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Experienced Humana Insurance Collection Specialist

Experienced Humana Insurance Collection Specialist

AIS HealthcareIndianapolis, IN, US
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This is a 100% remote opportunity; however, please .AIS Healthcare is the leading provider of Targeted Drug Delivery (TDD) and Infusion Care. With our diverse culture, and our values around Inn...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Data Collection Staff

Data Collection Staff

STIIndianapolis, Indiana, USA
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Data Collection Staff : The data collection staff will assist the Department in its statutory responsibilities related to sex and violent offender registration. Incumbent enhances criminal history re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Area Mgr Post Collection Ops

Area Mgr Post Collection Ops

Indiana StaffingIndianapolis, IN, US
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The Area Manager, Post Collection provides leadership, oversight and coordination to the Company's landfill and transfer station operations, goals and major initiatives. This role also evaluates and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
data Scientist

data Scientist

innovitusaIndianapolis, Indiana, USA
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Visa : Open To Any Visa Type With Valid Work Authorization In the USA.The ideal candidate will leverage data-driven techniques statistical analysis and machine learning models to uncover insights so...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
Data Engineer

Data Engineer

Penske EntertainmentIndianapolis, Indiana, USA
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Managing Director Engine Development.Our team fuels four iconic motorsports brands : .Indianapolis Motor Speedway (IMS).Indianapolis 500 presented by Gainbridge. The Indianapolis-based governing body ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Data Architect

Data Architect

JobotIndianapolis, IN, US
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Remote opportunity with rapidly expanding company!.This Jobot Job is hosted by : Garrett Mathison.Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume.Salary : ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Data Collection Intern

Data Collection Intern

Eskenazi HealthIndianapolis
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Eskenazi Health is an organization that celebrates diversity, and seeks to engage a diverse volunteer workforce.We actively encourage all individuals to apply to volunteer and to seek advancement o...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Blood Collection Staff - Customer Service

Blood Collection Staff - Customer Service

American Red CrossIndianapolis, IN, United States
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Please use Google Chrome or Mozilla Firefox when accessing Candidate Home.By joining the American Red Cross you will touch millions of lives every year and experience the greatness of the human spi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Refuse Collection Laborer - DPW Solid Waste Services

Refuse Collection Laborer - DPW Solid Waste Services

Indy GovIndianapolis, IN, United States
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Refuse Collection Laborer - DPW Solid Waste Services.Refuse Collection Laborer - DPW Solid Waste Services.Department of Public Works-Solid Waste. Provide labor intensive functions.Skills and knowled...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Data Engineer

Data Engineer

Beacon HillIndianapolis, IN, US
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We are seeking an experienced Data Engineer to join our client's growing data organization and contribute to a key program designed to establish a unified, accurate view of enterprise device da...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Data Entry Clerk

Data Entry Clerk

StratabuiltIndiana, Indiana, United States
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StrataBuilt is a fast-growing company committed to delivering high-quality solutions in software development and agile consulting services. We believe in efficiency, accuracy, and team work and were...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Freelance Data Collector

Freelance Data Collector

Prime InsightsIndianapolis, IN, US
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Join thousands of members already earning with top-paying surveys and offers.Get started today and enjoy competitive rewards, fast payouts with no waiting periods, and the flexibility to participat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Data Collection Staff

Data Collection Staff

Lorven TechnologiesIndianapolis, Indiana, United States
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Position : Data Collection Staff.Location : Indianapolis, IN (Onsite Role).Research and collect Court documents and sentencing information. Analyze and interpret the documents collected.Communicate wi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Collection Subrogation Specialist

Collection Subrogation Specialist

VirtualVocationsIndianapolis, Indiana, United States
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A company is looking for a Third Party Collection Subrogation Specialist.Key Responsibilities : Collect outstanding balances and provide necessary documentation Negotiate claims' resolution with ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Senior Product Designer - Ultimate Collection - Located in Warroad, MN

Senior Product Designer - Ultimate Collection - Located in Warroad, MN

MarvinIndianapolis, IN, United States
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Design at Marvin is about more than aesthetics.It’s about creating solutions that elevate the way people live.We’re seeking a Senior Product Designer to play a key role in shaping the future of our...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Data Analyst

Data Analyst

Old National BankIndianapolis, IN, United States
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US-IL-Chicago | US-IN-Evansville | US-MN-Saint Paul | US-WI-Milwaukee | US-MN-St Louis Park | US-TN-Nashville | US-IN-Indianapolis. Old National Bank has been serving clients and communities since 1...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Collection Specialist

Collection Specialist

Onward SearchIndianapolis, Indiana
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Onward Search is a specialized staffing and talent solutions company that helps professionals find top jobs with the nation’s leading brands. We’re looking for a Collection Specialist for a hybrid o...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Area Mgr Post Collection Ops

Area Mgr Post Collection Ops

Republic ServicesIndianapolis, IN, USA
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The Area Manager, Post Collection provides leadership, oversight and coordination to the Company’s landfill and transfer station operations, goals and major initiatives. This role also evaluates and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Refuse Collection Laborer - DPW Solid Waste Services

Refuse Collection Laborer - DPW Solid Waste Services

Government JobsIndianapolis, IN, US
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Provide labor intensive functions.Skills and knowledge are typically acquired through a High School education or equivalent. Maintain a valid Indiana Driver's License is required.The ability to pass...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Experienced Humana Insurance Collection Specialist

Experienced Humana Insurance Collection Specialist

AIS HealthcareIndianapolis, IN, US
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This is a 100% remote opportunity; however, please  only  apply if you have  3 to 5 years of medical insurance collection experience .

AIS Healthcare is the leading provider of Targeted Drug Delivery (TDD) and Infusion Care. With our diverse culture, and our values around Innovation, Stewardship, and Unity, we are committed to Advancing Quality and Improving Lives. We are dedicated to doing more for our patients by providing quality products and services that enhance the entire care experience.

AIS Healthcare is looking for experienced and motivated Accounts Receivable Collection experts to join our dynamic team! The AR Collection role is a full-time position responsible for collection processes for TDD services that includes contract analysis, reimbursement, denial management, appeals and resolving billing-related issues with insurance companies or other responsible party for services rendered. The perfect candidate should have an in-depth knowledge of collection practices related to billing and collection activities.

AIS Healthcare offers great benefits, including health, vision and dental insurance, long term disability insurance, life insurance, a vacation package, and a 401K plan with a generous employer match. Additionally, we offer a 100% work from home model.

EDUCATION AND EXPERIENCE :

  • A high school diploma or general education degree (GED) equivalent is required.
  • 3-5 years of healthcare industry experience required.
  • 3-5 years of medical billing and collections experience required.
  • Home Infusion, Intrathecal Pain Management experience preferred.

ESSENTIAL DUTIES AND RESPONSIBILITIES :

  • Recognizes patients’ rights and responsibilities and supports them in the performance of job duties, respects patient’s rights to privacy and confidentiality.
  • Follows up on invoices submitted to ensure prompt and timely payment and escalates issues, as necessary.
  • Evaluates payments / denials received for correctness and ensures they are applied accordingly.
  • Identifies bad debt write-offs and A / R adjustments. Initiates write-offs and adjustments in accordance with policies and procedures.
  • Identifies any overpayments and / or duplicate payments and investigates and resolves accordingly.
  • Processes refund requests, in accordance with policies and procedures.
  • Maintains contact with other departments to obtain patient or insurance information needed for claim payment.
  • Responsible for understanding all procedures within regulatory mandates.
  • Ensures that the activities of the collection operations are conducted in a manner that is consistent with overall department protocol, and are following Federal, State, and payer regulation, guidelines, and requirements.
  • Makes calls to troubleshoot payment discrepancies and establish resolution.
  • Documents, in detail, phone calls, phone number, person spoken to, and call details on a consistent basis.
  • Consistently looks for areas to maximize claim reimbursement.
  • Resolves issues that created a denial within 5 days of receipt of denial.
  • Maintains strictest confidentiality; adheres to all HIPAA guidelines / regulations.
  • Maintains understanding of NDC (National Drug Code) numbers, metric quantities, and knowledge of infusion supplies.
  • Maintains a broad range of knowledge of insurance plans, medical terminology, billing procedures, government regulations, and medical codes.
  • Shares knowledge gained with other staff members and works as a team member.
  • Interacts with others in a positive, respectful, and considerate manner.
  • Performs other job-related duties as assigned.

    • QUALIFICATION REQUIREMENTS :

  • Ability to recognize, evaluate and exercise good judgment in solving complex situations and advising in accordance with laws and regulations.
  • Excellent verbal and written communication and relationship building skills with an ability to prioritize, negotiate, and work with a variety of internal and external stakeholders.
  • Strong work ethic with personal qualities of integrity and credibility.
  • Self-directed, detail oriented, conscientious, organized, and able to follow through.
  • Ability to deal in an organized manner with problems involving multiple variables within the scope of the position.
  • Tolerant of frequent interruptions and distractions from staff and other internal support teams.
  • Proficient in Microsoft Office, including Outlook, Word, and Excel.

    • Steps to Apply :

    To apply for this role, you must complete a Culture Index Assessment to be considered. Please note that your application will not be considered if the Assessment is not completed.

    Copy and paste the following link into your browser and press enter. Then, select the corresponding position for which you are applying. (Only one assessment per candidate is required.) The assessment is brief, taking less than ten minutes to complete.

    portal.cultureindex.com / public / survey / general / 0BFB8F0000

    AIS HealthCare™ is the leading provider of advanced sterile, patient-specific intrathecal pump medications and in-home intravenous infusion, including immune globulin therapies. These services, combines with your advanced nursing and care coordination solutions, assist physicians and hospitals in delivering a superior level of care for optimal therapeutic outcomes.

    We offer a wonderful work culture, looking for an impact player who is positive, earnest, and hardworking.