• Medicare / Medicaid A/ R

    TEKsystems (Plano, TX)
    …level of customer service via courtesy, compassion and positive communication. Must-have: MEDICARE ADVANTAGE OR MEDICAID ADVANTAGE EXPERIENCE 2 years or more ... Description Responsible for A/ R , and mail follow-up on amounts due from Payor's, and third-party's on a timely basis in accordance with CBO policies for facilities… more
    TEKsystems (01/14/25)
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  • Patient Account Representative - Hospital…

    Guidehouse (Gardena, CA)
    …Required** **:** None **What You Will Do** **:** The **Insurance Patient Account Representative - Hospital A/ R Emphasis** is an extension of a client's ... Job Functions** + Hospital Claims + Account Review + Appeals & Denials + Medicare / Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 & CMS 1500… more
    Guidehouse (01/11/25)
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  • Provider Enrollment Coordinator ( R )

    Integrative Emergency Services (Dallas, TX)
    …including, but not limited to, Florida, Texas, and Arizona + Florida plans include: Medicare , Medicaid , RR Medicare , Tricare, Florida Blue, United, Oscar, ... status of problems to Enrollment Manager. + Ensures Held A/ R enrollments are submitted on timely basis to avoid...Network IPA, West Florida, etc + Texas plans include: Medicare , Medicaid , RR Medicare , Tricare,… more
    Integrative Emergency Services (12/14/24)
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  • Customer Service Representative

    Kelly Services (Louisville, KY)
    …(2) years of work experience in pharmacy/managed care/ Medicaid / Medicare /pharmaceutical/biotech manufacturer/insurance/medical office/related field + Experience ... At Kelly( R ), we're passionate about helping you find a...How about this one? We're seeking a Patient Care Representative to work at a premier healthcare provider in… more
    Kelly Services (12/13/24)
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  • Patient Account Representative - Treasure…

    Surgery Care Affiliates (Boise, ID)
    …knowledge of medical billing, payer follow-up, payer contracts, appeals, self-pay billing, Medicare and Medicaid billing, AR posting, along with excellent ... the growing career opportunities for YOU. Responsibilities The Patient Account Representative will be responsible for thorough and timely patient account follow… more
    Surgery Care Affiliates (12/29/24)
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  • Admitting Representative -Full Time- MMC…

    Atlantic Health System (Rockaway, NJ)
    …safety grade - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating ... are just a few of our accolades: + 100 Best Companies to Work For ( R ) and FORTUNE( R ) magazine for 15 years + Best Places to Work in Healthcare - Modern… more
    Atlantic Health System (01/10/25)
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  • Food Services Representative I - Part Time…

    Atlantic Health System (Morristown, NJ)
    …safety grade - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating ... are just a few of our accolades: + 100 Best Companies to Work For ( R ) and FORTUNE( R ) magazine for 15 years + Best Places to Work in Healthcare - Modern… more
    Atlantic Health System (01/08/25)
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  • Biller - A/ R - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    …in order to promote financial stability within the Hospital. Experience in billing Medicare , Medicaid , Commercial Insurance, HMOs, and Worker's Comp/No Fault is ... Biller - A/ R - Full Time - Days Department: ACCTS...professional working relationship with insurance companies. Knows each payor representative and uses them as a contact when necessary… more
    Mohawk Valley Health System (01/14/25)
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  • Market Development Representative

    Waystar (Louisville, KY)
    …1K+ hospitals and health systems, and is connected to over 5K commercial and Medicaid / Medicare payers. We are deeply committed to living out our organizational ... **ABOUT THIS POSITION** This Market Development Representative will be introduced to sales from the...& fun. Waystar products have won multiple Best in KLAS( R ) or Category Leader awards since 2010 and earned… more
    Waystar (01/04/25)
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  • Payment Posting Lead

    UNC Health Care (Goldsboro, NC)
    …and regulatory rules related to credit balance accounts, including NC laws, Medicaid , Medicare , Liability, Worker's Compensation, HMO/PPO and Managed Care ... e. Generates refunds for requests with appropriate documentation. 14. Completes CMS 838 ( Medicare and Medicaid credit balances report) quarterly and submits on… more
    UNC Health Care (01/04/25)
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  • Revenue Cycle Specialist II

    Priority Health Care (Marrero, LA)
    …Manager of any problems or deviations. + Maintain up-to-date knowledge of Medicare , Medicaid , and Private Insurance rules/procedures/rates for billing. + Monitor ... Management and Accounts Receivable Follow-Up: + Manage and resolve A/ R claims over 60 days old. + Follows up...of healthcare carriers and payer requirements. + Knowledge of Medicare , Medicaid , compliance, insurance, liability and tertiary… more
    Priority Health Care (10/24/24)
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  • Social Worker II - Webster MA -working…

    Fallon Health (Webster, MA)
    …we strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid , and PACE- in the region. **Brief summary of ... care Medicaid when necessary. Works collaboratively with the Operations Support Representative to assure appropriate access to Medicaid benefits. * Pursues… more
    Fallon Health (01/15/25)
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  • Social Worker ll

    Fallon Health (Lowell, MA)
    …we strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid , and PACE- in the region. **Brief summary of ... care Medicaid when necessary. Works collaboratively with the Operations Support Representative to assure appropriate access to Medicaid benefits. + Pursues… more
    Fallon Health (12/12/24)
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  • Equipment Tech

    Atlantic Health System (Morristown, NJ)
    …safety grade - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating ... sterility dates have not expired. Works with SPD Materials Representative to maintain Par Level of Crash Cart supplies....our accolades: + 100 Best Companies to Work For ( R ) and FORTUNE( R ) magazine for 15 years… more
    Atlantic Health System (11/07/24)
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  • Long Term Care Functional Screen Manager & Liaison

    Humana (Madison, WI)
    …+ Bachelor's Degree + 2 or more years of managed care experience in Medicare and/or Medicaid + 1 or more years of management/leadership experience + ... communicates with DHS on difficult screens, and serves as representative for the agency during LTCFS related appeals. **Use...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
    Humana (01/11/25)
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  • Registered Nurse - Full-time, Nights 6P- 7A, OR,…

    Atlantic Health System (Morristown, NJ)
    …safety grade - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating ... + Physical Demands The physical demands described here are representative of those that must be met by an...our accolades: + 100 Best Companies to Work For ( R ) and FORTUNE( R ) magazine for 15 years… more
    Atlantic Health System (01/05/25)
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  • Medical Billing Positions

    Hart Medical Equipment (Grand Blanc, MI)
    …all numbers that fall within the providership table. + Maintain current knowledge on Medicare , Medicaid , and all third party payers for equipment coverage and ... team and the organization. + Implement changes as requested that affect A/ R and audit compliance. + Other duties as requested by Management. QUALIFICATIONS… more
    Hart Medical Equipment (11/17/24)
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  • Reimbursement Specialist

    TEKsystems (Dallas, TX)
    …Aetna) + Prior experience handling claims within government plans ( Medicare / Medicaid /Tricare/HIP Plans) + Understanding of the reimbursement methodologically ... within the Commercial lines of insurance. The Patient Account Representative is responsible for managing all aspects of accounts...the payers to collect and assist in maintaining Network A/ R days. Follow up maybe performed by way of… more
    TEKsystems (01/08/25)
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  • Patient Account Registrar

    Prime Healthcare (Port Huron, MI)
    …Healthgrades Patient Safety Excellence Award, rated four stars by the Centers for Medicare & Medicaid Services and earned The Joint Commission's Gold Seal ... of Approval( R ) for Hospital Accreditation by demonstrating continuous compliance with...The Patient Account Registrar interviews the patient or his/her representative to obtain patient demographics. This position also secures… more
    Prime Healthcare (12/20/24)
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  • Pre-Registration Rep Part-time

    HCA Healthcare (Nashville, TN)
    …your potential! **Job Summary and Qualifications** The Pre-Registration Call Center Representative is responsible for timely and accurate processes associated with: ... calls to confirm or obtain missing demographic information + Complete Medicare Secondary Payor Questionnaire as applicable + Utilize appropriate escalation processes… more
    HCA Healthcare (01/14/25)
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