Insurance Consulting Jobs

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Hourly - Intermediate ($$) - Est. Time: Less than 1 month, 10-30 hrs/week - Posted
Hello, My wife has a long-term issues with back pain. She was given an Rx for back massage. The place that she goes to doesn't work with any insurers directly, and you have to file yourself. Our insurance is United Health Care. I would like someone to provide consultation as to 1. whether it makes sense to submit claims to UHC and 2. If the answer to the previous is yes, to help fill out and submit the claims to UHC and to help provide follow-up if there is any push-back. Keywords: Medical Billing, Insurance Consulting, Medical Claims
Skills: Insurance Consulting Medical Billing and Coding
Hourly - Intermediate ($$) - Est. Time: Less than 1 week, 10-30 hrs/week - Posted
I have samples of two demand letters from a law firm representing a client. The new letter needs to demand the insurance company on my own behalf. No similarities between both letters should exist, rewrite entire files and quote same case law. I am demanding the insurance company for Diminished value. both letters need to be as aggressive as possible. Due to the fact that insurance companies dislike feeling threaten with doing business in bad faith please add to the ​second letter.
Skills: Insurance Consulting Fraud Mitigation Paralegal Services Writing
Hourly - Intermediate ($$) - Est. Time: More than 6 months, 30+ hrs/week - Posted
We need someone to be a primary source of information regarding all medical bills. We’d need all the medical bills digitally organized by person, doctor, and condition, easily distributable to other doctors, reviewed, paid, and tracked. Here is a breakdown of tasks for the perfect VA. 1. Support: Organize and track all medical expenses. a. Monitor activity on bills and benefits payments, make payments and recommend timing of payments. b. Submit required paperwork to primary and supplemental insurance companies and reimbursement accounts. c. Provide annual health care utilization and savings reporting for tax and benefits planning. 2. Optimization: Answer billing and insurance questions - Review medical bills and explanation of benefits (EOBs) to ensure charges are reasonable and accurate. a. Identify coding errors, duplicate charges, data entry errors, etc. b. Resolve issues/errors with insurance companies and providers. c. File appeals when benefits have been denied. d. Negotiate out-of-pocket procedure cost before or after treatment. 3. Advisory: Evaluate insurance benefits based on utilization history and recommend opportunities to optimize plan effectiveness ongoing. a. Eliminate duplication of coverage. b. Research financial implications of medical conditions, treatments and drugs. c. Assist with elder care, COBRA and Medicare issues.
Skills: Insurance Consulting Administrative Support Data Entry Medical Billing and Coding