• Medicare Part B

    Specialty Rx, Inc. (Ridgefield Park, NJ)
    Job Description SpecialtyRx is a full-service pharmacy. We need Medicare Part B - Billing Representative with Pharmacy experience in our Ridgefield Park, ... We offer a competitive salary and benefits package. Responsibilities: + Experience with billing Part B claims, review and handle denials. + Knowledge with… more
    Specialty Rx, Inc. (09/10/24)
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  • Medicare Part B Operations…

    CVS Health (Boston, MA)
    …attention to detail, accuracy and follow through + Knowledge of medical billing and/or Medicare Part B Policy and Regulations + Ability to work in strict ... affordable. **Job Description Summary** The primary responsibility of the Medicare Part B Operations Coordinator...Revenue Cycle Team's overall goal of timely and accurate billing of pharmacy and medical claims to Third Party… more
    CVS Health (09/22/24)
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  • Billing Coordinator / Senior Living

    BrightSpring Health Services (Louisville, KY)
    …and timely adjudication of resident billing and re- billing through Medicare Part B & D, Medicaid, Hospice, and Private Insurance Plans + Daily, ... preferred) + Familiarization with online claims processing and Medicaid and Medicare billing practices + Proficient with Microsoft Word and Excel required +… more
    BrightSpring Health Services (10/02/24)
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  • Pharmacy Billing Coordinator

    BrightSpring Health Services (Louisville, KY)
    …and timely adjudication of resident billing and re- billing through Medicare Part B & D, Medicaid, Hospice, and Private Insurance Plans + Daily, ... preferred) + Familiarization with online claims processing and Medicaid and Medicare billing practices + Proficient with Microsoft Word and Excel required +… more
    BrightSpring Health Services (09/24/24)
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  • Medicare Biller / Accounts Receivable

    CommuniCare Health Services Corporate (Indianapolis, IN)
    …submission + Review of Medicare A, Medicare A No Pays/Benefit Exhaust, Medicare B , and Medicare Secondary Payer claims for accuracy and timely ... living communities. CommuniCare Health Services is currently recruiting a Medicare Biller for our Central Billing Office...Professional appearance and mannerisms + Ability to work as part of a team + Computer skills including, but… more
    CommuniCare Health Services Corporate (09/22/24)
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  • Billing Collections Lead

    HonorHealth (Phoenix, AZ)
    …the Epic dashboard. Maintains current knowledge of regulatory billing requirements for Medicare Parts A, B , and DME, State Medicaid claims and other payers ... Overview Looking to be part of something more meaningful? At HonorHealth, you'll...and Medicare reimbursement collection experience Required 2 years Commercial and Medicare regulatory billing experience… more
    HonorHealth (09/17/24)
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  • Medical Billing Specialist

    Robert Half Finance & Accounting (Cincinnati, OH)
    …long-term care settings. + Extensive knowledge and expertise in Medicare , Medicaid, 4901, DME billing , and Part A& B . + Proficient in Point Click Care ... You will be primarily working within a long-term care setting, dealing with Medicare , Medicaid, and other related billing systems. Responsibilities: * Oversee… more
    Robert Half Finance & Accounting (09/14/24)
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  • Billing Coordinator

    AdventHealth (Tampa, FL)
    …Record system + Knowledge of CPT, ICD, and HCPCS coding techniques + Knowledge of Medicare part A/ B rules and regulations + Knowledge of medical terminology ... + 5 years of healthcare medical office experience + Medicare and Medicaid billing background + Extensive customer service background + Organization skills… more
    AdventHealth (09/27/24)
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  • Corporate Billing Specialist

    Ebenezer (Edina, MN)
    …applications (Excel, Outlook, etc.) + Long term care electronic claim submission with Medicare A and B , Medicaid and managed care payers. Payment posting ... determinations will be based on similar experience._** We are looking for a ** Billing Specialist** to join our Ebenezer Corporate team! This position is responsible… more
    Ebenezer (09/24/24)
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  • Billing Specialist I

    US Tech Solutions (Monroeville, PA)
    … Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B , Major Medical and Medicaid. Individual must work ... fills and work claims through to resolution to ensure compliant, timely and accurate billing practices. Worker must live within 1 hour of the site (Monroeville, PA)… more
    US Tech Solutions (08/09/24)
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  • Clm Resltion Rep III, Hosp/Prv - Remote/Hybrid…

    University of Rochester (Rochester, NY)
    …application, Microsoft Word, Excel, Access, Email, Emdeon (Fidelis Medicaid Managed Care and Medicare Part B ) clearinghouse software, third party claims ... for managing inpatient/outpatient accounts from the beginning of the billing period through the accurate resolution of the account....Examples of reports: + 2 nd level report + Medicare and Medicaid credit balance report + Over $10… more
    University of Rochester (10/02/24)
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  • Utilization Review Nurse I

    The Cigna Group (Bloomfield, CT)
    **Cigna Medicare Part C Appeals Reviewer: Appeals...decisions regarding denials of medical services as well as Part B drugs. The Case Management Analyst ... Medicare Appeals, Utilization Case Management or Compliance in Medicare Part C + Ability to differentiate...department management and peers. . + Understand and investigate billing issues, claims and other plan benefit information. .… more
    The Cigna Group (09/25/24)
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  • Director of Clinical Reimbursement (RN)

    Elderwood (Buffalo, NY)
    …will also provide ongoing training to staff as related to Part A and B services, be largely involved with the billing department and month end claims ... needed to all locations as assigned. + Participates in departmental discussions relative to Part A and B services and reimbursement. + Participates in ongoing… more
    Elderwood (09/21/24)
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  • Revenue Cycle Representative Senior- Customer…

    UNC Health Care (Chapel Hill, NC)
    …Accounts to ensure proper billing . 10. Other: Responsible for processing Part B split claims. Accurately and thoroughly document the pertinent collection ... **Description** Become part of an inclusive organization with over 40,000...with prior authorizations and insurance verification to post-service with billing , follow-up and collections. Requires substantial knowledge of all… more
    UNC Health Care (09/24/24)
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  • Regional Account Executive - Long Island, NY…

    Walgreens (Deerfield, IL)
    …able to address/understand/discuss complex reimbursement systems and flow of the healthcare dollar ( Medicare Part B /D, ACOs, GPOs, Hospitals, etc.). **Job ... variety of tools, and internal resources as an integral part of the sales interaction. + Leads cross functional... billing procedures for hospital, medical offices and Medicare ( B / D benefits). + Experience… more
    Walgreens (09/19/24)
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  • Clm Resltion Rep IV, Hosp - Remote/Hybrid…

    University of Rochester (Rochester, NY)
    …application, Microsoft Word, Excel, Access, Email, Emdeon (Fidelis Medicaid Managed Care and Medicare Part B ) clearinghouse software, third party claims ... that are complex based on high dollar amounts, multiple payers, unique billing or payment arrangements, specialized services (eg transplants, studies) as well as… more
    University of Rochester (09/26/24)
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  • Sr. Director, Senior Associate General Counsel,…

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …fraud investigations unit and its work pursuing recoveries for fraud and improper billing . The attorney will be responsible for the unit's finances including both ... associations. The attorney will also oversee compliance for the Medicare and Federal Employee programs related to FWA and...this sounds like something you'd like to be a part of, we'd love to hear from you. You… more
    Blue Cross Blue Shield of Massachusetts (08/27/24)
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  • Credentialing Specialist II

    ZoomCare (Portland, OR)
    Credentialing Specialist II Billing Team Portland, Oregon Description SUMMARY At ZoomCare we are working hard to make healthcare easy. Our mission is to deliver ... new markets. We hope you will apply to become part of our dedicated, fast-moving team of superstars! ZoomCare...Team and works to support the goals of the Billing Department. The Specialist II assists in performing all… more
    ZoomCare (10/01/24)
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  • Clm Resltion Rep II, Hosp

    University of Rochester (Rochester, NY)
    …application, Microsoft Word, Excel, Access, Email, Emdeon (Fidelis Medicaid Managed Care and Medicare Part B ) clearinghouse software, third party claims ... for the accurate and timely preparation and submission of third-party billing /claims to governmental or third-party payers. Re-submits claims that fail third… more
    University of Rochester (08/24/24)
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  • Health Care Financial Analyst / Emergency…

    The County of Los Angeles (Los Angeles, CA)
    …rules and regulations and result in maximum revenue collection. Prepares Medicare and Medi-Cal cost reports and State mandated disclosure reports. Analyzes ... and executive management informed of financial condition. Develops, monitors and adjusts billing rates to reflect cost changes and maximize cost recovery. Analyzes… more
    The County of Los Angeles (09/19/24)
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