Your career starts now. Minimum 4 years' exp such as assignment of claims, processing health and dental claims. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. The Claims Eligibility Specialist is the point-of-contact for the State and . Your career starts now. At AmeriHealth Caritas, were passionate about helping people get care, stay well and build healthy communities. Claims filing guide (PDF) June 1, 2020, new and current explanation of benefit (EOB) codes (PDF) EDI-EFT-ERA electronic billing services; Eligibility verification guide (PDF) Unfortunately, this job posting is expired. AmeriHealth Caritas Florida serves the following Florida counties: Indian River, Martin, Miami-Dade, Monroe, Okeechobee, Palm Beach, and St. Lucie counties. Medicaid Enrollee Services. Call us toll-free at 1-877-716-8694 (TTY: 711), 8 a.m. to 8 p.m., 7 days a week. We want to thank our providers for helping to make AmeriHealth Caritas Florida a better health care plan. Please see our Privacy Noticeand Terms of Use. Claims are considered received on the date the claims are received by AmeriHealth Caritas Florida. AmeriHealth Caritas North Carolina's EDI payer ID number is 81671. Audit claims after submission and correct errors. Get started with your Free Employer Profile, Customer Service Representative--Outreach, Behavioral Health Utilization Review (Remote), Case Manager DSHP Long Term Services & Support, Lead Long Term Services & Support Reviewer, Behavioral Health Utilization Management Review, Coordinator, Appeals & Grievances, REMOTE, Customer Service Representative (Bilingual Spanish)(Remote), ACA Exchange Customer Service Representative, Supervisor, Pharmacy Call Center - Remote, The Ultimate Job Interview Preparation Guide. We deliver comprehensive, outcomes-driven care to those who need it most. Billing information. Terms and Conditions Supports Area Management (Director, Manager, Supervisor) with reports, special processes, projects. By email. Select a reason for reporting this job. Terms and Conditions 6,612$ #username #amerihealth #amerihealth nj #caqh #amerihealth login . Discover more about us at www.amerihealthcaritas.com. Complete this form to report adverse incidents or injuries that affect AmeriHealth Caritas Florida members. Box 7329 London, KY 40742 Provider appeals Health (5 days ago) To initiate the electronic claims submission process or to get more information, contact Change Healthcare at 877-363-3666. The Claims Eligibility Specialist is the point-of-contact for the State and Provider community on Medicaid regulations, Medicaid eligibility requirements and resolving issues related to Medicaid coverage and services. Orlando, FL. Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. Top SEO sites provided "Amerihealth login" keyword . Using NaviNet. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com. As one of the nation's leaders in health care solutions, we offer our . Please, activate it in the options of your browser. Skip to Main content. NaviNet is an easy-to-use, no-cost, web-based platform that links providers to AmeriHealth Caritas Florida. Resolve discrepancies in coverage, eligibility, enrollment and billing, Provide expertise in state and federal Medicaid legislation, regulations, trends and program changes, Review, research, and investigate claims and authorization data to support the analysis and identification of trends in the States utilization of services, High School diploma or equivalent required, Florida Registered Pharmacy Technician preferred, Customer service experience in a healthcare setting is required, Experience working with Microsoft Office (Excel, Word, and Outlook) required, Certification in medical billing preferred, Knowledge or experience of Systems of Care, Foster Care or JJC systems preferred, Experience working with an electronic medical record system preferred. Paper (TTY/TDD 202-216-9885 or 1-800-570-1190) Your health when you can't get in touch with your primary care provider . Reporting to the Supervisor, Appeals & Grievances, the Team Lead, Appeals & Grievances primary responsibility is supporting the appeals staff with technical and process related questions. #amerihealth #amerihealth caritas louisiana providers . Ensuring the standard (30 day) contract turnaround time requirements are consistently maintained; expedited turnaround time requirement is also maintained per contract requirements. privacy and protection, Box 7380 London, KY 40742-7380 when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Through NaviNet, you can access and submit: Fax to: 609-662-2480. Phone: 1-215-937-8000. PerformSpecialty also knows that patients using specialty drugs require attention above and beyond users of standard pharmaceuticals. A health care plan that is easy to use and understand. Call 1-866-533-5490 (TTY 711), Monday through Friday, 8 a.m. - 8 p.m., from April 1 to September 30; or seven days a week, 8 a.m. - 8 p.m., from October 1 to March 31, for more information. We're looking for the next generation of health care leaders. Were looking for the next generation of health care leaders. Orlando, FL. OTHER: Insurance certifications and claims adjusting designations are helpful. Paper claims should be submitted to AmeriHealth Caritas Florida at the following address: AmeriHealth Caritas Florida P.O. Knowledge of applicable computer applications. Health. We have earned a Commendable Health Plan Accreditation status and distinction in Multicultural Health Care from the National Committee for Quality . Box 7412 London, KY 40742-7412 Check the status of a claim To check your claim status, sign in to NaviNet and select Claims Status Summary under Administrative Reports. www.amerihealthcaritasfl.com. Call Provider Services at 1-800-617-5727 to speak to a representative. GENERAL RESPONSIBILITIES: Independently research, prepare, file and negotiate equipment, real and personal property, and cargo claims against third parties for the indemnification and recovery of expenses and claim settlement funds related to damages in relation to Crowley owned and/or leased equipment, and customer freight. For your AmeriHealth Caritas is seeking talented, passionate individuals to join our team. when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Box 7367 London, KY 40742. If you do not wish to receive your claim payments through VCC, you can opt out by contacting ECHO Health, Inc. directly at 1-888-492-5579. Copyright 2008-2022, Glassdoor, Inc. "Glassdoor" and logo are registered trademarks of Glassdoor, Inc. Get alerts to jobs like this, to your inbox. 328339. Providers can access EDI resources and documents as well as the Trading Partner Business Center. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. District of Columbia Medicaid Fee Schedule. Want to check the claim status of a service? By email: If you have a question about AmeriHealth Caritas Louisiana or your benefits, use our secure email form. A Provider Grievance is a verbal or written complaint or dispute by a Provider over any aspect of the operations, activities, or behavior of AmeriHealth Caritas North Carolina, except for any dispute over which the Provider has appeal rights. Primary Job Function: Operations. Claims and billing Provider manual and forms Newsletters and updates Training and education. Have additional questions about the claims submission process? Your career starts now. We support the development of our people and are committed to growing together, inclusively. Copyright 2008-2022, Glassdoor, Inc. "Glassdoor" and logo are registered trademarks of Glassdoor, Inc. Get alerts to jobs like this, to your inbox. Skip to Main content. Participate in OLH Processing Rule Committee and all other documentation. Clinical resources EPSDT/Healthchek OhioRISE. 202-408-4720 or 1-800-408-7511. Industry. Search job openings at AmeriHealth Caritas. Members. We deliver comprehensive, outcomes-driven care to those who need it most. Mailing Address 1901 Market Street Philadelphia, PA 19103 Email Know Your Worth. AmeriHealth Caritas Health Plan in Palm Beach Gardens, FL and both meet and comply with their provisions. We deliver comprehensive, outcomes-driven care to those who need it most. Claim disputes are acknowledged by AmeriHealth Caritas Louisiana within three business days. AmeriHealth Caritas Florida is here to help answer any questions about NaviNet. Rank in 1 month. Our industry experts are singularly skilled at what they do and equally adept at bringing their skills together to build solutions stronger than the sum of their parts. Provide assistance to Locate Crowley property and equipment that may have been damaged and ensure it is returned to the company. For participating or non-participating providers Provider Services: 1-800-521-6007 EDUCATION: Bachelor's degree in business or a related field; or a combination of post-high school and claims adjusting experience equal to six (6) years. By mail (paper claims submission) AmeriHealth Caritas Florida P.O. Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. AmeriHealth Caritas Next Attn: Claims Processing Department P.O. (Just Now)Corporate mailing address and main phone number: AmeriHealth Caritas Corporate Office. Assists in managing inventory and preparing daily reports. AmeriHealth Caritas VIP Care: 77062: PO Box 7143 London, KY 40742-7143: AmeriHealth Caritas VIP Care Provider Phone Number: (800) 521-6007: 365 Days from the DOS: AmeriHealth Caritas VIP Care Plus (Michigan) Provider Phone Number, Claims address, Payer ID and Timely filing Limit: 77013: PO Box 853914 Richardson, TX 75085-3914 A determination will be made within 30 calendar days of receipt of the claim dispute by AmeriHealth Caritas . Prepare and submit clean claims to insurance companies electronically or by paper. Develops and maintains working relationship with multiple functional areas in the Enterprise. We deliver comprehensive, outcomes-driven care to those who need it most. Enrollment in AmeriHealth Caritas VIP Care depends on contract renewal. Were looking for the next generation of health care leaders. . 259 Prospect Plains Road, Bldg. . Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. For questions about claims submissions, call Provider Services at 1-888-922-0007. Were looking for the next generation of health care leaders. Don't worry, we can still help! Our inclusion and employee-centric focus make for a workplace that provides valuable services and experiences. TECHNICAL PROFICIENCY: Intermediate proficiency with Microsoft Office products including Word, Outlook, Excel, Teams, and SharePoint. 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