- BAYADA Home Health Care (Tucson, AZ)
- …and shall provide current proof of such registration upon Hospice's request. 6. Medicare and Medicaid Eligibility: Hospice Physician is and shall always remain ... a qualified Medicare and Medicaid provider. Hospice Physician represents and warrants that they have never been...care on a timely basis in accordance with applicable Medicare hospice regulations. Hospice Physician shall ensure… more
- HCA Healthcare (St. Petersburg, FL)
- …team is to provide a comprehensive, coordinated model of care to a mostly Medicare aged population. The Physician primarily manages the Geriatric - aged ... private practice is looking to add a Family Medicine Physician to their group located in St. Petersburg, Florida....their group located in St. Petersburg, Florida. **Summary** The Physician practices in a clinic, hospital or long term… more
- Trinity Health (Livonia, MI)
- …efforts for professional services which relies on a thorough understanding of the Medicare Physician Fee Schedule, Medicare Claims Processing Manual, ... professional services which relies on a thorough understanding of the Medicare Physician Fee Schedule, Medicare Claims Processing Manual, National Correct… more
- Trinity Health (Atlanta, GA)
- …+ Ability to research and resolve payment discrepancies. + Experience in physician offices with Medicare /Medicaid exposure is a plus. **Position Highlights ... regarding billing and claim processing. + Facilitate provider enrollment with physician staff. + Maintain the integrity and confidentiality of patient financial… more
- Trinity Health (Livonia, MI)
- …efforts for professional services which relies on a thorough understanding of the Medicare Physician Fee Schedule, Medicare Claims Processing Manual, ... knowledge base is preferred. 3. Must have an in-depth knowledge of Medicare and Medicaid documentation, coding, and billing regulations for applicable service… more
- State of Colorado (CO)
- …experience including at least three years in Medical claims processing, Medicare /Medicaid billing knowledge, Physician and hospital billing practices and ... Hospitals in Pueblo and Ft. Logan. This position is the liaison between Medicare and the Hospitals for billing issues and denials, provides training, assists the… more
- WMCHealth (Valhalla, NY)
- …Organizations in order to obtain ongoing authorization. + Ensure completion of Medicare Physician Certification according to regulatory timeline. + Collects ... inquiries and provides information. + Serves as liaison between the physician 's offices, patients, case management department andPatient Registration. + Follows up… more
- American Academy of Family Physicians (Leawood, KS)
- …related market-centric topics including but not limited to **fee-for-service payment** ( Medicare Physician Fee Schedule, RUC, CPT, etc.) **value-based payment** ... Family Physicians and its chapters proudly represent more than 130,000 family physician , resident, and medical student members. Family physicians play a critical… more
- Trinity Health (Boise, ID)
- …knowledge of medical terminology and the healthcare system (insurances, Medicare , Medicaid, physician office operations) preferred. **ESSENTIAL FUNCTIONS:** ... collaborate with multiple clinics to best utilize resources while accommodating physician preference and patient needs consistent with Saint Alphonsus values and… more
- Trinity Health (Boise, ID)
- …knowledge of medical terminology and the healthcare system (insurances, Medicare , Medicaid, physician office operations) preferred. **ESSENTIAL FUNCTIONS:** ... collaborate with multiple clinics to best utilize resources while accommodating physician preference and patient needs consistent with Saint Alphonsus' values and… more
- Johns Hopkins University (Baltimore, MD)
- …billing. + Keeps current with third party regulations with emphasis on Medicare billing, teaching physician regulations, Current Procedural Terminology, ICD-9-CM ... **Trainer** who will provide on-going training and support to physicians, non- physician providers, professional fee billing staff, clinic staff, administrators, and… more
- Medical Mutual of Ohio (OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Working under general ... RN experience, DRG,_** **_and/or_** **_hospital bill auditing experience._** **Responsibilities** ** Medicare Clinical Auditor** + **Audits outpatient, inpatient and professional… more
- Vanderbilt University Medical Center (Nashville, TN)
- …or decision support analytics in a large healthcare environment, hospital, physician practice, third party payer, Medicare intermediary or accounting/consulting ... level decision support analytics in a large healthcare environment, hospital, physician practice, third party payer, Medicare intermediary or… more
- Medical Mutual of Ohio (OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Under limited supervision, ... the Medicare Nurse Reviewer applies medical necessity guidelines in making...inpatient admissions, concurrent, and retrospective reviews in collaboration with physician reviewers. Applies evidence-based discharge planning so that patients… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …for this position is full remote with occasional time onsite.** The Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, ... insurance and which should be billed to the study sponsor. The Medicare Coverage Analyst determines whether proposed clinical research studies are a Qualifying… more
- Medical Mutual of Ohio (OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Under general ... cases/files to clinical staff (Nurse, Social Worker, Care Navigator, Physician )** **.** **Responsibilities** + **Sends and receives correspondence from various… more
- Health First (Cocoa Beach, FL)
- …accurate information is obtained and compliance requirements are met for physician orders, Medicare regulations, Hospice regulations, billing regulations, and ... billing information is added to STAR. 4. Evaluates all Medicare inpatient admissions for the need to add additional... inpatient admissions for the need to add additional Medicare coverage to the account. Escalates need for required… more
- The Cigna Group (Sunrise, FL)
- …conduit to the providers and the individual that represents Cigna Medicare Advantage. The Provider Performance Enablement Lead Analyst's responsibilities include: + ... + Supporting the development, management and oversight of the physician / provider network in the assigned **Treasure Coast, FL...members contribute to the growth and profitability of the Medicare Advantage business in their market in the following… more
- Insight Global (Cincinnati, OH)
- Job Description Insight Global is looking for a Medicare Biller for a contract to hire opportunity in the Blue Ash area of Cincinnati. This person will be joining a ... claims for a large health system (both in patient hospital and out patient physician claims). This person will be primarily responsible for medicare billing,… more
- Vanderbilt University Medical Center (Nashville, TN)
- …Revenue Cycle, Consulting or Auditing in a Large Healthcare Environment, hospital, physician practice, third party payer, Medicare intermediary, health insurer, ... data to support analytical reporting to senior business operational leaders and physician leadership regarding: + Audit results to outside regulators, attorneys, and… more