- National Health Care Associates (Valley Stream, NY)
- …and projections + 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… more
- Mom's Meals (Ankeny, IA)
- …home health, home care, hospital or medical equipment + Knowledge of Medicaid / Medicare benefit programs + Demonstrated experience consulting and presenting to ... Salesforce or similar organizational sales software + A strong background in Medicare / Medicaid and Managed Care organizations + Clinical credentialing in Social… 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 ... care including management or supervisory responsibilities + Thorough knowledge of Medicare , Medicaid , Pending, Applied Income, and Managed Care reimbursement… 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 ... which include but are not limited to ICD-10 CM billing codes, medical necessity and Medicare questionnaires. + Handles all processing of biological specimens in… 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)
- …with Inpatient and Outpatient billing requirements (UB-04/837i) and/or CMS Medicare and New York Medicaid reimbursement methodologies. + Knowledge of ... will support day-to-day business functions including but not limited to: billing , claims analysis appeals, follow-up, financial assistance and customer service.… more
- Sun Pharmaceuticals, Inc (Washington, DC)
- …of adjudication within Commercial and Government payers, buy and bill model, Medicare , Tricare , Medicaid and National and Regional Commercial payers. ... This will include understanding and educating on local health policy, reimbursement, billing / coding, and patient access issues. Field Reimbursement Managers will… more
- National Health Care Associates (Glens Falls, NY)
- …and leadership skills are required. + Must have thorough knowledge of Medicare , Medicaid , Pending, Applied Income, and Managed Care reimbursement regulations. ... Business Office Manager, you are responsible for the daily coordination of census, billing , and resident funds. Your work will ensure regulatory compliance and that… 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 ... management. Evaluate internal controls related to documentation, coding, charging, and billing practices to ensure compliance. + Government Audit and Appeals Program… 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
- Caris Life Sciences (Irving, TX)
- …Receivable Associate is responsible for reviewing outstanding denied claims with Medicare , Medicaid and Commercial insurance companies. This role involves ... 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)
- …written and oral communication skills + Remain abreast of current Centers for Medicare and Medicaid Services (CMS) requirements, NCCI edits, National Coverage ... procedure codes and modifiers, group Ambulatory Payment Classifications (APCs) for billing , and process National Correct Coding Initiative (NCCI) and payer specific… more
- Commonwealth Care Alliance (Boston, MA)
- …experience + Experience in health plan provider relations. **Experience (Desired)** + Medicare / Medicaid experience preferred. + Experience with CPT coding and ... Program benefits; Clinical initiatives; Referral and authorization; Regulatory compliance; Billing and payments; Complaints and appeals; Policies and procedures. +… 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 ... lead communication sessions, educating on CCA's policies, program benefits, billing , referral and authorizations regulatory compliance, and contractual expectations.… 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. + ... healthcare claim drivers. + Expert knowledge of inpatient and outpatient billing requirements (UB-04, 837i). + Experience working with CPT/HCPCs and ICD-10… more
- National Health Care Associates (Stafford Springs, CT)
- …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, exceptionally detail-oriented individual with strong organizational skills, analytical capabilities and the ability to make decisions independently + Excellent written and… 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 ... the institution. Serves as a resource and technical expert for complex coding/ billing issues. Informs, educates, and coordinates with other Revenue Cycle, Clinical… more
- Prime Healthcare (Inglewood, CA)
- …out of state Medicaid billing guidelines. + Knowledge of basic Medicaid / Medicare billing rules, regulations, and deadline. + Working experience with ... to join our corporate team! #LI-JV1 Responsibilities The Senior Medicare - Medicaid Biller/Collector is responsible for both billing and collections, gathering… 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 ... as a Billing Specialist + 2+ years of billing procedures for all payer types including Medicare , NY Medicaid , HMO and Private insurance + Experience… more
- Ascension Health (Wichita, KS)
- …organizations and/or government or self payers. + Research, analyze and reconcile Medicare / Medicaid billing and reimbursement practices. + Maintain detailed ... benefits from all sources for assigned area. Ensure proper adequate and timely billing to ensure prompt payment. + Confirm insurance coverage. + Determine necessity… more
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