Claims

Revenue Cycle Management (RCM)

Revenue Cycle Management (RCM)   Revenue cycle management (RCM) is the financial process, utilizing medical billing software that healthcare facilities & providers use to track patient care episodes from registration and appointment scheduling to the final payment. Healthcare revenue cycle management is the financial process that facilities use to manage the administrative and clinical functions [...]

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Posted in BPO, Claims, Claims Administration, HealthCare, Healthcare Analytics & Business Intelligence, Revenue Cycle Management Services | Comments Off

Health Claims Configuration on Claims Payment System

Health Claims Configuration on Claims Payment System   Ability to partner & collaborate with associates, managers, directors and senior leadership Advanced knowledge of core processing systems in relation to configuration set-up Advanced problem solving, critical thinking, and process analysis skills to lead teams responsible for client configuration Collaborate with stakeholders to gather business requirements for [...]

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Posted in Careers in HealthCare, Claims, Claims Administration | Comments Off

HealthCare Payer Services – PAS, CMS, AAS and RPS

HealthCare Payer Services – PAS, CMS, AAS and RPS Platform & Administration Services – PAS Ancillary Benefits Administration (AD&D) Claims Adjudication Claims Runoff Administration Claims Services Coordination of Benefits (COB) Eligibility Flex Plan Administration Identification Cards Issue employee materials Member Education/Communication Stop-Loss administration Summary Plan Descriptions (SPD) Care & Medical Management Services – CMS Case [...]

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Posted in BPO, Claims, Claims Administration, Clinical Services, Document Management, Finance and Accounting, Health Actuarial, HealthCare Analytics and HealthCare Business Intelligence Companies in America, HealthTechnolgy.com, Medicare, Premium Billing, Revenue Cycle Management Services, Self Funded Plans, Third Party Administrator, Third Party Administrators (TPAs) in America | Comments Off

Services for Govt. Sponsored Health Plans (GSHP) & Self-funded Health Plans (SFHP)

Services for Govt. Sponsored Health Plans (GSHP) & Self-funded Health Plans (SFHP)   A. PAS – Platform & Administrative Services Enrollment Services Eligibility Services Credentialing Services Premium Billing & Collection Services Claims Administration Services – Facility & Professional Medical Vision Dental Workers Comp Grievance & Appeals Encounter Data Submissions B. CMS – Care & Medical Management [...]

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Posted in BPO, Call Center Services, Claims, Claims Administration, HealthCare, Self Funded Plans, Third Party Administrator, Third Party Administrators (TPAs) in America | Comments Off

Health Plans, Self-funded Plans, RBMs, IPAs, MSOs and TPAs in America

Health Plans, Self-funded Plans, IPAs, MSOs and TPAs  in America  1199 NATIONAL BENEFIT FUND 3P ADMIN 8TH DISTRICT ELECTRIC A & I BENEFIT PLAN ADMINISTRATORS A.G.I.A INC. AAA CHICAGO AAG-AMERICAN ADMINISTRAVIE GROUP AARP – UHC OVATIONS INSURANCE SOLUTIONS ABC HEALTH PLAN ABRAZA ADVANTAGE HEALTH PLAN ACCESS MEDICARE ACCLAIM ACCLAIM REPRICING ACCOUNTABLE HEALTH PLAN – WISCONSIN ONLY [...]

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Posted in ACOs, BPO, Call Center Services, Claims, Claims Administration, Clinical Services, Document Management, Employee Benefits, Enrollment, Enrollment Services, Enrollment Services RFP, Finance and Accounting, Health Actuarial, Health Analytics, Health CO-OPs, Health Exchange, HealthCare, Healthcare Analytics & Business Intelligence, HealthCare Analytics and HealthCare Business Intelligence Companies in America, HealthTechnolgy.com, Medical Services, Medicare, PDP, Plexis, Portal, PPO Network, Premium Billing, Reports, Revenue Cycle Management Services, Self Funded Plans, Services by HealthTechnology.com, Third Party Administrator, Third Party Administrators (TPAs) in America | Comments Off


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New Jersey 07302, USA

Phone: +1 201.258.4704 / 201.258.4704
Fax: +1 201.604.3480