BILL INSURANCE PAYERS in a sentence | Sentences WordTool (2024)

We ship supplies directly to patients» home or alternate healthcare facility and bill insurance payers for reimbursable supplies.

That is the day seniors from all over the state will lobby lawmakers for passage of a single payer health insurance bill.

Bill also highlighted the challenges of implementing single - payer health insurance, benefits... Continue reading «Diagnosing New York»

He said the state should also enact a single payer health care plan that would eliminate the counties» contribution to the Medicaid program as well as the private health insurance bills that local governments and school districts now pay for their employees.

[6] Votes in the U.S. House of Representatives on this bill and on the United States National Health Care Act, an alternative that would establish a national, universal single - payer health insurance, were previously expected in September 2009 [7] and again in October 2009, before the actual November 2009 vote took place.

U.S. Senators Kirsten Gillibrand, D - N.Y., and Richard Blumenthal, D - Conn., are among 16 Senate Democrats who've declared support for Vermont Independent U.S. Senator Bernie Sanders» «Medicare for All» single payer healthcare insurance bill.

This single payer health insurance bill, if enacted, would bring affordable and expanded health coverage to all New Yorkers, including 1.2 million currently uninsured New Yorkers.

The medical billing process is complex and involves a third - party payer — the insurance company.

One in 235 customers has no insurance, and his price is calculated as 26.56 +235 * 5.00 = ~ 1200.00 $, so his bill covers the losses for all insured «under - payers» (all numbers are examples made up to illustrate the math the provider does).

Just to make things more complicated, the payer who pays first isn't the first one to pay — it's the insurance company that is responsible for paying the bill up to the limits of your coverage.

It is also important to keep in mind that all visitors entering the U.S. are required to undergo a security screening by U.S. Customs and Border Patrol (CBP), and because they want to be confident in the fact that travelers won't leave behind hefty bill for U.S. tax payers to have to cover upon their return to their home country, the question of whether you are protected by a travel insurance policy or not may arise, especially for elderly citizens who are more likely to encounter a medical emergency during the duration of their stay.

Multi-Policy; Multi-Car; Home Ownership; Safe Driver; Continuous Insurance; Hybrid / Electric Vehicle; New Car; EFT, Paid in Full and Good Payer; Early Quote or Early Signing; Good Student; Student Away at School; Driver Training; Anti-lock Brake; Anti-theft Device; Airbags; Daytime Lights; Safe Driving Program; Military and Deployment; Membership / Affiliate Programs; Drivers Over 50 / Retired; Drivers Under 18; Federal Employee; Usage - Based; Family Plan; Paperless Billing; Healthy Habits; Higher Deductible.

Reimbursem*nt Specialist - Plano, TX The Reimbursem*nt Specialists» role is to file insurance... Understands medical billing requirements for Medicare, Medicaid, contracted and commercial payers

Medicare, Medicaid and Tricare billing to third party payer and through Clearing House - EHR; HIPAA compliant; Insurance verification, preauthorization, and appeals

The Medical Billing and Coding Specialist is responsible for timely submissions of accurate insurance claims to all payers with subsequent timely follow - up and collection.

Students will be introduced to common third party payers, insurance terminology, and medical billing.

The Insurance Claim Billing Specialist's main focus is to obtain maximum and appropriate reimbursem*nt for all claims from third party payers.

The Billing Clerk is a member of the medical office team whose primary responsibilities are the processing of insurance and other third party payer claims.

> Captures patient care data for the initial claim preparation > Registration of all patients, including insurance verification > Responsible for accurate and timely preparation of billing data > Validates all appropriate coding data for daily processing > Prepares electronic claims for submission to the appropriate payer > Obtains and submits copies of medical documentation as required or requested by third party payers > Reconciles insurance / patient payments > Assists in deposit preparation > Analyzes and resolves claim rejections and denials related to billing or provider issues > Assists in the compilation of monthly reports > Prepares, reviews, and completes patient statements submissions > Answers patient questions, identifies and resolves patient billing complaints > Assists in delinquent account review > Other duties as requested by the Billing billing data > Validates all appropriate coding data for daily processing > Prepares electronic claims for submission to the appropriate payer > Obtains and submits copies of medical documentation as required or requested by third party payers > Reconciles insurance / patient payments > Assists in deposit preparation > Analyzes and resolves claim rejections and denials related to billing or provider issues > Assists in the compilation of monthly reports > Prepares, reviews, and completes patient statements submissions > Answers patient questions, identifies and resolves patient billing complaints > Assists in delinquent account review > Other duties as requested by the Billing billing or provider issues > Assists in the compilation of monthly reports > Prepares, reviews, and completes patient statements submissions > Answers patient questions, identifies and resolves patient billing complaints > Assists in delinquent account review > Other duties as requested by the Billing billing complaints > Assists in delinquent account review > Other duties as requested by the Billing Billing Manager

• Track record of managing medical payment collection activities by indulging in extensive medical billing activities • Demonstrated expertise in acting as a liaison between medical facilities and insurance carriers including HMOs, PPOs, Medi - cal and Medicare • First - hand experience in using coded data to produce and submit claims to insurance companies to ensure prompt payments • Competent at reviewing and appealing unpaid and denied claims • Documented success in effectively and efficiently translating medical procedures into codes which can be easily translated by payers and medical facilities • Familiar with transmitting coded patient treatment information to intended recipients • Proven record of coding treatment information using designated CPT codes and effectively reviewing medical records for accuracy and integrity • Unmatched ability to create reimbursem*nt claims and coordinate reimbursem*nt activities with payers • Qualified to process patient data such as treatment records and insurance information to verify data accuracy and integrity • Proven ability to liaise with insurance companies to facilitate payments of outstanding claims • Particularly effective in verifying coding and billing information to ensure that outstanding payments are paid on time

A medical biller is responsible for submitting medical claims to insurance companies and payers such as Medicare and Medicaid.

Duties may include but are not limited to: • Review charges and file claims electronically • Post insurance and patient payments • Run error reports and make corrections as needed • Work denied or incorrect claims • Review accounts for collection and send to outside agency if necessary • Process and send patient statements • Prepare patient and insurance refund requests and respond to requests for recoupment and / or overpayment from an insurance company or payer • Answer and resolve all patient inquiries about payments and insurance • Answer requests and inquiries from insurance companies and other agencies seeking information related to claims • Stay informed of insurance news and regulation changes • Ensure compliance with Medicare and third party payers» procedures and protocol • Assist all employees in the understanding of new policies implemented by insurance carriers • Maintain EOB files EDUCATION AND EXPERIENCE: • A minimum of a High School diploma • A minimum of five years of billing experience in a medical office setting.

As a medical coding and billing specialist, you will review patient medical records and assign codes to diagnoses and procedures performed so the facility can bill insurance and other third - party payers (such as Medicare or Medicaid) as well as the patient.

Responsible for doing pre-registrations for inpatient and outpatient procedures Responsible for verifying and making corrections on all insurance for inpatient and outpatient admissions Responsible for reviewing the claims error report and audit trail errors and submitting corrected billings to call payers Responsible for reviewing and working remittance advices.

Maxim Healthcare Services 08/2007 — 01/2008 Reimbursem*nt Representative • Reviewed unpaid accounts to ensure proper payment and accounting • Contacted payers regarding insurance claims, denials, and reimbursem*nts • Assigned appropriate billing codes to claims as needed • Observed all Medicare, Medicaid, and other applicable medical law

Director of Business — Duties & Responsibilities Recruit and train staff of 30 in hospital policies, procedures, best practices, and corporate branding Design and implement staff development, recognition, and disciplinary policies and procedures Oversee admissions, utilization review, PB X, imaging center, billing, collections, and wound center registrations Set and strictly adhere to departmental budgets and schedules Author and present financial reports concerning revenue, expenses, and outstanding collections Identify performance indicators and benchmarks for integration into reporting systems Conduct surveys regarding patient / staff satisfaction, benchmarks, accreditation, and employee benefits Maintain a 99 % patient satisfaction score through attentive and professional standards of care Negotiate contracts and claims with insurance carriers, Medicare, Medicaid, and other payer sources Increase revenue by 30 % through effective contract renegotiation with suppliers, carriers, and other parties Implement policies, procedures, and equipment to cut hospital costs while enhancing patient care Utilize strong management experience to drive operations in an efficient and professional manner Develop and implement billing controls, cash processing measures, lockboxes, and other financial processes Coordinate and oversee internal and external audits ensuring compliance with industry and legal standards Recruit physicians through successful marketing, networking, and other tactics Implement automated Chargemaster financial application (Craneware) and maintain patient accounts Responsible for HCAHPS and the yearly Quality Assurance Plan Appeal claims when appropriate resulting in $ 400,000 reimbursem*nt from PPO insurance over the last year Build and strengthen professional relationship with community leaders, coworkers, and industry figures Consistently promoted for excellence in financial management, team leadership, and dedication to mission Develop working knowledge of hospital operations from patient admission to senior level strategic planning Represent company with poise, integrity, and positivity