- Nesco Resource (Roseville, CA)
- …limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. Reports claims to the excess carrier; responds to ... PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving… more
- EDI Staffing (Lynbrook, NY)
- …This includes submissions to the NYS Medicaid, Managed Care, and CMS for Medicare claims . Duties and Responsibilitiesinclude the following. Other duties may be ... trusted advisor role. This position will primarily support the Claims functional area of the organization with a strong...offerings including NY State of Health exchange plans, Medicaid, Medicare , Dual, Child Health Plus and Managed Long Term… more
- Careerbuilder-US (Rancho Mirage, CA)
- …MUE edits as well as a general knowledge of Commercial, HMO, and Medicare Advantage claims , authorization and documentation requirements Education: . Required: ... report suspected violations * Analyse denied, underpaid and unpaid claims . Appeal underpaid and denied claims within...and unpaid claims . Appeal underpaid and denied claims within timely filing periods. * Identify, track and… more
- Mindlance (Port Graham, AK)
- …the team verifies all the information necessary to properly submit clean claims to Medicare , Medicaid, Veterans Administration, and Commercial Insurance. Reviews ... 3/5 Skills: A minimum of 3 years of experience in Commercial, Medicaid, Medicare Part B/Primary Care billing; Medical Billing or coding certification from either of… more
- Concorde Career Colleges, Inc. (Memphis, TN)
- …seven years in the subject area to be taught (TN)Experience with Medicaid/ Medicare claims , scheduling, patient accounts, and patient billingCoding experience, ... CPC or AAPC preferredPrior teaching and management experience preferredExcellent oral and written communication skillsWhat's in it for you?* Impact the lives of aspiring healthcare professionals and contribute to community development.* Embrace a… more
- Concorde Career Colleges, Inc. (Kansas City, MO)
- …high school diploma or equivalent, Associate Degree preferred.Experience with Medicaid/ Medicare claims , scheduling, patient accounts, and patient billing.Coding ... experience, CPC or AAPC PreferredPrior online teaching and management experience preferred. Self-starter, excellent organizational, problem solving, communication and customer service skills.Must have current car insurance and valid unrestricted driver's… more
- Creative Financial Staffing (Berne, IN)
- …our healthcare services. Responsibilities of the Medical Billing Specialist: Prepare and submit claims to Medicare and Medicaid in compliance with their billing ... denials, and rejections. Collaborate with the billing team to ensure all claims are processed efficiently. Stay up-to-date with Medicare and Medicaid… more
- Alive Hospice, Inc. (Nashville, TN)
- Description Revenue Cycle Specialist ( Medicare ) Full Time Location: Nashville, TN Status: Regular Full Time Days: Monday - Friday Hours: 40/week Are you a Revenue ... for generating billing cycles posting payments and follow-up on claims to ensure timely payment. ESSENTIAL DUTIES AND RESPONSIBILITIES...in the DDE system on a regular basis. Post Medicare PIP remittance advices through Clearinghouse auto post or… more
- Everence (Goshen, IN)
- …benefits for coverage of proposed services.Answer inquiries regarding the status of claims payment for all Everence health products.Research and assist in resolving ... policy and strive to retain membership.Provide coverage options for Medicare Supplement products including pricing.Maintain an understanding of Everence third-party… more
- Prestige Staffing (Birmingham, AL)
- …including HMO/PPO, Medicare , and state Medicaid Follow up on unpaid claims within standard billing cycle timeframe Check each insurance payment for accuracy and ... be reviewed for insurance or patient follow-up Research and appeal denied claims Review codes and research denials Qualifications and Skills: Knowledge of HMO/PPO,… more
- U of C NORC (Chicago, IL)
- …have strong subject matter or technical expertise in 2-3 priority areas including Medicare , Medicaid, or commercial market policy, financial modeling and claims ... Strong subject matter or technical expertise in 2-3 priority areas including Medicare , Medicaid, or commercial market policy, financial modeling and claims … more
- Careerbuilder-US (Costa Mesa, CA)
- …within assigned work queues. . Obtains the maximum amount of reimbursement by evaluating claims at the contract rate with the use of the contract management tool for ... the HCFA 1500 forms. . Knowledge of HMO, POS, PPO, EPO, IPA, Medicare Advantage, Covered California (Exchange), capitation, commercial and government payors (ie … more
- Pacer Staffing (Whittier, CA)
- …. Understands the billing and payment follow up time limits set forth by Medicare , payer contracts and has the knowledge of insurance billing rules and regulations. ... providing accurate information to payer. . Reviews and analyzes denied claims to determine appropriate action, accurately requesting the correct contractual… more
- Nesco Resource (Bethesda, MD)
- Job Summary The Claims Specialist-Appeals assesses and facilitates ongoing support for Government Solutions (SGS) Claims OperationsResponsibilities include ... assessing and handling appeals; serves as the subject matter expert for claims appeals; and to serve as the liaison between claims operation and the client.… more
- Prestige Staffing (Atlanta, GA)
- …payments. Patient collections calls. Follow- up with insurance carriers regarding denied claims . Able to interpret EOBs from all commercial carriers including ... Medicare and self-pay. Someone who fully understand modifiers, familiar with pre-cert and prior authorization. more
- Dialysis Clinic, Inc. (Sacramento, CA)
- …all primary payments and denials for accuracy as well as sending out initial claims , corrected claims and appeals.Starting pay: $23.00/hr. This position is for ... and coordinate updating current NDC codes being used at designated clinics.Ensure all claims go to payers via electronic clearing house, keying into portals, etc.… more
- Option Care Health (Chicago, IL)
- …to analyze large datasets, such as related to healthcare operations, billing, claims , and patient information to support Compliance activities and to identify ... abuse, including but not limited to HIPAA, Anti-Kickback, Stark, Medicare /Medicaid reimbursement. Experience evaluating information to determine compliance with… more
- AllCare Health (Grants Pass, OR)
- …home care coordination.Knowledge of CPT codes, HEDIS, HIPAA, ICD-10 codes, Medicare guidelines, NCQA, Coordination of benefits where applicable (ie Worker's ... Abuse or Legal Services is required.Knowledge of billing and claims processing preferred.Certificates, Licenses and/or RegistrationsCurrent Oregon Registered Nursing… more
- DivIHN Integration Inc (Orlando, FL)
- …accounts - patients using LVAD (Left Ventricular Assist Device), filing claims , reviewing EOBs (Explanation of Benefits) from Insurance companies with patient ... versus no experience Experience in: AR/Collections, Billing/Collections, Medicaid and Medicare Collections background, Accounting background Education: A minimum of… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …any related items. This person may work with managed care payors to resolve claims and related issues in order to enhance managed care contract performance. Supports ... ensure the contracts applications reflect the most up to date Medicare terms Essential Tasks and ResponsibilitiesModels' contracts to determine appropriate financial… more
