- National Health Care Associates (Valley Stream, NY)
- …Ensure compliance with regulatory requirements and internal policies, including Medicare and Medicaid billing regulations + Assist in special projects and ... initiatives as directed by the CFO or senior management team + Workday FDM experience If you're passionate about playing a critical role in ensuring the financial health and stability of our operations, in an environment where your expertise and dedication are… more
- National Health Care Associates (Stafford Springs, CT)
- …promptly + Interact with residents, families, and external partners to address billing inquiries and provide clear, empathetic explanations when needed + Prepare and ... not required - training will be provided + Familiarity with healthcare billing practices, regulations, and relevant software applications (eg billing systems,… more
- National Health Care Associates (Ridgefield, CT)
- …Applicants must be experienced in skilled nursing business office management including: + Medicaid , Medicare and Managed Care Billing + Revenue Cycle Management ... in the areas of census, ancillaries, billing , adjustments, collections, write offs, refunds and deposits + Month End Processing and Reporting + Management of… more
- Stony Brook University (East Setauket, NY)
- …will support day-to-day business functions including but not limited to: billing , claims analysis appeals, follow-up, financial assistance and customer service. ... and coding issues. + Process appeals. + Liaise with third party billing and collection agencies. + Identify issues and patterns with claims/insurance companies… more
- Stony Brook University (Stony Brook, NY)
- …include fiscal responsibilities, ie, performing billing processes and troubleshooting billing questions according to NYS DOH, Medicare, Medicaid and patient ... include back-up supervisory, phlebotomy, quality assurance, send-out testing processing and billing audit duties under the supervision of the Specimen Receiving and… more
- US Physical Therapy (Bend, OR)
- …coverage status and determine the need for applicable waivers. + Monitor Medicaid patients for expired authorizations and ensure proper consent forms are completed ... if care continues without coverage. + Stay current with Medicare, Medicaid , HIPAA regulations, and commercial insurance policy changes. **Administrative Support** +… more
- National Health Care Associates (Glens Falls, NY)
- …Business Office Manager, you are responsible for the daily coordination of census, billing , and resident funds. Your work will ensure regulatory compliance and that ... with medical pending application and tracking through approval + Accurately report billing and cash collection activity + Ensure full compliance of the resident… more
- Stanford Health Care (Palo Alto, CA)
- …detailed review of medical records. Ensure compliance with Medicare, Medicaid , third-party guidelines, Local Coverage Determinations (LCD), National Coverage ... management. Evaluate internal controls related to documentation, coding, charging, and billing practices to ensure compliance. + Government Audit and Appeals Program… more
- Mom's Meals (Ankeny, IA)
- …to MA health plan as needed to improve operational efficiency + Resolve any billing , intake or operational issues with internal partners and communicate the value of ... home health, home care, hospital or medical equipment + Knowledge of Medicaid /Medicare benefit programs + Demonstrated experience consulting and presenting to care… more
- Lyric (Newtown Square, PA)
- …CPT, HCPCS, ICD10CM coding and claims edit logic (including NCCI, LCDs, State Medicaid , MUEs, Lyric edits and payer medical policies) + Provide consultative support ... creation of Lyric's claims editing concepts + Translate complex coding and billing concepts into clear, actionable guidance for diverse client audiences (Medical… more
- Caris Life Sciences (Irving, TX)
- …Associate is responsible for reviewing outstanding denied claims with Medicare, Medicaid and Commercial insurance companies. This role involves following up with ... with insurance companies to resolve claims disputes. + Identifying and resolving billing errors and implementing processes to prevent future issues. + Identifying… more
- Stanford Health Care (Palo Alto, CA)
- …procedure codes and modifiers, group Ambulatory Payment Classifications (APCs) for billing , and process National Correct Coding Initiative (NCCI) and payer specific ... across the organization such as Patient Financial Services, the Patient Billing Office, the Revenue Integrity (Charge Description Master) Team, provider teams… more
- Sun Pharmaceuticals, Inc (Washington, DC)
- …This will include understanding and educating on local health policy, reimbursement, billing / coding, and patient access issues. Field Reimbursement Managers will ... verification and / or claim adjudication, physician office and outpatient billing , medical benefit procurement, understanding of adjudication within Commercial and… more
- Stony Brook University (East Setauket, NY)
- …payment variances and denials. + Expert knowledge of Medicare and NY Medicaid Inpatient and Outpatient reimbursement methodologies. + Expert knowledge of third party ... healthcare claim drivers. + Expert knowledge of inpatient and outpatient billing requirements (UB-04, 837i). + Experience working with CPT/HCPCs and ICD-10… more
- Commonwealth Care Alliance (Boston, MA)
- …Program benefits; Clinical initiatives; Referral and authorization; Regulatory compliance; Billing and payments; Complaints and appeals; Policies and procedures. + ... + Experience in health plan provider relations. **Experience (Desired)** + Medicare/ Medicaid experience preferred. + Experience with CPT coding and authorization… more
- Commonwealth Care Alliance (Boston, MA)
- …lead communication sessions, educating on CCA's policies, program benefits, billing , referral and authorizations regulatory compliance, and contractual expectations. ... subject matter expert of the team + Managed Care experience (preferably Medicare/ Medicaid ) + Experience in health plan provider relations + Experience with… more
- Stony Brook University (Stony Brook, NY)
- …responsibilities. Provide self-pay patients with information on qualifications for Medicaid or financial assistance. Engages financial counselors as appropriate. + ... distressed family members). **Preferred:** + Bilingual in English and Spanish. + Billing , Accounts Receivable, or Customer Service, or Call Center experience. +… more
- National Health Care Associates (Stafford Springs, CT)
- …required + Proficient in state and federal regulations governing the MDS and billing process + Knowledge and understanding of Electronic Medical Record (EMR), PDP, ... MDS 3.0, Medicaid and Medicare requirements + Interest in the nursing needs of the aged and the chronically ill with the ability to work with both + Deadline driven,… more
- Tidelands Health (Myrtle Beach, SC)
- …the institution. Serves as a resource and technical expert for complex coding/ billing issues. Informs, educates, and coordinates with other Revenue Cycle, Clinical ... and regulations, Follows compliant charge capture in accordance with Medicare, Medicaid or Third-Party payer guidelines. + Assists with development of policies,… more
- Accura Healthcare (Omaha, NE)
- …and Nebraska will be considered. Accura HealthCare has an opportunity to invite a Medicaid Billing Specialist - Lead to join our growing accounting and finance ... experience within the healthcare industry, specifically Skilled Nursing Facility (SNF) billing experience. Medicaid billing experience is necessary to… more
