- 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
- Solugenix (Los Angeles, CA)
- …by the Manager of Financial Compliance. These assignments may include claims data reporting in the Online Monitor Tool (OMT), compiling the Monthly Timeliness ... Financial Compliance Auditor III, Claims Los Angeles, CA (Remote/Hybrid) 3-Month Contract (Possibility...for a variety of complex areas of the Medi-Cal, Medicare , Covered California, and PASC-SEIU benefits and processes. This… more
- Mindlance (Concord, CA)
- Description: PRIMARY PURPOSE: To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims ... standards and industry best practices; and to identify subrogation of claims and negotiate settlements. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Manages workers… more
- Mindlance (Portland, OR)
- Description: Hiring Manager 's note:- East coast claims experience required. Remote all across US Min 3 years of experience is mandatory. Shift timings: 8-4:30 ... Second Injury Fund excess recoveries and Social Security and Medicare offsets. Reports claims to the excess...duties of the position at any time. Requirements: Hiring Manager 's note:- East coast claims experience required.… more
- MetroPlusHealth (New York, NY)
- …including, but not limited to, New York State Medicaid Managed Care, Medicare , Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, ... with its members and providers. Position Overview The primary goal of the Care Manager is to optimize members' health care and delivery of care experience with… more
- The Travelers Indemnity Company (Downers Grove, IL)
- …. Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity where ... apply Medicare Set Asides and allocations. Negotiate settlement of claims within designated authority. May use structured settlement/annuity as appropriate for… more
- Los Angeles Metro (Los Angeles, CA)
- …on critical findings to ensure SGR targets are met. The Project Manager , Transit Asset Management (Artwork) will manage the inspections, condition assessments, ... including generation of contract documents, scopes of work, change orders, claims , and task orders Theories, principles, and practices project management, including… more
- Fallon Health (Buffalo, NY)
- …implementation of processes and workflows, network development, contract management, claims , billing, and authorization assistance. This position may require ... including those conducted by CMS and/or the State, FH Internal Audit, Medicare Programs. Participate in assigned workgroups, list serves and committees to monitor… more
- Catholic Health Services (Fort Lauderdale, FL)
- …Objective Responsible for the billing and timely follow up of all assigned Medicaid claims for Nursing Home and Hospital in a cost effective and efficient manner. ... various governmental regulatory agencies (ie, DCF). Essential Functions Billing of all Medicaid claims via the SSI software (and when appropriate web portal or paper… more
- Preferred Behavioral Health Group (Toms River, NJ)
- …Work ", please submit your resume today for consideration! Job Title: Billing Manager Program: Finance Location: 52 Hyers Street, Toms River New Jersey 08753 ... Type: Full Time Minimum Starting Salary: $70,000.00 Job Description/Summary The Billing Manager is responsible for overseeing and managing all aspects of the… more
- Strategic Health Partners (Kennesaw, GA)
- …resolving appeals with third-party payers. Research and resolve payer rejected/denied claims and analyze accounts for insurance payment accuracy/completeness and for ... related to denials and delayed adjudication; communicate those issues to Manager . *Transmit required documentation to Government and third-party payers for the… more
- Intermountain Healthcare (Salt Lake City, UT)
- Job Description: The Pharmacy Services Manager provides leadership and direction to SelectHealth Pharmacy Services and Scripius. This position contributes to the ... strategic and clinical direction of the department. The Manager identifies and promotes the changes needed to provide cost-effective quality pharmacy benefits to… more
- Elevance Health (San Juan, PR)
- …locations may be considered. MMM Holdings, LLC is a company that provides Medicare Advantage and Medicaid plans in Puerto Rico. Currently, MMM Holdings, LLC operates ... written correspondence regarding insurance benefits, provider contracts, eligibility and claims . Analyzes problems and provides information/solutions. Operates a PC/image… more
- Roessel Joy (Norwell, MA)
- …In this seat, you will assist the current Assistant Business Office Manager with receivables. Additionally, you will handle all billing, collection of payments, ... a candidate who has PCC software experience and has dealt with Medicare A&B, private insurance, and insurance follow-up. Previous nursing home industry experience… more
- Rush (Chicago, IL)
- …or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting, or customer service. ... insurance and governmental programs, regulations, and billing processes eg, Medicare , Medicaid, Social Security Disability, Champus, Supplemental Security Income… more
- Syntricate Technologies (San Antonio, TX)
- …Fraud Investigation Case consisting of 4 types of investigations: Claims Investigation/Life Annuity Investigation, Financial Crime/Fraud, Medicare Supplement ... and audits of Fraud at Life Company. Regards, shutosh Pasbol ssistant Manager | Syntricate Technologies Inc. Direct: ### Email: ###@syntricatetechnologies.com | Web:… more
- Santa Barbara City College (Santa Barbara, CA)
- …Administrative Assistant I classification provides primary support to a supervisor, manager , department chair or director of a small department. Incumbents relieve ... invoices and requisitions and arrange for payments as assigned. Process reimbursement claims as assigned; collect, deposit and account for various monies and fees… more
- Beth Israel Lahey Health (Burlington, MA)
- …you're making a difference in people's lives. Under general supervision of the Manager of the Office of Sponsored Research, the Contracts Specialist works with ... times from receipt of original contract to executed agreement. Works with the OSR Manager to maintain a database of turnaround times, analyze workflow, and track and… more
- City of Coronado, CA (Coronado, CA)
- …timekeeping and payroll. Verifies wages for employment verification requests and unemployment claims . Performs other duties as assigned. To view the full job ... be invited to a department interview with the Finance Manager and Director of Administrative Services. Candidate Selection: The...employment for annual leave accrual rates. Social Security & Medicare The City participates in Social Security and … 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
