- Transitional Care Management (Chicago, IL)
- Company Description Medicaid / Medicare Billing Specialist : is sometimes called a Business Office Manager, BOM or Bookkeeper in a Skilled Nursing ... your friends & earn a $ bonus $. Qualifications Medicaid Billing Specialist : is...Nursing Facility (SNF or ICF) is required Experience with Medicare , Public Aide / Medicaid billing… more
- Hospital for Behavioral Medicine (Worcester, MA)
- …ICD-10 coding, claim formatting, and payer-specific requirements Ensure compliance with CMS, Medicare , Medicaid , and commercial payer billing guidelines ... Category Finance Description JOIN OUR TEAM AS A HOSPITAL BILLING SPECIALIST ! Status: Full-Time (On-site only -...A minimum of one (1) years' experience in facility billing experience with knowledge of Medicare DDE… more
- Astrana Health, Inc. (Houston, TX)
- …updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare , Medicaid , and private payer requirements. Provides recommendations to management ... Risk Adjustment Coding Specialist II (Houston, TX) Department: Quality - Risk...diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk… more
- Critical Care Transport (Columbus, OH)
- …in Ambulance billing is a plus, as well as background in billing Medicare , Medicaid and commercial insurance including appeals & reconsiderations. ... Job duties may vary but will include daily data entry of ambulance run reports, verifying insurance eligibility, filing appeals with insurance companies, posting insurance payments, and handling inbound/outbound phone calls. Hours are Monday through Friday,… more
- Savista (Raleigh, NC)
- …cycle. Develop and maintain knowledge of commercial and government insurance plans ( Medicaid and Medicare ), payer networks, government resources, and medical ... the revenue cycle. Expert knowledge of commercial and government insurance plans ( Medicaid and Medicare ). payer networks, government resources, and medical… more
- Howard Brown Health (Chicago, IL)
- …computer applications such as GE Centricity, Excel and Word Experience working with Medicare , Medicaid , and other insurances CPT and ICD-9 coding desirable Equal ... of the Manager of Patient Services and the Supervisor, the Patient Access Specialist is responsible for answering incoming telephones for all of the Howard Brown… more
- AdaptHealth LLC (Denver, CO)
- …data through systems as well as system interaction General knowledge of Medicare , Medicaid , and Commercial health plan methodologies and documentation ... click to apply, we would love to hear from you. Customer Service Specialist Customer Service Specialists are responsible for learning and understanding the entire… more
- Trinity Health (Howell, MI)
- …service delivery. Knowledge of insurance and governmental programs, regulations and billing processes ( Medicare , Medicaid , Social Security Disability, ... account analysis and problem solving. Resolves patient account issues. Initiates billing and rebilling of accounts as appropriate. Under limited supervision;… more
- AIDS Healthcare Foundation (Newnan, GA)
- …and necessary medical records. *Assists in screening all patients for correct billing and financial information. Determines payment source based on information given ... (ie, ability to pay, insurance coverage, Medicaid , etc.) *Accepts and reconciles patient co-payments and submits...computer information systems, provides data entry for services and billing information. Ensures that all data entry is performed… more
- Legacy Community Health (Houston, TX)
- …eligibility for third-party reimbursement, ensuring no alternate payer sources such as Medicaid , Medicare , or other third-party insurance are available. Process ... minutes using your phone, tablet, or computer! Join Us as a Bilingual Eligibility Specialist at Legacy Community Health (Mon-Fri 8AM-5PM) Step into a pivotal role at… more
- Suvida (Houston, TX)
- …preferably in a healthcare setting Knowledge of NCQA, CMS, and enrollment in Medicare / Medicaid Experience working with credentialing software and databases ... built to address the physical, behavioral, social, and cultural needs of Medicare -eligible Hispanic seniors. Celebrate diversity and inclusivity in a workplace that… more
- Practice Resources, LLC (Syracuse, NY)
- …of 2 years' experience in provider enrollment preferred Knowledge of the Medicare , Medicaid & third-party provider enrollment processes Proficiency in Microsoft ... LLC (PRL) is seeking an experienced remote Provider Enrollment/Credentialing Specialist . Qualifications: High School Diploma or GED required Bachelor's Degree… more
- Trinity Health (Columbus, OH)
- …CPT and ICD-9 coding to ensure compliance with third party regulations. Understands Medicare , Medicaid and other third party information requirements and adheres ... Soft collection when registering patients Using EPIC Demonstrates understanding of Medicare , Medicaid and other third party information requirements and… more
- ARStrat (San Antonio, TX)
- …is a plus. - Familiarity with health insurance providers, Workers' Compensation, Medicare , Medicaid , and liability claims processes. - Practical or classroom ... will handle a high volume of calls, addressing patient inquiries related to billing , payments, claims, benefits, and coverage. You will perform these duties in… more
- VieMed (Lafayette, LA)
- …of medical insurances company's regulations and requirements to include but not limited to Medicare and Medicaid . Working knowledge of CPT, HCPCS & ICD10 codes, ... appropriate. Learns and maintains knowledge of current patient database & billing system. Retrieves incoming referral(s) and logs demographic information into… more
- Glens Falls Hospital (Glens Falls, NY)
- …in Healthcare Business Office required *Familiarity with Medicaid and/or Medicare rules and regulations and/or commercial billing *Knowledge of insurance, ... Glens Falls Hospital! Come join our team of medical billing experts as the Accounts Receivable Specialist !...medical billing experts as the Accounts Receivable Specialist ! This is an exciting opportunity that can further… more
- Commonwealth Care Alliance (Boston, MA)
- …This role will ensure that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible ... research, as necessary on all new and revised coding logic, related Medicare / Medicaid policies for review/approval through the Payment Integrity governance… more
- Commonwealth Care Alliance (Boston, MA)
- …(CPC) - AAPC + Certified Claims Professional (CCP) + Other AHIMA or Medicaid billing -related certifications **Required Experience (must have):** + 3+ years in ... disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare , and commercial payment methodologies and supports audit,… more
- The Wesley Community (Saratoga Springs, NY)
- …payer types including Medicare , HMO and Private insurance as related to billing and Medicaid coverage needs is preferred. + Experience with Healthcare ... 20-25 per hour | Part Time / Full Time Medicaid Application Specialist for Skilled Nursing Facility...payers and accounts receivable follow-up. + Ensure compliance with Medicaid regulations related to billing requirements, regulatory… more
- Select Medical (Camp Hill, PA)
- **Overview** ** Medicare Exhaust Specialist ** **ON-SITE** **Starting Hourly Rate $20 (based on experience)** **BONUS ELIGIBLE** Are you results-oriented? Our ... account to bill and collect from all insurances involved; Medicare , Medicaid , Commercial, etc. Their goal is...benefits are exhausted. + Once patient determined to be Medicare Exhaust, specialist files Medicare … more
