- 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, ... competitive salary and benefits package. Responsibilities: + Experience with billing Part B claims, review and handle denials. + Knowledge with vaccine billing,… more
- UNC Health Care (Chapel Hill, NC)
- …with Research Accounts to ensure proper billing. 10. Other: Responsible for processing Part B split claims. Accurately and thoroughly document the pertinent ... **Description** Become part of an inclusive organization with over 40,000...resolve credit balances through refunds or posting adjustments. Compiles Medicare /Medicaid Cash Reports and quarterly Credit Balance reports. 6.… more
- 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 ... status on appropriate payer system or contact an insurance representative to obtain information as to why claims are...Examples of reports: + 2 nd level report + Medicare and Medicaid credit balance report + Over $10… more
- The County of Los Angeles (Los Angeles, CA)
- …criteria, and for certification of approved hospital days reimbursable under the Medicare and MediCal programs. Essential Job Functions + Plans, develops, and ... care evaluation studies. + Works with Professional Standards Review Organization representative to orient new staff to Federal laws and regulations pertaining… more
- Sleep Data (San Diego, CA)
- …driven to succeed, and being recognized for your success? Wouldn't you love to be a part a team where management is focused on nurturing a strong culture? If so come ... policies/edits/updates from any payer source + Build, utilize, and understand Medicare fee schedules, payor reimbursement schedules, fee schedules, building, manages… more
- VNA Health (Santa Barbara, CA)
- …for fitness and wellness expenses. + Financial wellness program with matching 403( b ) Retirement Plan and Healthcare and Dependent Care Flexible Spending Accounts ... accordance with state regulations and as required by the Medicare Conditions of Participation. The Clinical Manager is responsible...guidelines. + Assigns patient visits for per diem and part time RN and HHA staff according to staff… more
- State of Massachusetts (Boston, MA)
- …safety standards and regulations required by The Joint Commission, Center for Medicare , and Medicaid Services (CMS), Department of Public Health (DPH) and other ... Serves as the organizational contact for the Joint Commission account representative and maintains effective working relationship. * Provides direction and guidance… more
- The Joint Commission (Oakbrook Terrace, IL)
- …Candidates with Home Health and Hospice Care experience.** + The RN Field Representative surveys hospice and home care organizations throughout the United States. + ... or Hospice care required. + Experience working in a Medicare Certified home health agency is required. + Ideal...all types of weather conditions, etc. Candidates interested in part time positions must be available to work two… more
- Hospice Of San Joaquin (Stockton, CA)
- …with Hospice services and knowledge of hospice regulatory requirements and Medicare COP guidelines is preferable. Can work independently, demonstrates excellent ... DEMANDS AND WORK ENVIRONMENT: The physical demands described are representative of those which must be met by an...REQUIREMENTS: + Health Screening + TB Screening + Hepatitis B Series offered + Background Check + Reference Check… more
- Hospice Of San Joaquin (Stockton, CA)
- …actions, and goals are accurately and clearly stated and kept in accordance with Medicare , medical, State home health agency, and JCAHO standards. 6. On an ongoing ... PRE-EMPLOYMENT 1. Health Screening 2. TB Screening 3. Hepatitis B Series offered 4. Background Check 5. Reference Check...Screening PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an… more
- State of Colorado (Grand Junction, CO)
- …name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... the official appeal form, signed by you or your representative . This form must be delivered to the State...to the full inclusion of all qualified individuals. As part of this commitment, our agency will assist individuals… more
- City of Santa Monica (Santa Monica, CA)
- …do not participate in Social Security. Employees pay a 1.45% contribution towards Medicare . SUPPLEMENTAL RETIREMENT PLAN: 457( b ) plan is available for voluntary ... for character and training for skill. Join us, and you'll not only be part of a community-focused force but also receive great pay and benefits. This non-sworn… more
- AbbVie (Portland, ME)
- …+ A Valid Driver's License + Experience selling in a "buy and bill" Medicare part B /Medical benefit environment and understanding of reimbursement challenges ... and rewards. Financial awards and incentives are just a part of this - we invest in our people;...position is to satisfy all applicable health care industry representative (HCIR) credentialing requirements to gain and maintain entry… more
- Spokane County (Spokane, WA)
- …funded individuals and their families; participates as the region's CSD representative for State Care Coordination; provides education and diversion resources for ... Management (SAM) excluded provider, in any capacity for the Medicare , Medicaid, and all Federal healthcare programs. + Must...procedures, and regulations to include HIPAA and 42 CFR, Part 2. + Knowledge of acute psychiatric symptoms and… more
- The Joint Commission (Oakbrook Terrace, IL)
- …licensure and reimbursement from State/Federal sources, including Center for Medicare /Medicaid Services (CMS). + **Adaptability** : Demonstrate the ability to ... compensation information of other employees or applicants as a part of their essential job functions cannot disclose the...(a) in response to a formal complaint or charge, ( b ) in furtherance of an investigation, proceeding, hearing, or… more
- Catholic Charities Family Community Services (Rochester, NY)
- …for employees to thrive, grow and learn. Don't miss out on being a part of something special! **APPLY ON OUR WEBSITE HERE:** **Position Title:** Nurse Practitioner ... once vested (subject to agency financial performance) + Employee 403( b ) + My Better Benefits - provides discounts and...Credentialing Center (ANCC) credentialing. (This position will deal with Medicare and, one of the two certifications must be… more