- Mount Sinai Hospital (New York, NY)
- Job Description Accounting Clerk- Patient Financial Services ( Medicare & Medicaid Claims Follow-Up)-Corporate 150 East 42nd Street - Full-Time Days Under the ... supervision of the Patient Financial Supervisor/ Manager , performs a variety of patient accounting functions, including...from Mainframe System to Clearing House. Transmits all clean claims daily to Clearing House and other direct payers.… more
- Erickson Senior Living (Bethesda, MD)
- Location: The Grandview by Erickson Senior Living We are seeking a dedicated and dynamic Medicare Sales and Customer Service Manager to join our team. In this ... the plan, you will provide support with various administrative matters, including claims resolution, premium billing, and enrollment management. You will also work… more
- PacificSource (Springfield, OR)
- …that fully develop and utilize each person's talents and strengths. The VP of Claims , Encounters and Payment Integrity Operations is a key member of the Executive ... This position is responsible for key functions of operations, including claims processing, encounters processes, payment integrity, compliance with state and federal… more
- CenCal Health (Santa Barbara, CA)
- …customer service in a queue environment, addressing member inquiries about Medicare and Medi-Cal integrated benefits and supplemental benefits, providers, referrals, ... authorizations, claims , transportation, interpretation and translation needs, alternative formats needed...period assistance to help members restore lost Medi-Cal or Medicare coverage, and coaching regarding healthcare access, no-shows, or… more
- AbbVie (Kansas City, MO)
- …Indianapolis, Indiana Kansas City, Missouri Detroit, Michigan The Field Reimbursement Manager , Oncology (FRM) acts as an alternative in-office resource that is ... order to educate providers on payer issues, coding changes, and appropriate claims submission processes Liaise with AbbVie's Access and Reimbursement support center… more
- County of Los Angeles, CA (Los Angeles, CA)
- …Health is seeking qualified candidates to fill emergency Mental Health Program Manager II vacancies related to the homelessness crisis. Under the emergency order, ... assessment will be considered for permanent appointment to Mental Health Program Manager II. Essential Job Functions Performs the full range of administrative… more
- Integrative Emergency Services (Dallas, TX)
- …system updates and identifying/resolving problems. Handles corrections or rejections of claims due to enrollment errors and/or claim submission requirements. Conveys ... issues and status of problems to Enrollment Manager . Ensures Held A/R enrollments are submitted on timely...are submitted on timely basis to avoid risk of claims /adjustments and an unnecessary increase of Held AR. Maintain… more
- PacificSource (Portland, OR)
- …coverage for pharmacy-related services and pharmaceuticals. Prepare and process member-submitted pharmacy claims in the pharmacy benefit manager 's claims ... services and benefits inquiries through skillful knowledge of the pharmacy claims , medical claims , and utilization management platforms. Initiate clinical… more
- University of Southern California (Arcadia, CA)
- POSITION SUMMARY Under the direction of the Admitting Manager , the Patient Access Representative is responsible for interviewing incoming patients (inpatient, ... made in the patient's account notes. Notifies the Admitting Manager or Business Office Manager of all...HIPAA, EMTALA, the Fair Debt and Collection Practices Act, Medicare Secondary Payer, and other laws and regulations that… more
- Avera Health (Sioux Falls, SD)
- …and our patients. Work where you matter. A Brief Overview The Underwriting Manager is responsible for overseeing and executing underwriting functions to support the ... methodologies, and ensuring compliance with regulatory requirements. The Underwriting Manager will work collaboratively with internal stakeholders such as product,… more
- ChenMed, LLC (Fort Lauderdale, FL)
- …needed to maintain workflow and meet/ complete deadlines as assigned by the Pharmacy Manager or Pharmacist on duty. Processes claims for 3rd party reimbursement ... receipt; removing outdated drugs. Maintains knowledge of asset protection techniques, creates claims for order errors and damaged goods. Maintains a safe and clean… more
- Wilson Health (Sidney, OH)
- …collaborative community health. POSITION SUMMARY: Under the direction of the Manager of Patient Accounts, the Medicare /Medicaid Professional Billing Specialist ... Assistance Program. Employment Status: Full Time Position Reports To: Manager , Patient Accounting Working Hours: Monday - Friday, Flexible...releases Medicare /Medicaid HMO and MSP ( Medicare Secondary payer) claims electronically, and mails… more
- Dermatology, Inc (Carmel, IN)
- …office scheduling software, EMA experience is a plus Insurance verification, including Medicare and Medicaid Insurance claims process Be Available to: Work ... The Medical Front Office Receptionist will work with the Front Office Manager to deliver elevated customer service at assigned location(s), maintain efficient office… more
- AMERICAN SENIOR BENEFITS LLC (Milford, OH)
- …and work with the fast-growing baby-boomer population! Help educate retirees on Medicare , Social Security and other areas affecting their retirement. Earn $60k+ ... and carrier communications. Arrange a payment method. Follow up on all claims filed by clients. Qualifications REQUIREMENTS: A history of commitment in Business,… more
- EmblemHealth (New York, NY)
- …experience, including 3+ years of leadership experience at a director, manager or equivalent level, leading a medical economics, actuarial informatics, or ... plan or managed care organization required Working knowledge of health care EMR/ claims systems (Epic/Clarity, eCW, Facets, QNXT, Amisys, etc.) required Knowledge of… more
- Food Lion (Hampton, VA)
- …as other pharmaceutical products. Duties: 1. In the absence of the pharmacy manager , serves as on-duty supervisor of pharmacy department ensuring that all essential ... feedback and comment on the performance of department support staff to Pharmacy Manager . 4. Implements staff schedules for the pharmacy location. 5. Serves as… more
- Elevance Health (Chicago, IL)
- …hospital and provider price transparency, No Surprises Act, Affordable Care Act, Medicare Reference Pricing, CMS value-based payments and other health reform and ... scientists, statisticians and actuaries preferred. Experience working with large health claims datasets or gathering datasets. Experience with evaluation of provider… more
- McLaren Health Care Corporation (Indianapolis, IN)
- …Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana ... of HMO, PPO, TPA, PHO and Managed Care functions including understanding of claims administration, including CPT-4 codes, revenue codes, HCPCS codes, DRGs, etc. Two… more
- Select Medical (Camp Hill, PA)
- …benefits are exhausted. + Once patient determined to be Medicare Exhaust, specialist files Medicare part A and part B claims to Medicare . + Specialist ... are exhausted. Ensures all authorizations are obtained as necessary and sends claims to secondary (commercial/Medicaid) payers along with Medicare remittance… more
- Molina Healthcare (San Antonio, TX)
- …with the standards and requirements established by the Centers for Medicare and Medicaid **Knowledge/Skills/Abilities** * Leads, organizes, and directs the ... to members or authorized representatives in accordance with Centers for Medicare and Medicaid standards/requirements. * Provides direct oversight, monitoring and… more
