- Stony Brook University (East Setauket, NY)
- …with Inpatient and Outpatient billing requirements (UB-04/837i) and/or CMS Medicare and New York Medicaid reimbursement methodologies. + Knowledge of ... Revenue Specialist **Position Summary** At Stony Brook Medicine, a...support day-to-day business functions including but not limited to: billing , claims analysis appeals, follow-up, financial assistance and customer… more
- US Physical Therapy (Bend, OR)
- …are completed if care continues without coverage. + Stay current with Medicare , Medicaid , HIPAA regulations, and commercial insurance policy changes. ... strongly preferred. + Working knowledge of insurance plans, including commercial, Medicare , Medicaid , and government assistance programs. **Skills &… more
- Stony Brook University (East Setauket, NY)
- …hospital Managed Care payment variances and denials. + Expert knowledge of Medicare and NY Medicaid Inpatient and Outpatient reimbursement methodologies. + ... Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the...claim drivers. + Expert knowledge of inpatient and outpatient billing requirements (UB-04, 837i). + Experience working with CPT/HCPCs… more
- Stanford Health Care (Palo Alto, CA)
- …after a detailed review of medical records. Ensure compliance with Medicare , Medicaid , third-party guidelines, Local Coverage Determinations (LCD), National ... Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle Denials Management… more
- Stony Brook University (Stony Brook, NY)
- … processes and troubleshooting billing questions according to NYS DOH, Medicare , Medicaid and patient insurance regulations. d. Monitors the Reference Lab ... Specimen Receiving/Reference Laboratory Specialist **Position Summary** At Stony Brook Medicine, a...which include but are not limited to ICD-10 CM billing codes, medical necessity and Medicare questionnaires.… more
- Stanford Health Care (Palo Alto, CA)
- …assist in the design and implementation of workflow changes to reduce coding and billing errors. The SPC Coding Specialist II is distinguished from SPC Coding ... job.** **A Brief Overview** The Single Path Coding (SPC) Specialist -Level 2 is an advanced coder position responsible for...communication skills + Remain abreast of current Centers for Medicare and Medicaid Services (CMS) requirements, NCCI… more
- Tidelands Health (Myrtle Beach, SC)
- …laws, rules, and regulations, Follows compliant charge capture in accordance with Medicare , Medicaid or Third-Party payer guidelines. + Assists with development ... people live better lives through better health!** **Supervisor Provider Coding Specialist ** Are you passionate about quality and committed to excellence? Consider… more
- Lyric (Newtown Square, PA)
- …Extensive demonstrated understanding of US health insurance payers including Commercial, Medicare , Medicaid (FFS and MCOs), third-party claims processing ... CPT, HCPCS, ICD10CM coding and claims edit logic (including NCCI, LCDs, State Medicaid , MUEs, Lyric edits and payer medical policies) + Provide consultative support… more
- Commonwealth Care Alliance (Boston, MA)
- …experience + Experience in health plan provider relations. **Experience (Desired)** + Medicare / Medicaid experience preferred. + Experience with CPT coding and ... provider community. In this highly visible field position, the provider relations specialist acts as the primary liaison between CCA and its providers including… more
- Commonwealth Care Alliance (Boston, MA)
- …Mentoring subject matter expert of the team + Managed Care experience (preferably Medicare / Medicaid ) + Experience in health plan provider relations + Experience ... Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and strengthening relationships with… 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
- Accura Healthcare (Omaha, NE)
- …Iowa and Nebraska will be considered. Accura HealthCare has an opportunity to invite a Medicaid Billing Specialist - Lead to join our growing accounting and ... experience is necessary to be considered. JOB SUMMARY: The Medicaid Billing Specialist performs a...the position. QUALIFICATIONS: + Knowledge of Medicaid , Medicare , and insurance reimbursement systems, including billing … 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
- Ventura County (Ventura, CA)
- Medical Billing Specialist III/IV - Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5037514) Apply Medical Billing ... Insurance, they ensure accuracy, efficiency, and regulatory adherence in all mental health billing operations. Medical Billing Specialist III ( $ 25.10… 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
- Access: Supports For Living (Middletown, NY)
- Senior Billing Specialist Location: Middletown, NY, United...of OMH, OASAS, Medicare , Medicaid , Medicaid Managed Care and other payers' billing ... Job Description: Reporting to the A/R Manager, the Senior Billing Specialist is a key position in...team. + Knowledge of Medical Insurance programs such as Medicaid , Medicare and Dual eligibility benefits establishment.… more
- Hartford HealthCare (Torrington, CT)
- …Maintain up-to-date knowledge of payer guidelines and regulatory changes to ensure billing readiness for Medicare , Medicaid , and commercial payers, ... part of Connecticut's most comprehensive healthcare network as a Pre- Billing Specialist . The Pre- Billing ...prior to claim submission. This role ensures compliance with Medicare , Medicaid , and other Commercial payer requirements,… more
- The Wesley Community (Saratoga Springs, NY)
- …members to resolve billing -related concerns. + Ensure compliance with Medicare / Medicaid billing requirements, regulatory standards, and facility specific ... a Billing Specialist + 2+ years of billing procedures for all payer types including Medicare , NY Medicaid , HMO and Private insurance + Experience… more
- On With Life (Ankeny, IA)
- …(eg Medicare and Medicaid ) An excellent candidate for our Medical Billing Specialist position meets the following criteria: + Minimum two years medical ... POSITION: Join Our Expanding Team! As a onsite Medical Billing Specialist at On With Life, you...GED equivalent is required. + Extensive knowledge of commercial, Medicare and MCO Payers' rules and regulations as it… more
- Guidehouse (St. Paul, MN)
- …of authoritative information. + Maintains current knowledge of Medicare , Medicaid , and other third-party payer billing compliance guidelines and ... Knowledge, understanding and proper application of Medicare , Medicaid , and third-party payer UB-04 billing and...Medicare , Medicaid , and third-party payer UB-04 billing and reporting requirements including resolution of CCI, MUE… more
