- Northeast Georgia Health System, Inc (Oakwood, GA)
- …so that productivity and positive employee relations are maximizedAbility to interpret third party coverage, patient responsibility and evaluate a patient's ... PC window applications. Essential Tasks and ResponsibilitiesMaintains current knowledge of third party , federal and state regulations, insurance coverage,… more
- Creative Financial Staffing (New York, NY)
- …staff billing, overseeing revenue cycle, review validation of programs. Oversight of third - party billing / program billing Experience Preferred: Minimum four ... Billing Manager Our client is a leading nonprofit organization...years of experience Experience with medical billing specifically Medicare/ Medicaid regulations Strong excel including v lookups and pivot… more
- Blanchard Valley Health System (Findlay, OH)
- …current on collection laws, Medicare/ Medicaid laws, HCAP regulations and guidelines, third party funding requirements, and adheres to all requirements for ... transmitting of bad debt. Duty 7. Collaborates with other departments and any third - party vendors to identify resolution of patient requests. Duty 8. Monitors,… more
- City of New York (New York, NY)
- …Executive Director, of the Office of Mail Renewal, Managed Care Program (MCP), and Third - Party Health Insurance, who will: Under the executive direction of the ... Job Description The Medical Assistance Program (MAP) administers Medicaid and related public health insurance programs, for...Mail Renewal (OMR), the Managed Care Program (MCP), and Third - Party Health Insurance. Ensuring that the three… more
- Conduent (Helena, MT)
- The ** Third - Party Liability Manager ** is responsible for the management of the Third - Party Liability Department and client relationship pertaining to ... experience. Demonstrate working knowledge of MS Office Suite. Possess Medicaid and Third - Party Liability experience,...of MS Office Suite. Possess Medicaid and Third - Party Liability experience, and ideally, Commercial Insurance… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Manager , Medicaid Compliance & Analytics Date:...with Market Access. This position will also manage a third - party vendor to ensure that they are ... people to make a difference with. **The opportunity** The Manager of Medicaid Compliance and Analytics will...Manage outstanding disputes and provide management updates + Manage third - party vendor by meeting regularly, managing dispute… more
- University of Rochester (Rochester, NY)
- …personal computer, printer, photo copier, fax machine, hospital financial system, electronic third party payer systems, page system, document scanner, automobile ... and provides outreach services to patients requiring public benefits including; Medicaid , Child Health Plus, NYS Marketplace Exchange or other public entitlements.… more
- Humana (Indianapolis, IN)
- …we will be using an exciting interviewing technology provided by Hire Vue, a third - party vendor. This technology provides our team of recruiters and hiring ... The Provider Education & Outreach Representatives serve as the primary relationship manager with providers to ensure positive provider experience with Humana Healthy… more
- Hackensack Meridian Health (Hackensack, NJ)
- …these standards. + Oversees the claims submission processes via the clearinghouse to third party payers in accordance with established policies, state, and ... Federal and State regulations; maintains thorough knowledge of managed care and third party billing rules, applicable State Department of Health legislature… more
- The Mount Sinai Health System (New York, NY)
- …accounts, payment and/or charge posting, account resolution, follow-up collections ( Third party and patient), correspondence/mail distribution/, vender account ... admission and/or after admission(bilingual preferred) + Obtains and validates patient's third party health insurance. Coordinates and prioritizes insurance… more
- University of Michigan (Ann Arbor, MI)
- …provide accurate capture of clinical information. + Knowledge and understanding of third party payer, regulatory and accreditation requirements. + Excellent ... REVENUE CYCLE CODING MANAGER - CODING QUALITY/EDUCATION Apply Now **Job Summary**...up, down, and across the organization. + Knowledge of third party payer, regulatory, and accreditation requirements.… more
- Walgreens (Las Vegas, NV)
- …billing and submission of claims to government- sponsored health care programs, including Medicare, Medicaid , and all other third - party payers, as well as ... at the site. Performs all duties of the Pharmacy Manager in their absence. + Models and shares customer...pharmacy department systems and equipment. + Maintains awareness of third - party pharmacy business opportunities and assures proper… more
- Walgreens (Gulfport, MS)
- …the billing and submission of claims to government-sponsored health care programs, including Medicare, Medicaid , and all other third - party payers, as well as ... at the site. Performs all duties of the Pharmacy Manager in their absence **.** **Customer Experience** + Ensures...pharmacy department systems and equipment. + Maintains awareness of third party pharmacy business opportunities, and assures… more
- University of Rochester (Rochester, NY)
- …trends that requirement management intervention; assist management team with Medicare and Medicaid credit balance audits, and third - party payer audits. ... billing application, Microsoft Word, Excel, Access, Email, various clearinghouse software, third party claims software, and various payer websites. **Typical… more
- AdventHealth (Altamonte Springs, FL)
- …reporting + Update, review, and maintain supporting documentation for the Medicare and Medicaid third party settlement of each AdventHealth hospital ... assigned are performed under the oversight of the Reimbursement Manager . **The value that you bring to the team:**...Medicaid and follow-up as appropriate + Discuss hospital third party settlement results with hospitals' financial… more
- AdventHealth (Altamonte Springs, FL)
- …. Update, review, and maintain supporting documentation for the Medicare and Medicaid Uniform Contractual Worksheet- Third Party Settlement (UCW-TPS) ... The Reimbursement Analyst is responsible for assisting the Reimbursement Manager with the preparation of work papers for the...Medicaid and follow-up as appropriate . Discuss hospital third party settlement results with hospitals' financial… more
- AbbVie (Irvine, CA)
- …and government pricing calculation requirements. + Continuous interactions with legal, third party rebate processor, Government Pricing, Market Access Marketing ... over $10Bn in Gross to Net Rebate processing. The Manager , Price Accounting & Forecasting lead is responsible for...met, managing the processing of rebate data via a third - party vendor, and ensuring the timely and… more
- University of Rochester (Rochester, NY)
- …share with Supervisor and or Manager . Assist Supervisor with Medicare and Medicaid credit balance audits, and third - party payor audits.** + Coordinate ... Emdeon (Fidelis Medicaid Managed Care and Medicare Part B) clearinghouse software, third party claims systems (ePaces, Omnipro) and various payer web sites.… more
- Devereux Advanced Behavioral Health (Villanova, PA)
- …of State Medicaid plans, specifically Pennsylvania Medicaid , New Jersey Medicaid , Health choices and other third - party billing processes. + ... and make an impact! **Being a Client Accounts Receivable Manager has its Advantages.** You will work with other...supports others that have extra-ordinary needs **The Client Accounts Manager will support and assist team members, programs and… more
- University of Rochester (Rochester, NY)
- …within Patient Financial Services. Receives, documents, tracks and compiles responses to Medicare, Medicaid and third party payor audits within the ... Responsibilities **Position Summary:** **This position oversees outpatient Medicare, Medicaid and third - party payor audits, and directs all responses to… more
