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Healthcare Enrollment and Billing Analyst at Convey Health Solutions
Tampa, Florida, USA - Full Time
Skills Needed
Processing, Outlook, Excel, Customer Service
Qualification
Diploma
Experience Required
Minimum 2 year(s)
Analyst, Healthcare Compliance - Archimedes at Navitus Health Solutions LLC
Brentwood, TN 37027, USA - Full Time
Skills Needed
Security, Data Governance, Jira, Confluence, Information Systems, Analytics, Power Bi, Requirements Gathering, Compliance Management Systems, Excel, Evidence Collection, Visio, Hipaa, Incident Response
Specialization
Healthcare administration compliance business information systems or related field required
Qualification
Graduate
Experience Required
Minimum 3 year(s)
Recruitment Consultant – Healthcare Sector at Healthcare Abroad Recruitment FZCO
Dubai, , United Arab Emirates - Full Time
Skills Needed
Linkedin, Communication Skills, Social Media, Relationship Building
Qualification
Graduate
Architectural Project manager (Healthcare) at KPMB Architects
Toronto, ON, Canada - Full Time
Skills Needed
Health, Communication Skills, Documentation, Building Codes, Rhino, Adobe Creative Cloud, Revit, Bluebeam, Consultant Coordination, Smartsheet, Administrative Skills
Specialization
Pmp certificate is considered an asset.
Qualification
Trade Certificate
Bilingual Healthcare Clinic Security Guard at GardaWorld
Winnipeg, MB, Canada - Full Time
Skills Needed
English, Communication Skills, Technology, Computer Skills, Customer Service Skills, Leadership
Qualification
Graduate
Healthcare Aide, Intensive Care Unit (ICU) at Pembroke Regional Hospital
Pembroke, ON K8A 1G8, Canada - Full Time
Skills Needed
Infection Control, Continuous Improvement, Safety Practices, Patient Care
Specialization
An accredited health care program
Qualification
Trade Certificate
Experience Required
Minimum 3 year(s)
Assistant Superintendent - Healthcare Group at Layton Construction
Nashville, Tennessee, USA - Full Time
Skills Needed
Auto Insurance, General Construction, Construction Processes, Building Trades, Color, Commercial Construction, Equipment Operation, Accident Insurance, Concrete, Building Codes, Communication Skills, Construction Management, Disability Insurance
Specialization
Commercial construction
Qualification
Graduate
Experience Required
Minimum 3 year(s)
SAP ABAP Developer with Healthcare Domain-1 at Realign LLC
New York, New York, USA - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Technical Product Manager with Healthcare at Merican INC
Toronto, ON, Canada - Full Time
Skills Needed
Features, Jira, Agile Methodologies, Presentation Skills, Design, Documentation, Confluence, Teams, Project Tracking
Qualification
Graduate
Business Operations Specialist - Healthcare at Delaware Valley Management
Princeton, NJ 08540, USA - Full Time
Skills Needed
Healthcare Compliance, It, Operations
Qualification
Graduate
SAP ABAP Developer with Healthcare Domain-1 at Realign LLC
Alaska, , USA - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Entry Level Healthcare - Training Provided at Capital City Nurses
Alexandria, VA 22315, USA - Full Time
Skills Needed
Sponsorship
Qualification
Graduate
Project Manager (Healthcare Construction) at Aecom USA
Glasgow, Scotland, United Kingdom - Full Time
Skills Needed
Project Management, Healthcare Sector, Nec4 Contract Administration, Stakeholder Management, Communication Skills, Organizational Skills
Specialization
Candidates should have experience in construction consultancy with a focus on healthcare projects and possess excellent communication and organizational skills. A background in project management across the RIBA lifecycle and NEC4 accreditation is preferred.
Experience Required
Minimum 5 year(s)
Research Manager-Healthcare Custom Research at Ipsos
London, England, United Kingdom - Full Time
Skills Needed
Sensors, Automation Tools, Client Accounts, Vaccines, Research Projects, Deliverables, Product Life Cycle
Specialization
The healthcare research sector
Qualification
Graduate
Project Manager (Healthcare Construction) at Aecom USA
City of Edinburgh, Scotland, United Kingdom - Full Time
Skills Needed
Project Management, Healthcare Sector, Nec4 Contract Administration, Stakeholder Management, Communication Skills, Organizational Skills, Riba Lifecycle Management
Specialization
Candidates should have experience in construction consultancy with a focus on healthcare projects and possess excellent communication and organizational skills. A background in project management or related fields, along with NEC4 accreditation, is preferred.
Experience Required
Minimum 5 year(s)
Business Development Manager - Healthcare at Lloyds Banking Group
London, England, United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Macmillan Healthcare Assistant - Scunthorpe at Northern Lincolnshire Goole NHS Foundation Trust
SD7, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Occupational Therapist - Prison Healthcare at NHS Scotland
Glasgow G33 2QX, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Senior Healthcare Technical Officer (SHTO) at NHS Blood and Transplant
Cambridge CB2 0PT, , United Kingdom - Full Time
Skills Needed
Microsoft Office, Supply, Information Technology, Personal Development, Training
Specialization
Environment requiring intermediate level theoretical knowledge acquired through formal training
Qualification
Graduate
Full-time Billing Specialist (Healthcare) at The Goodman Group
MSP, Minnesota, USA - Full Time
Skills Needed
English, Government Agencies, Medicaid, Medicare, Excel
Qualification
Graduate
Experience Required
Minimum 2 year(s)
Healthcare Enrollment and Billing Analyst at Convey Health Solutions
Tampa, Florida, USA -
Full Time


Start Date

Immediate

Expiry Date

20 Nov, 25

Salary

17.75

Posted On

20 Aug, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Processing, Outlook, Excel, Customer Service

Industry

Financial Services

Description

The Healthcare Enrollment and Billing Analyst is responsible for the timely and accurate resolution of discrepancies identified in the Enrollment, Billing and/or Reconciliation processes. The analyst will review documentation, work items in queues and correct errors, identify trends and document resolutions.

EDUCATION AND EXPERIENCE

  • High school diploma required; Associates Degree or higher preferred
  • Minimum 2 years Health Plan Operations experience including; Customer Service, Enrollment, and or Claims processing
  • Working knowledge of MSOffice (Word, Excel, Outlook)
    Job Type: Temporary
    Pay: $17.75 per hour
    Expected hours: 40 per week
    Work Location: Remot
Responsibilities

Enrollment Processing

  • Process queue items, inter-departmental and customer requests timely and accurately
  • Review incomplete and pending enrollment applications and disenrollment forms for correction and submission to Centers for Medicare & Medicaid Services (CMS)
  • Review and complete Late Enrollment Penalty (LEP) Attestations
  • Review and complete Other Health Insurance (OHI) verification and error correction
  • Review and create retro processing packets to be submitted to the CMS Retro Processing Contractor (RPC)

Billing Processing

  • Identify and post customer payments not automatically applied by the appropriate system
  • Respond to billing-related correspondence
  • Review and investigate returned checks, rejected ACH and credit card transactions
  • Process requests for automated premium payment via credit card or ACH withdrawal
  • Review and approve/deny customer requests for premium refunds in accordance with established policies
  • Monthly State Pharmaceutical Assistance Programs reconciliation

Reconciliation Processing

  • Researching and correcting errors, discrepancies, and rejected transactions received from:

CMS on the Daily Transaction Reply Report (DTRR)
CMS Daily and Monthly Reconciliation queues
Daily and Monthly Pharmacy Benefit Manager (PBM)
Monthly MMR, PWR, LIS History and LEP Reconciliation

Daily OHI/COB Rejections

  • Monthly review and preparation of the CMS Enrollment Data Validation file and submissions

All Functions

  • Working understanding of Centers for Medicare & Medicaid Services (CMS) guidance
  • Conform with and abide by all regulations, policies, work procedures and instructions
  • Meet CMS guidelines and client Service Level Agreement (SLA) requirements through the proper handling of transactions
  • Perform outbound calls to customers or other entities as permitted to complete processing of enrollment, disenrollment, billing and or reconciliation transactions
  • Make appropriate system corrections and escalate transactions that are unable to be corrected
  • Prepare reports as requested by management
  • Perform other duties and responsibilities as required
Healthcare Enrollment and Billing Analyst at Convey Health Solutions
Tampa, Florida, USA - Full Time
Skills Needed
Processing, Outlook, Excel, Customer Service
Qualification
Diploma
Experience Required
Minimum 2 year(s)
Analyst, Healthcare Compliance - Archimedes at Navitus Health Solutions LLC
Brentwood, TN 37027, USA - Full Time
Skills Needed
Security, Data Governance, Jira, Confluence, Information Systems, Analytics, Power Bi, Requirements Gathering, Compliance Management Systems, Excel, Evidence Collection, Visio, Hipaa, Incident Response
Specialization
Healthcare administration compliance business information systems or related field required
Qualification
Graduate
Experience Required
Minimum 3 year(s)
Recruitment Consultant – Healthcare Sector at Healthcare Abroad Recruitment FZCO
Dubai, , United Arab Emirates - Full Time
Skills Needed
Linkedin, Communication Skills, Social Media, Relationship Building
Qualification
Graduate
Architectural Project manager (Healthcare) at KPMB Architects
Toronto, ON, Canada - Full Time
Skills Needed
Health, Communication Skills, Documentation, Building Codes, Rhino, Adobe Creative Cloud, Revit, Bluebeam, Consultant Coordination, Smartsheet, Administrative Skills
Specialization
Pmp certificate is considered an asset.
Qualification
Trade Certificate
Bilingual Healthcare Clinic Security Guard at GardaWorld
Winnipeg, MB, Canada - Full Time
Skills Needed
English, Communication Skills, Technology, Computer Skills, Customer Service Skills, Leadership
Qualification
Graduate
Healthcare Aide, Intensive Care Unit (ICU) at Pembroke Regional Hospital
Pembroke, ON K8A 1G8, Canada - Full Time
Skills Needed
Infection Control, Continuous Improvement, Safety Practices, Patient Care
Specialization
An accredited health care program
Qualification
Trade Certificate
Experience Required
Minimum 3 year(s)
Assistant Superintendent - Healthcare Group at Layton Construction
Nashville, Tennessee, USA - Full Time
Skills Needed
Auto Insurance, General Construction, Construction Processes, Building Trades, Color, Commercial Construction, Equipment Operation, Accident Insurance, Concrete, Building Codes, Communication Skills, Construction Management, Disability Insurance
Specialization
Commercial construction
Qualification
Graduate
Experience Required
Minimum 3 year(s)
SAP ABAP Developer with Healthcare Domain-1 at Realign LLC
New York, New York, USA - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Technical Product Manager with Healthcare at Merican INC
Toronto, ON, Canada - Full Time
Skills Needed
Features, Jira, Agile Methodologies, Presentation Skills, Design, Documentation, Confluence, Teams, Project Tracking
Qualification
Graduate
Business Operations Specialist - Healthcare at Delaware Valley Management
Princeton, NJ 08540, USA - Full Time
Skills Needed
Healthcare Compliance, It, Operations
Qualification
Graduate
SAP ABAP Developer with Healthcare Domain-1 at Realign LLC
Alaska, , USA - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Entry Level Healthcare - Training Provided at Capital City Nurses
Alexandria, VA 22315, USA - Full Time
Skills Needed
Sponsorship
Qualification
Graduate
Project Manager (Healthcare Construction) at Aecom USA
Glasgow, Scotland, United Kingdom - Full Time
Skills Needed
Project Management, Healthcare Sector, Nec4 Contract Administration, Stakeholder Management, Communication Skills, Organizational Skills
Specialization
Candidates should have experience in construction consultancy with a focus on healthcare projects and possess excellent communication and organizational skills. A background in project management across the RIBA lifecycle and NEC4 accreditation is preferred.
Experience Required
Minimum 5 year(s)
Research Manager-Healthcare Custom Research at Ipsos
London, England, United Kingdom - Full Time
Skills Needed
Sensors, Automation Tools, Client Accounts, Vaccines, Research Projects, Deliverables, Product Life Cycle
Specialization
The healthcare research sector
Qualification
Graduate
Project Manager (Healthcare Construction) at Aecom USA
City of Edinburgh, Scotland, United Kingdom - Full Time
Skills Needed
Project Management, Healthcare Sector, Nec4 Contract Administration, Stakeholder Management, Communication Skills, Organizational Skills, Riba Lifecycle Management
Specialization
Candidates should have experience in construction consultancy with a focus on healthcare projects and possess excellent communication and organizational skills. A background in project management or related fields, along with NEC4 accreditation, is preferred.
Experience Required
Minimum 5 year(s)
Business Development Manager - Healthcare at Lloyds Banking Group
London, England, United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Macmillan Healthcare Assistant - Scunthorpe at Northern Lincolnshire Goole NHS Foundation Trust
SD7, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Occupational Therapist - Prison Healthcare at NHS Scotland
Glasgow G33 2QX, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Senior Healthcare Technical Officer (SHTO) at NHS Blood and Transplant
Cambridge CB2 0PT, , United Kingdom - Full Time
Skills Needed
Microsoft Office, Supply, Information Technology, Personal Development, Training
Specialization
Environment requiring intermediate level theoretical knowledge acquired through formal training
Qualification
Graduate
Full-time Billing Specialist (Healthcare) at The Goodman Group
MSP, Minnesota, USA - Full Time
Skills Needed
English, Government Agencies, Medicaid, Medicare, Excel
Qualification
Graduate
Experience Required
Minimum 2 year(s)
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