- Blanchard Valley Hospital (Findlay, OH)
- …degree in Healthcare related field Knowledge of CPT Coding, ICD 9 Codes, and Medicare Reimbursement Issues PHYSICAL DEMANDS This position requires a full range ... discrepancies prior to service. Duty 3: Completes Medical Necessity review for all Medicare patients ensuring that an ABN is printed or needed DX obtained. Duty… more
- Accounting Now (Tampa, FL)
- We are hiring Revenue Cycle Specialists who excel in Medicare Collections for our Revenue Operations DepartmentSpecialists in this role will contact Medicare ... initiate follow-up, and resolve all unpaid or underpaid system debit balances on Medicare insurance claims; includes but is not limited to remit review, calling… more
- MultiPlan (Atlanta, GA)
- Provider Contract Specialist - Medicare Advantage and Managed Care (Network Development Specialist) Remote At MultiPlan, we pride ourselves on being a dynamic team ... and monitoring of market trends to identify, develop, and implement competitive reimbursement . Work with Regional Sales and Accounts Management Peers to respond to… more
- Signature HealthCARE (Columbus, OH)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid ServicesAdditionally, we have been awarded as a certified Great Place ... Modern Healthcare's "Best Places to Work!" Overview The ideal Clinical Reimbursement Specialist Candidate is very detailed orientated, organized, self-motivated, a… more
- University Medical Center of El Paso (El Paso, TX)
- … methodologies. Knowledge and understanding of healthcare industry and government reimbursement methodologies including Medicare and Medicaid. Posses detailed ... opportunities through contract negotiations and execution. Identifies and coordinates Medicare business development opportunities in collaboration with strategic business… more
- University Medical Center of El Paso (El Paso, TX)
- … methodologies. Knowledge and understanding of healthcare industry and government reimbursement methodologies including Medicare and Medicaid. Posses detailed ... and cost-effective contract administration. Responsible for identifying and coordinating Medicare business development opportunities by serving as a liaison and… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …of patient billing, billing transmission and electronic billing systems, including reimbursement knowledge of Medicare , Blue Cross, United Health Care, ... (2) years of experience in Medical Physician billing, collections and/or reimbursement to include authorizations, charge entry, claims management, payment posting… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …files Medicare and Medicaid Cost Reports assuring maximization of reimbursement from third-party payors.Responds to surveys affecting Medicare and Medicaid ... Unique Knowledge, Skills and AbilitiesAbility to research complex coding, reimbursement and regulatory requirementsKnowledge of clinical settings such as Laboratory,… more
- Signature HealthCARE (Columbus, OH)
- …of Medicare , Medicaid and Managed Care coverage, referral, and reimbursement methodsA passion for supporting and training Stakeholders to provide the best ... Medicare , Medicaid and Managed Care coverage, referral, and reimbursement methodsExtensive travel requiredOur exceptional Benefits Package and Signature Perks… more
- University Medical Center of El Paso (El Paso, TX)
- … methodologies. Knowledge and understanding of healthcare industry and government reimbursement methodologies including Medicare and Medicaid. Ability to adapt ... and use information system tools available to fulfill job requirements. Solid organizational and contract management skills. Knowledge of Visas and Stark Law Physician Contracting Required Experience: Three years of experience conducting physician recruitment… more
- Staffing Now (Miami, FL)
- …expenses by service line, ensuring client enrollment for accurate capitation reimbursement from Medicaid and Medicare , generating accruals for ... and disenrollment and follows appropriate protocol for Medicaid only and Medicare /Medicaid dual eligible participantsPrepares and submits monthly expense accruals to… more
- Staffing Now (Miami, FL)
- …for expenses by service line, ensuring client enrollment for accurate capitation reimbursement from Medicaid and Medicare , generating accruals for accounting. ... and disenrollment and follows appropriate protocol for Medicaid only and Medicare /Medicaid dual eligible participants Prepares and submits monthly expense accruals… more
- Signature HealthCARE (Columbus, OH)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid ServicesAdditionally, we have been awarded as a certified Great Place ... quality mix goals and referral expectationsIndependent transportation required, mileage reimbursement will be offeredOur exceptional Benefits Package and Signature… more
- Signature HealthCARE (Louisville, KY)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid ServicesAdditionally, we have been awarded as a certified Great Place ... Prospective Payment Systems (PPS), Quality Measures (QM's), Medicaid Casemix and Medicare guidelines for all SHC stakeholdersAssist and collaborate with Clinical … more
- Segal (Boston, MA)
- …Leave Act, Public Health Service Act and related health legislation and regulations, Medicare , Medicare Part D, and Medicare Advantage Programs, including ... benefit reimbursements and rewards, and professional credential and tuition reimbursement . Segal also provides comprehensive paid time off including holidays,… more
- Signature HealthCARE (Norfolk, VA)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid ServicesAdditionally, we have been awarded as a certified Great Place ... forth by Medicaid and MedicareEvaluate accuracy of billing under Medicaid and Medicare guidelines set forth by state and federal governmentIdentify areas of concern… more
- Careers Integrated Resources Inc (Costa Mesa, CA)
- …Completes assigned accounts within assigned work queues. . Obtains the maximum amount of reimbursement by evaluating claims at the contract rate with the use of the ... the initial appeal for underpayments observing all timely requirements to secure reimbursement due to Client. . Reviews and completes payor and/or patient… more
- Signature HealthCARE (Nashville, TN)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid ServicesAdditionally, we have been awarded as a certified Great Place ... Resident Assessment Instrument (RAI), Care Planning, Prospective Payment System (PPS), Medicare , and, when applicable, Medicaid Case MixProgram Outcomes: By the end… more
- Signature HealthCARE (Monteagle, TN)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid ServicesAdditionally, we have been awarded as a certified Great Place ... staff, resident and/or family interviewsParticipate in Daily PPS meetings, weekly Medicare meetings, and month end meetings to assure federal billing requirements… more
- Signature HealthCARE (South Pittsburg, TN)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid ServicesAdditionally, we have been awarded as a certified Great Place ... staff, resident and/or family interviewsParticipate in Daily PPS meetings, weekly Medicare meetings, and month end meetings to assure federal billing requirements… more
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