- 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
- Medical Mutual of Ohio (OH)
- …Education and Experience . Bachelor's degree in business or healthcare administration, audit , law, or related field. . In lieu of degree, may consider ... frameworks and insurance regulations. . Knowledge of due diligence and audit processes. . Knowledge of industry-standard programs of insurance, including coverage… more
- Bassett Healthcare (Oneonta, NY)
- …Forbes America's Best-In-State Employer 2022! What you'll do The Ambulatory 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
- LA Care Health Plan (Los Angeles, CA)
- Behavioral Health Project Manager II Job Category: Clinical Department: Behavioral Health Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... required to achieve that purpose. Job Summary The Behavioral Health Project Manager II is responsible for leading and managing a portfolio of strategic and… 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
- AdventHealth (Maitland, FL)
- **Accountant II -AdventHealth Medical Group-Accounting and Finance** **All the benefits and perks you need for you and your family:** . Benefits from Day One . ... ever-changing health care market. **The role you'll contribute:** The Accountant II performs planning, coordination and administration of complex and significant… more
- LA Care Health Plan (Los Angeles, CA)
- …achieve that purpose. Job Summary The Customer Solution Center Enrollment Services Representative II is responsible to audit , research, update and maintain the ... Customer Solution Center Enrollment Services Representative II Job Category: Customer Service Department: Enrollment Services Location: Los Angeles, CA, US, 90017… 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 (Hamilton, 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
- Trinity Health (Livonia, MI)
- …and timely fashion. Coordinates with Care Management for level of care, Medicare Inpatient Only list, and required authorizations. Coordinates with OR Scheduling on ... medical necessity and issues Advanced Beneficiary Notice as appropriate for Medicare primary outpatients. Provides cost estimates. Collects and documents Medicare… 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
- 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
- University of Virginia (Charlottesville, VA)
- …required in a complex hospital setting Knowledge of third party billing and reimbursement methodologies required Understanding of CPT level II and III HCPCS ... and executive use. + Monitor regulatory changes provided by the Centers for Medicare and Medicaid Services (CMS) and the Virginia Department of Medical Assistance… more