- MetroLink (Los Angeles, CA)
- …Services Employee (TEMP) - Finance Specialist II (Accounts Payable) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4435696) Apply Special ... Services Employee (TEMP) - Finance Specialist II (Accounts Payable) Salary $1,827.77 - $2,834.85 Biweekly Location...system, taking advantage of system capabilities. + Enter and audit invoices or bills for compliance against purchase orders… more
- Takeda Pharmaceuticals (Exton, PA)
- …for Medicaid and Medicare Services (CMS) auditors and/or designees in support of CMS's audit of all Medicare Part D programs. + Ensure that any and all ... of my knowledge. **Job Description** **About the role:** As a Rebate Analyst II , you will perform calculations and generate payments in compliance with executed … more
- MyFlorida (Fort Lauderdale, FL)
- OPS FISCAL ASSISTANT II - 64906958 Date: Jun 6, 2024 Location: FORT LAUDERDALE, FL, US, 33315 The State Personnel System is an E-Verify employer. For more ... Requisition No: 830437 Agency: Department of Health Working Title: OPS FISCAL ASSISTANT II - 64906958 Pay Plan: Temp Position Number: 64906958 Salary: $19.00 Posting… more
- LA Care Health Plan (Los Angeles, CA)
- Compliance Advisor II Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... safety net required to achieve that purpose. Job Summary The Compliance Advisor II ensures LA Care business units are compliant with all Product Lines' contractual,… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …Necessary Contacts: In order to effectively fulfill this position, the Claims Specialist II must be in contact with personnel in other Units: Various internal ... and staff including, but not limited to, Provider Services, Legal, Internal Audit , IT, other Benefits Operations Management and staff, Enrollment and Billing,… more
- Beth Israel Lahey Health (Boston, MA)
- …party. Provides appropriate educational feedback to coding staff related to coding and reimbursement changes utilizing the 3M HDM Audit Chapter. Serves as a ... general supervision of the Director of Coding and Validation, the Coding Validator II is responsible for performing quality reviews on medical records to validate… more
- R1 RCM (Salt Lake City, UT)
- …analytics, AI, intelligent automation, and workflow orchestration. As our Credits Representative II , you will help the Credit Department by collecting on outstanding ... been reprocessed by payers in a timely manner, completing Medicare quarterly reports for assigned regions and acting with...what you will experience working as a Credits Representative II :** + Ordering and correcting audited claims to payers… more
- Bassett Healthcare (Cooperstown, NY)
- …a Forbes America's Best-In-State Employer 2022! What you'll do The Medical Office Assistant II serves as the first point of contact for patients within the Bassett ... is entered or scanned into the system accurately as monitored by system audit Accurate confirmation of attending PCP and Billing PCP, when appropriate. Assures… more
- US Anesthesia Partners (Austin, TX)
- Overview The Accounts Receivable Representative II is responsible for collecting outstanding accounts receivable from third party payers; both government and ... Work correspondence daily + Maintain basic proficiency with using spreadsheets + Audit adjustment requests and complete when appropriate + Resolve Manual Tasks… more
- University of Rochester (Rochester, NY)
- …parties to determine corrective actions; consults with the Director of Compliance Audit . + Creates and provides presentations to educate and train faculty, residents ... and staff on reimbursement , fraud and abuse and other healthcare related compliance issues and Medicare and Medicaid requirements. Acts as a resource on billing,… more
- Medical Mutual of Ohio (OH)
- …Set (HEDIS) lifecycle processes for all lines of business (Commercial, Marketplace, Medicare Advantage, and Medicaid), including HEDIS audit submission, Consumer ... Set (HEDIS) lifecycle processes for all lines of business (Commercial, Marketplace, Medicare Advantage, and Medicaid), including HEDIS audit submission, Consumer… more
- LA Care Health Plan (Los Angeles, CA)
- …to proceeding with the recruitment process. Job Summary The Customer Solution Center Audit Readiness Specialist II is responsible for the execution, oversight, ... (DHCS), Department of Public Social Services (DPSS), Centers for Medicare and Medicaid Services(CMS), LACC - CalHers, and National...The position will take lead in all of the audit situations and be prepared to present and report… more
- Highmark Health (Jefferson City, MO)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and ... coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure… more
- Medical Mutual of Ohio (OH)
- …with management, external vendors, and Information Systems to define, develop, test, audit and implement new business systems and processes. Identifies and solves ... junior staff. . Performs other duties as assigned. **Business Systems Specialist II ** Works with management, external vendors, and Information Systems to define,… more
- Hackensack Meridian Health (Hackensack, NJ)
- …performs all related internal, concurrent, prospective and retrospective coding audit activities across the Hackensack Meridian Health (HMH) network. Reviews ... Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) Level II code and modifier assignments according to regulatory requirements. Reports findings… more
- Rush University Medical Center (Chicago, IL)
- …comprehensive data to provide timely reconciliation and invoicing for optimal reimbursement of services. Responsible for monitoring and improving research billing ... Coverage Analyst and Clinical Research Financial Analyst daily work. * Review/ audit of daily activity of the Clinical Research Coverage Analyst and Clinical… more
- LA Care Health Plan (Los Angeles, CA)
- …Care Services (DHCS) such as Rate Development Template, Supplemental Data Request, Audit Request. Support of all Actuarial functions and needs. Create and maintain ... and track data anomalies. This position will work closely with Financial Analyst II and III to provide assistance and perform routine task. Duties Support in… more
- Hackensack Meridian Health (Hackensack, NJ)
- …departments to reduce clinical denials by: I. Peer-to Peer (P2P) Concurrent appeals ii . Written Concurrent appeals iii. Recovery Audit Contractors & levels of ... These include but are not limited to utilization review, hospital reimbursement , clinical compliance, case management, and transitions of care, as outlined… more