- Elevance Health (Columbus, OH)
- …a check, or ask you for payment as part of consideration for employment. ** Audit & Reimbursement II - Medicare Cost Report Audit ** + Job Family: AFA ... FL, TAMPA + IA, W DES MOINES + VA, ROANOKE **Description** ** Audit & Reimbursement II - Medicare Cost Report Audit ** **Locations:** This is a virtual… more
- Medical Mutual of Ohio (OH)
- …(medical drug) programs as needed. . Performs other duties as assigned. ** Medicare Pharmacy Coordinator II ** Working under general supervision, administers ... mail pharmacy. . Intermediate Microsoft Office skills (Excel, Word, Power Point). ** Medicare Pharmacy Coordinator II ** . Associate Degree in Business… more
- LA Care Health Plan (Los Angeles, CA)
- …audit samples purposes. This position will also support the annual CMC/ Centers for Medicare and Medicaid Services (CMS) audit by Advent/ Medicare Data ... Financial Compliance Data Manager II Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full Time… more
- 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 (Norwich, 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
- 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 (Maitland, FL)
- 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
- US Anesthesia Partners (Dallas, TX)
- …customer issues. + Follow-up on customer inquiries not immediately resolved. + Research/ audit patient accounts for further payment or adjustments. + Work reports as ... Basic math skills for calculating anesthesia units and proper reimbursement + Medical terminology + Basic knowledge of insurance...processing, guidelines and laws + Knowledge of managed care, Medicare and Medicaid guidelines + Data entry skills +… 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
- Trinity Health (Mason City, IA)
- …HCPCS level II coding guidelines, along with CCI edits and Medicare claims processing manual contents in a multi-facility, integrated health care delivery system ... by provider with comparison to national benchmarking to identify potential outliers and audit risks. + Ensures systems and processes comply with federal, state and… 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
- 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