- NORC (Washington, DC)
- …of all aspects of health care delivery, from private marketplaces and employer-sponsored insurance to Medicare and Medicaid; from large health care systems to ... work in health care delivery and financing - including access to insurance , payment and delivery-system reform, benefit design, and quality measurement - advance… more
- NORC (Washington, DC)
- …supporting publications, presentations, and successful evaluation projects. + Policy expertise in Medicare , Medicaid, and private health insurance - including a ... The Program Area Director should have familiarity and experience leading Medicare and Medicaid demonstration evaluations that use experimental or quasi-experimental… more
- Caris Life Sciences (Irving, TX)
- …and verbal + Basic knowledge of Medical billing processes + Basic knowledge of Medicare , Medicaid and commercial insurance guidelines + Basic knowledge in MS ... to handle and manage frequent changes effectively and efficiently + Knowledge of insurance processing, guidelines and general laws related to all payers. + Basic… 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 ... request and submitting required documentation to payors. **Job Responsibilities** + Review insurance denials and take appropriate action. + Check claims status via… more
- Moses/Weitzman Health System (Middletown, CT)
- …and collections office + In depth knowledge of CPT and ICD-10 Codes, Medicare and Medicaid billing rules. Insurance reimbursement methods, the claims appeal ... process, understanding of managed care contracts and capitation payments + Proficient in Microsoft Excel, Word, Access and Outlook This Position is available for remote work. **Organization Information:** Community Health Center, Inc. (CHC) with offices in… more
- Luke Staffing (Butner, NC)
- …**Experience:** Possess 2 years of experience in a healthcare or insurance environment (preferred) **Certification** : Must have one of the following ... . Selected applicant must have a thorough knowledge of Medicare payment principles, to include but not be limited...principles, to include but not be limited to: . Medicare Inpatient Prospective Payment System . Medicare … more
- Katmai (Usaf Academy, CO)
- …as needed at the local treatment facilities. + Assists TRICARE eligible and Medicare -eligible patients in accessing local TRICARE and Medicare providers in ... the Central Referral Center. + Maintains current directories of local Medicare providers, suppliers, and Institutions. + Evaluates case management process utilizing… more
- Lyric (Newtown Square, PA)
- …editing and payment integrity + Extensive demonstrated understanding of US health insurance payers including Commercial, Medicare , Medicaid (FFS and MCOs), ... a strategic partner to our clients, which include major insurance payers, while managing a team of high performing...at least 3 years of experience in a health insurance payer or automated claims editing solution, as a… more
- One Medical (San Francisco, CA)
- …Medical Flex Health Navigator supporting our Senior patients (age 65+) on Medicare , you are focused on delivering exceptional care coordination and team assistance. ... childcare Company paid maternity and paternity leave Paid Life Insurance - One Medical pays 100% of the cost...Medical pays 100% of the cost of Basic Life Insurance Disability insurance - One Medical pays… more
- Hope Services (San Jose, CA)
- …benefits package, including Medical, Dental, Vision, 401(k) Retirement, Life Insurance , Tuition Reimbursement and a comprehensive Scholarship Program, Generous Paid ... hire or upon obtaining licensure, are required to be Medicare credentialed by submitting a Medicare enrollment...to be Medicare credentialed by submitting a Medicare enrollment application. Mental Health Clinician - Required Knowledge,… more
- Wisconsin Community Services (Waukesha, WI)
- …third-party payment toward cost-of-service provision by applying for appropriate insurance benefits, fully utilizing available assistance programs, county services ... or other special populations required Valid driver's license, automobile, and insurance sufficient to meet agency requirements required. Meet all the employee… more
- Cassia CONNECT (Apple Valley, MN)
- …Off (PTO) and Holiday Pay. Comprehensive health, dental, vision, and life insurance , plus flex spending. Retirement plans with employer match (403(b) or 401(k)). ... to all employees. About Us: Apple Valley Village is a Medicare /Medicaid-certified facility offering 24-hour skilled nursing care, on-site rehabilitation, and… more
- Sun Pharmaceuticals, Inc (Washington, DC)
- …establish alternate sites of care to support patient options. + Possess expertise in Medicare policies and the variations within all parts of Medicare + Ensure ... healthcare industry including a strong understanding of but not limited to, insurance verification and / or claim adjudication, physician office and outpatient… more
- GRAIL (Washington, DC)
- …for policies that facilitate inclusion and support of our products in public insurance programs. + Collaborate closely with the VP, SVP, cross functional colleagues, ... development to demonstrate the value of early cancer detection for Medicare and other public payers. + Work cross-functionally to support evidence-generation… more
- Tidelands Health (Myrtle Beach, SC)
- …as necessary. For procedures, the employee may pre-register the patient, verifying insurance , etc. In addition, the employee may assist with making referrals. The ... no duplication or wrong patient registrations occur. Reviews demographic and insurance information for completeness, and follows through with correcting any… more
- Tidelands Health (Myrtle Beach, SC)
- …as necessary. For procedures, the employee may pre-register the patient, verifying insurance , etc. In addition, the employee may assist with making referrals. The ... no duplication or wrong patient registrations occur. Reviews demographic and insurance information for completeness, and follows through with correcting any… more
- Stanford Health Care (Palo Alto, CA)
- …Oversee and monitor the reserves related to A/R, Cost Reports, self- insurance reserves, professional liability reserves, and legal reserves. Oversee pension plan ... actual revenue and contractual allowances for all payors including managed care, Medicare , Medi-Cal, commercial, and self pay payors. Oversee the regulatory filings… more
- CSL Behring (King Of Prussia, PA)
- …reimbursement education and training and manages relationships with regional Medicare offices and Carrier Advisory Committees. **Main Responsibilities and ... marketing and sales objectives. + Work directly with third party payers and Medicare offices to insure adequate reimbursement for our products. + Provide monthly… more
- Stony Brook University (East Setauket, NY)
- …with Cerner Invision and/or Cerner Millennium Patient Accounting. + Experience in Insurance Verification. + Experience working in Medicare FSS DDE system. ... party billing and collection agencies. + Identify issues and patterns with claims/ insurance companies and review to increase revenue and prevent unnecessary denials.… more
- Wipfli LLP (Milwaukee, WI)
- …the Senior Living space. This role includes reviewing skilled nursing Medicare cost reports, understanding the skilled nursing Medicaid reimbursement systems for ... + Performs detailed review of work completed by other associates including Medicare cost reports + Gain an understanding of the skilled nursing Medicaid… more
