- Guardian Pharmacy, LLC (Marietta, GA)
- …rebill claims as necessary. Develop knowledge and understanding in pharmacy facility billing requirements ( Medicare , Medicaid , Prescription Drug Plans (PDPs) ... and timely manner. This includes assisting with all daily and month-end billing functions, procedures and reporting. Provides excellent customer service to patients,… more
- The Villages Health (The Villages, FL)
- …detailed instructions on payor-specific application requirements for participation with Medicare , Medicaid , and commercial health plans. Continuously analyzes ... processing in a timely manner. Attains, verifies, and disseminates state required billing numbers and approval letters as needed. Serve as liaison between health… more
- UHS (Richmond, VA)
- …receivable balances. Knowledge of third party payer rules and regulations including Medicare , Medicaid , Blue Cross Blue Shield and medical terminology. Develops ... Region CBO is seeking a dynamic and talented Collection Specialist - Central. The Collection Specialist is...on accounts to ensure prompt payment Identify coding or billing errors from EOBs and work to correct them… more
- Sevita (Minneapolis, MN)
- …codes, UB-04, and HCFA-1500 forms Strong understanding of medical collections compliance, Medicare , Medicaid , Medicaid managed care, Commercial, Workers ... Accounts Receivable Collections Specialist Do you have experience in Accounts Receivable/Collections...without a payer response once past 30 days from billing Work credit balances on the aging and overpayment… more
- Elderwood Senior Care (Buffalo, NY)
- …- position is on-site! Shift: Days - 8:00am - 4:00pm #Talroo Responsibilities Electronic billing of Medicare , Medicaid and Third Party Insurance pharmacy ... NY is looking for an experienced, detail- oriented Pharmacy Billing Specialist to join our team and...Prior Authorizations required from Third Party Insurance Bill/Invoice Review Medicaid Pending Status Review Medicaid claim rebilling… more
- AdaptHealth LLC (Birmingham, AL)
- …lives, please click to apply, we would love to hear from you. Intake Specialist The Intake Specialist has a broad range of responsibilities including accurate ... sources, and appropriately utilizing technology to notate patient information/communication. Intake Specialist 's schedules can vary based on the need of the branch.… more
- AdaptHealth LLC (West Berlin, NJ)
- …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
- Baptist Neighborhood Hospital (San Antonio, TX)
- …experience, strongly preferred Knowledge of various insurance plans (HMO, PPO, POS, Medicare , Medicaid ) and payors, required. Basic understanding of medical ... team members. You'll be asked to facilitate patient tracking and billing by obtaining/verifying accurate and complete demographic information, financially securing,… more
- Janie (Salt Lake City, UT)
- …*Prepare, review, and submit medical claims to insurance companies, government payers ( Medicare / Medicaid ), and patients *Follow up on unpaid claims and resolve ... Medical Biller / Revenue Cycle Specialist About Us At Janie, we provide high-quality...experienced Medical Biller to handle a wide range of billing functions for our healthcare clients. As a critical… 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
- Chimes (Exton, PA)
- …Valid Driver's License and Verification that the employee is not on any Medicaid / Medicare Exclusion list. Note: At the discretion of the Personnel Officer, ... documentation for re-authorizations, as necessary, promptly Obtain and submit time cards, billing forms, and all necessary clinical documentation from all staff on… more
- Vivie (Alexandria, MN)
- …records for Home & Community based divisions of Vivie & affiliates. Coordinate the Medicare , Medicaid , Insurance and private billing process with customers, ... information, and a strong understanding of the state and federal laws concerning Medicare , Medicaid , and Insurance. Ability to meet, interact, and provide… more
- APLA Health (Los Angeles, CA)
- …ICD and CPT coding Healthcare billing processes and insurance plans ( Medicaid , Medicare , and private/commercial plans; including dental and/or mental health ... with the Finance department: Batch reconciliation for payments received Resolve billing inquiries/discrepancies with the Billing department Check requests with… more
- Rochester Regional Health (Newark, NY)
- …and reporting tools highly desired. May need previously experience in CMS, Medicaid / Medicare billing , and other regulatory processes. EDUCATION: LICENSES ... Provides ongoing support for the tracking and trending of the Reimbursement Specialist charge recovery activities. Assists with special projects including but not… 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
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Medicare Specialist ? At Parallon, you come first. HCA Healthcare has committed up ... make a difference. We are looking for a dedicated Medicare Specialist like you to be a...Medicare receivable processing, including but not limited to, billing collections, account and system maintenance, process reconciliation and… more
- Teresian House (Albany, NY)
- …using Availity, Epaces and other electronic systems daily. + Preparing and submitting timely billing for Medicare , MCO's, Medicaid and private insurers using ... House in your choice for employment! The Nursing Home Billing Specialist is responsible for: + Timely...date knowledge of Medicare , MCO and NYS Medicaid regulations and billing practices. + Working… more
