on outstanding hospital and physician claims and resolving insurance denials. It involves monitoring payer trends, submitting appeals, and maintaining detailed documentation of all billing activities.
Provide remote non-clinical support to paramedics and healthcare professionals by handling inbound calls and documenting interactions. Ensure accurate communication between patients and providers while adhering to HIPAA confidentiality standards.
The role involves reviewing and classifying grievance and appeals documents while ensuring accurate data entry into internal systems. It also requires verifying member information across multiple portals and adhering to strict HIPAA privacy standards.
The role involves reviewing and classifying grievance and appeals documents while accurately indexing member information into internal systems. It requires validating member demographics and ensuring all data handling adheres to HIPAA and security requirements.
Perform specialized collection work to reduce outstanding accounts receivables for healthcare clients. This involves handling inbound and outbound calls to negotiate payment arrangements with patients while maintaining strict confidentiality.
Perform specialized healthcare collection work by managing inbound and outbound calls to resolve outstanding medical accounts. Negotiate payment arrangements and maintain accurate account documentation while adhering to FDCPA regulations.
The role focuses on collecting aging medical insurance claims by filing claims and researching account denials. It involves verifying patient benefits and drafting written appeals to ensure claim integrity.
Responsible for auditing Hospital and Professional Billing accounts with a focus on technical and clinical denials and insurance follow-up workflows. The role involves conducting root cause analysis to identify error trends and providing coaching to operations teams to ensure compliance and optimal reimbursement.
The role focuses on collecting aging medical insurance claims by filing claims and researching account denials. Responsibilities include drafting written appeals and verifying patient benefits to ensure claim integrity.
Responsible for the administration of the provider enrollment process for new and existing clients. This includes submitting applications, managing credentialing reports, and resolving NPI-related issues.
The Manager-HRBP serves as a strategic partner to business units to drive HR initiatives including talent management, performance evaluations, and workforce planning. They are responsible for enhancing employee engagement, resolving complex employee relations issues, and ensuring compliance with employment laws.
The Team Lead supervises Revenue Cycle staff and assists the Department Manager in managing day-to-day operations and quality assurance. Key duties include mentoring teams, coordinating account inventories, and overseeing workflow processes to achieve management goals.
The Solutions Architect designs and optimizes cloud-native BPaaS environments, focusing on scalability, security, and performance. They are responsible for implementing integration patterns using middleware gateways and aligning technical designs with business requirements.
Lead the design and execution of scalable integration solutions and APIs for healthcare payer clients. Monitor and resolve complex production issues while ensuring compliance with HIPAA and HITRUST standards.
Responsible for the administration of the provider enrollment process for new and existing clients. This includes preparing applications, managing credentialing reports, and resolving NPI-related issues.
Design, build, and maintain system integrations across an enterprise BPaaS platform to ensure interoperability between core administrative platforms and partner systems. Develop reusable applications for data transformation and workflow automation while ensuring compliance with security standards like HIPAA and SOC2.
