Job Description Admits patients and provides information regarding hospital rules and regulations. Conducts interviews to obtain demographics and insurance information. Keys information into the Patient Registration System. Obtains appropriate signature on medical, legal and financial forms. Performs a variety of other clerical duties related to patient's admission, including but not limited to, verification of patients insurance information and prior account balances, preparation of patient's charts, and registration forms and addressograph plates. Job Responsibility - Admits patients to hospital and provides information regarding hospital regulations and policies (i.e - Patient Bill of Rights, Health Care Proxy etc.).Conducts interviews to obtain demographics, insurance information etc - and enters data into hospital Patient Registration System.Communicates hospital's collection policy and collects deductibles and co-pay obligations.Obtains appropriate signatures on medical, legal and financial forms - Prepares charts, registration forms, patient addressograph plates etc - Forwards required items to nursing unit/clinic.Maintains manual bed board and reconciles daily census to nursing units - Notifies nursing unit of patients arrival and arranges to have patient escorted to their room.Contacts insurance carrier(s) to obtain all information necessary for the successful billing of third party payors in certain departments (coordination of benefits, benefit coverage/limits, co-pay/deductible amounts, authorization, pre-certification and referral requirements etc.) - Re-verifies insurance of recurring patients.Performs financial assessments and Sliding Fee Scale Assessments of patients who are uninsured and/or are unable to meet their financial obligation to the hospital - Reevaluates sliding scale assignment annually.Reconciles charge documents with patient logs and enters charges into the Patient Registration System - Schedules patient for clinic visits, pre-admission testing, special tests and consultations, OR bookings and arranges patient transportation, as needed.Responsible for answer telephone, maintaining files, sorting mail and keeping inventory of supplies - Informs manager of all activities, needs and problems - Performs related duties, as required - *ADA Essential Functions - / Job Qualification - High School Diploma or equivalent, required. Prior customer service experience, required.Data entry skills (80 keystrokes per minute), required.Must pass Site training program within the normal probationary period.Communicate effectively in English (speaking and reading). Three-month temporary position. Monday-Friday 9am-5pm. Fully remote. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Job Description Admits patients and provides information regarding hospital rules and regulations. Conducts interviews to obtain demographics and insurance information. Keys information into the Patient Registration System. Obtains appropriate signature on medical, legal and financial forms. Performs a variety of other clerical duties related to patient's admission, including but not limited to, verification of patients insurance information and prior account balances, preparation of patient's charts, and registration forms and addressograph plates. Job Responsibility - Admits patients to hospital and provides information regarding hospital regulations and policies (i.e - Patient Bill of Rights, Health Care Proxy etc.).Conducts interviews to obtain demographics, insurance information etc - and enters data into hospital Patient Registration System.Communicates hospital's collection policy and collects deductibles and co-pay obligations.Obtains appropriate signatures on medical, legal and financial forms - Prepares charts, registration forms, patient addressograph plates etc - Forwards required items to nursing unit/clinic.Maintains manual bed board and reconciles daily census to nursing units - Notifies nursing unit of patients arrival and arranges to have patient escorted to their room.Contacts insurance carrier(s) to obtain all information necessary for the successful billing of third party payors in certain departments (coordination of benefits, benefit coverage/limits, co-pay/deductible amounts, authorization, pre-certification and referral requirements etc.) - Re-verifies insurance of recurring patients.Performs financial assessments and Sliding Fee Scale Assessments of patients who are uninsured and/or are unable to meet their financial obligation to the hospital - Reevaluates sliding scale assignment annually.Reconciles charge documents with patient logs and enters charges into the Patient Registration System - Schedules patient for clinic visits, pre-admission testing, special tests and consultations, OR bookings and arranges patient transportation, as needed.Responsible for answer telephone, maintaining files, sorting mail and keeping inventory of supplies - Informs manager of all activities, needs and problems - Performs related duties, as required - *ADA Essential Functions Job Qualification - High School Diploma or equivalent, required. Prior customer service experience, required.Data entry skills (80 keystrokes per minute), required.Must pass Site training program within the normal probationary period.Communicate effectively in English (speaking and reading). 3 month temporary position. Monday-Friday 10am-6pm. Fully remote. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

¿Quieres consolidarte profesionalmente en el área comercial, en una posición estable y con desarrollo? ¿Te sientes motivado/a por aportar valorar a un grupo en crecimiento? Si la respuesta es positiva, ¡aquí tienes tu oportunidad! ADELFAS ENERGÍA, reconocido grupo perteneciente al sector energético, precisa incorporar para su división de comercialización de energía eléctrica, TÉCNICO COMERCIAL MADRID ¿Qué te aportará esta posición? - Formarás parte de un sólido grupo de empresas, con 50 años de trayectoria y actividades diversificadas en el sector energético. Te incorporarás a una organización consolidada y con prestigio, referente en su sector por su profesionalidad, compromiso y calidad. - Trabajarás para una comercializadora directa de energía: Tus clientes serán empresas, industrias, administradores de fincas y canales, lo que te permitirá desarrollar tus funciones en un entorno muy profesional, con un proyecto estable y de largo recorrido. - Tendrás desarrollo profesional y retos futuros: La empresa cuenta con alto potencial y planes de expansión, lo que te permitirá participar en la diversificación y ampliación del negocio. Queremos que propongas y pongas en marcha iniciativas que marquen la diferencia, participando activamente en el crecimiento y mejora continua de la empresa. - Dispondrás de un alto grado de autonomía y conciliación: Siguiendo las directrices de la empresa, trabajarás en modalidad de teletrabajo. Planificarás y organizarás tu tiempo de trabajo. - La zona asignada será la Comunidad de Madrid, disponiendo de un ámbito de actuación localizado sin grandes desplazamientos. - Tendrás unas beneficiosas condiciones laborales, disponiendo de un contrato de carácter indefinido en el R.G.S.S. y atractivas condiciones salariales, compuestas por un salario fijo + variable, vehículo, gastos y las herramientas necesarias para desarrollar tus funciones con eficiencia. ¿Qué tendrás que hacer? Dependiendo de Dirección Comercial, contribuirás al crecimiento comercial de la empresa en la Comunidad de Madrid, gestionando y ampliando la cartera de clientes con orientación al cumplimiento de los objetivos establecidos. Tus funciones serán: - Identificarás las necesidades de los clientes y les ofrecerás soluciones personalizadas, negociando precios, plazos y condiciones. Te encargarás de cerrar los acuerdos de suministro con empresas, industrias, administradores de fincas y canales, garantizando que se formalicen correctamente. - Prospectarás nuevos clientes y mantendrás una estrecha relación con los existentes, asegurando su satisfacción y calidad del servicio. Además, realizarás el seguimiento oportuno para maximizar las oportunidades comerciales. - Trabajarás estrechamente con tu equipo para definir y desarrollar estrategias y nuevos proyectos. - Elaborarás los informes y reportes correspondientes para Dirección. ¿Qué te hará triunfar en esta posición? - Buscamos un/a profesional con amplia experiencia comercial en el sector y residencia en Madrid o alrededores. - Es imprescindible disponer del carnet de conducir y disponibilidad para desplazamientos por la comunidad autónoma. - Y lo más importante, tú: una persona con habilidades sociales y vocación comercial, orientada al cumplimiento de objetivos ofreciendo un servicio de calidad. Necesitamos que dispongas de autonomía y capacidad de gestión, compromiso e implicación. Si te sientes identificado/a con esta posición ¡inscríbete ahora! Estamos deseando conocerte.

Role Description Team members are accountable for conducting a review of Medicare Part A or B claims on services questioned on appeal by a provider, facility, beneficiary, Centers for Medicaid and Medicare Services (CMS) or other interested parties using multiple computer applications. Incumbents render appeals decisions based on research of the initial claim processing activity, documented procedures and policies and information supplied with the appeal request and respond to the appeal in the form of an adjustment to payment, refund request for overpayment or a written response upholding the original processing of the service. Essential Responsibilities - Respond timely to Medicare inquiries that constitute an appeal or reopening of an initial claim determination: (90%) - Research electronic files and imaged records and/or access the appropriate external systems such as Multi-Carrier System (MCS), Fiscal Intermediary Standard System (FISS), Medicare Appeals System (MAS) as well as Microsoft Windows applications including Excel files and Word documents. - Read and interpret processing guidelines, determine the accuracy of the original claim determination and take the necessary actions to finalize the case file. Perform claim correction activity of the initial claim determination when an additional payment or a reduction in payment correction is necessary. - Review additional documentation (e.g., office notes, test results, medical records, etc.) submitted with the request to determine if this information should be forwarded to a clinician for additional consideration or utilize the additional documentation to make the redetermination decision. - Resolve adjustment claims which suspend due to system edits/audits or have been returned to the department from entities conducting subsequent levels of review. (10%) - Perform other duties as the supervisor may, from time to time, deem necessary. Qualifications - High School diploma or GED - 2 years' experience utilizing research skills in reading and interpreting information - PC experience in Microsoft Windows or similar environment -- includes Word, Excel, PowerPoint, etc. - Demonstrated verbal and written communication skills - Demonstrated customer service skills - Demonstrated ability to make independent decisions relating to claims processing accuracy relying on various online reference tools Preferred Qualifications - Sound research and decision-making skills to respond to the inquiry in accordance with Medicare procedures and guidelines - Demonstrated knowledge of Medicare policies and benefits, internal processing instructions, as well as medical terminology - Medicare claims processing experience or a medical background - Knowledge of Medicare processing systems Requirements - The Federal Government and the Centers for Medicare & Medicaid Services (CMS) may require applicants to have lived in the United States for a minimum of three (3) years out of the last five (5) years to be employed with the Company. These years of residence do not have to be consecutive. - Background Investigation: If you are selected for this position, you must undergo a pre-employment Background Investigation, Drug Screen, and Identity Proofing documentation must be cleared prior to hire. Most positions are subject to additional Identity Proofing, Fingerprinting and additional Background Investigation screening conducted by the Federal Government to be granted Enterprise User Administration (EUA) system logical access after you begin your employment. Your continued employment is contingent upon the outcome of the complete additional screening criteria required for the position which must find that you meet the applicable government customer's requirements (e.g., suitable for access to CMS information and information systems), as well as any additional investigation which may be required throughout your employment. If you are found not suitable, your employment may be subject to corrective action, up to and including immediate termination of employment. - Identity Documentation: You must have access to a current and unrestricted REAL ID, U.S. Passport, U.S. Passport Card, Foreign Passport, or U.S. Permanent Residency Documents. Note: Employment Authorization Cards (EAD) are not a substitute for Visas or U.S. Permanent Resident Cards. Benefits - Medical, dental, vision, life and supplemental insurance plans effective the first day of the month following date of hire - Short- and long-term disability benefits - 401(k) plan with company match and immediate vesting - Free telehealth benefits - Free gym memberships - Employee Incentive Plan - Employee Assistance Program - Rewards and Recognition Programs - Paid Time Off and Paid Sick Leave Company Description We are an Equal Opportunity/Protected Veteran/Disabled Employer. This opportunity is open to remote work in the following approved states: AL, FL, GA, ID, IN, IO, KS, LA, MS, NE, NC, ND, OH, PA, SC, TN, TX, UT, WV, WI, WY. Specific counties and cities within these states may require additional approval. In FL and PA in-office and hybrid work may also be available.