- Prime Healthcare (Redding, CA)
- …Responsibilities The Senior Medicare - Medicaid Biller/Collector ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare - Medicaid . This includes maintaining the deficiency lists used to… more
- Public Consulting Group (Columbus, OH)
- …Experience with GAAP principles . Experience with project accounting. . Experience with Medicare or Medicaid cost reporting preferred . Experience with ... regulations relating to healthcare reimbursement . Minimum 1-2 years experience with Medicare and/or Medicaid cost reporting preferred **Working Conditions** +… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Accounting Clerk- Patient Financial Services ( Medicare & Medicaid Claims Follow-Up)-Corporate 150 East 42nd Street - Full-Time Days** Under ... including but not limited to financial verification, preparation of Medicaid applications, billing, processing accounts, payment and/or charge posting, account… more
- Guidehouse (Lewisville, TX)
- …from home._** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare / Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 & ... CMS 1500 + Complete all business-related requests and correspondence from patients and insurance companies. + Responsible for working on 40-70 Accounts Per Day + Complete all assigned projects in a timely manner. + Assist client and patients in all requested… more
- CareFirst (Baltimore, MD)
- …(all benefits/incentives are subject to eligibility requirements). **Department** Medicare / Medicaid Claims **Equal Employment Opportunity** CareFirst BlueCross ... BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Revenue Cycle Assistant- Medicare & Medicaid -Corporate 150 East 42nd Street- Full-Time Days The Revenue Cycle Assistant is responsible for ... various aspects of the receivable management process for Faculty Practice Associates or the Patient Financial Services (PFS) Department. The Revenue Cycle Assistant collects and analyzes data and ensure proper reimbursement for services provided and in… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Accounts Payable Receivable Clerk- Patient Financial Services ( Medicare & Medicaid Claims Follow-Up))-Corporate 150 East 42nd Street - ... Full-Time Days** Under direct supervision, prepares documents for payment to creditors of the Mount Sinai Medical Center. **Qualifications** + High School Diploma/GED + Minimum 2 years accounts payable experience + Knowledge of Microsoft Excel and Word ,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Supervisor IV-Patient Financial Services ( Medicare and Medicaid Claims Follow-Up) Corporate- Full-Time Days Responsible for the supervision ... and coordination of administrative and general office activities, consistent with departmental objectives, administrative policies and practices. Provides direct supervision for administrative and office support staff such as secretarial/administrative… more
- Ochsner Health (New Orleans, LA)
- …contracts, including but not limited to commercial payors, Medicare Advantage, Medicare Shared Savings Program, and Medicaid value-based programs. Guides the ... & compliance. + Acts as a liaison to commercial and Medicare payors, CMS, Medicaid and other governmental agencies to mitigate the significant regulatory,… more
- The Cigna Group (St. Louis, MO)
- …The Network Advisor is responsible for initiating maintenance and strategy solutions for all Centene Lines of Business. Responsible for the planning, internal ... coordination, maintenance, and communication of client Network activities and performance for Line of Business initiatives while maintaining key client relationships. Utilizes technology, tools, processes and resources to anticipate and exceed client needs and… more
- Guidehouse (Mclean, VA)
- **Job Family** **:** Intern **Travel Required** **:** Up to 25% **Clearance Required** **:** Ability to Obtain Public Trust **What You Will Do** **:** The Guidehouse ... Internship Program staffs interns on real world projects, showcasing the Guidehouse culture, and providing them with a meaningful consulting experience. Interns work with teams and provide real time deliverables in support of the clients. Each Intern is paired… more
- Guidehouse (Hanover, MD)
- **Job Family** **:** Finance & Accounting Consulting, Operational Effectiveness Consulting, Strategy & Transformation Consulting **Travel Required** **:** Up to 25% ... **Clearance Required** **:** Ability to Obtain Public Trust **What You Will Do** **:** Guidehouse offers a powerful combination of innovative solutions, with public sector and commercial health expertise, helping CMS advance their vision of strengthening… more
- AdventHealth (Altamonte Springs, FL)
- …Manager with the preparation of work papers for the filing of the annual Medicare , Medicaid , and Champus/Tricare cost reports, audit preparation and other cost ... and submission of accurate and timely cost reports as required by Medicare , Medicaid and other State or Federal agencies for the Adventist Health System's… more
- Highmark Health (Harrisburg, PA)
- …improvement models. This job is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, ... office based support to PCPs for analysis of performance Medicare STARS, Medicaid HEDIS and risk revenue streams, identifies opportunities for improvement… more
- Medical Mutual of Ohio (OH)
- …for audit purposes. + Provides on-site, face-to-face agent oversight of Centers for Medicare / Medicaid Services (CMS) filed events - both informal and formal ... appointment and ongoing certification, annual Schedule A and Centers for Medicare / Medicaid Services (CMS) agent rate filings, and continual FMO/agent/agency… more
- Medical Mutual of Ohio (OH)
- …a health plan, pharmacy, or PBM operations, which includes exposure to Centers for Medicare & Medicaid Services (CMS) guidelines, preferably Part D. . Certified ... pharmacy, or PBM operations, which includes exposure to Centers for Medicare & Medicaid Services (CMS) guidelines, specifically Part D. . Certified Pharmacy… more
- Robert Half Legal (Albany, NY)
- …(CRCM) to enhance compliance processes. * Leverage expertise in Health Care Audits - Medicare - Medicaid to improve operations and compliance. * Utilize strong ... * Solid understanding of Health Care Audits, especially those involving Medicare and Medicaid * Proven experience in HIPAA Compliance, specifically the Patient… more
- Sedgwick (Columbus, OH)
- … review and act as an internal resource regarding Centers for Medicare & Medicaid Services (CMS) guidelines. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** ... Medicare Set-Aside proposals to make recommendation to Centers for Medicare & Medicaid Services (CMS) for final determination based on applicable coverage… more
- Molina Healthcare (Columbus, OH)
- **Job Summary** As the leader for Molina's Medicare - Medicaid product (Duals), this position has P&L, business strategy, sales distribution and provider network ... + Bachelor's degree and at least 15 years of deep Medicare and Medicaid (LTSS) experience. + Strong analytical skills. + Strong interpersonal, influencing… more
- Humana (Palm Coast, FL)
- …Advantage health plans in Florida over 23 years. CarePlus strives to help people with Medicare , or both Medicare and Medicaid , achieve their best possible ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
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