- LA Care Health Plan (Los Angeles, CA)
- Coordination of Benefits Validation Specialist II Job Category: Administrative, HR, Business Professionals Department: Claims Integrity Location: Los ... net required to achieve that purpose. Job Summary The Coordination of Benefits (COB) Validation ...have knowledge of HMO, PPO, EPO, POS, Government Funded, Medicare and Medicaid plans. Ability to effectively prioritize and… more
- Akin Gump Strauss Hauer & Feld LLP (Washington, DC)
- …aspects such as benefits set-up, maintenance, processing and reporting; coordination and validation of benefit-related payroll changes; and communication and ... and the Middle East. We are currently seeking a Benefits Analyst in the Human Resources department, reporting to...tracking and support for retiree medical purposes. + Complete Medicare employer forms and other verification requests as needed.… more
- University of Rochester (Rochester, NY)
- …payer through knowledge of Medicare and other payer regulations for the coordination of benefits . + Notifies Utilization Management of clinical requests by ... patients or their designated representative(s) of any exhaustion of benefits , including obtaining signed Notice of Medicare ...changes, and ensures there is appropriate coverage. + Reviews Medicare for MSP questions and validation . +… more
- AdventHealth (Maitland, FL)
- **All the benefits and perks you need for you and your family:** . Benefits from Day One . Career Development . Whole Person Wellbeing Resources . Mental Health ... month end net revenue calculations. * Ensures thorough research and validation of non-contracted and government payer information, including regulatory and interim… more
- Health First (Cocoa Beach, FL)
- …needed. 4. Complete Medicare Secondary Payer Questionnaire (MSPQ) for Medicare beneficiaries. 5. Verify insurance eligibility and benefits through ... and secure the required forms to meet compliance with regulatory policies. 3. Perform Medicare compliance review on all applicable Medicare accounts in order to… more
- VNS Health (Manhattan, NY)
- …requiredStrong knowledge of claims processing procedures and systems, State, Federal and Medicare Regulations and Coordination of Benefits applications ... medical terminology, provider reimbursement, ICD-10, HCPCS and CPT-4 coding, coordination of benefits requiredAdditional years of experience/specialized… more
- Pacificorp (Portland, OR)
- Benefits Administrator (Mid - Sr. Levels) Portland, OR - #112651 **Date:** Aug 20, 2024 **Location:** PORTLAND, OR, US, 97232 **Company:** PacifiCorp **JOIN OUR ... mid-year changes and various leave programs involving development, implementation, coordination , maintenance, communication, and reporting. Ensures benefit activities are… more
- University of Washington (Seattle, WA)
- …per month Shift: First Shift Notes: As a UW employee, you will enjoy generous benefits and work/life programs. For a complete description of our benefits for ... this position, please visit our website, click here. (https://hr.uw.edu/ benefits /wp-content/uploads/sites/3/2018/02/ benefits -professional-staff-librarians-academic-staff-20230701\_a11y.pdf ) As a UW employee, you… more
- Lancaster General Health (Lancaster, PA)
- …patient scheduling, registration, insurance verification, ordering of tests and coordination of applicable screening, diagnostic, physician office and outpatient ... office setting equipment. + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance programs, ie not excluded… more
- Lancaster General Health (Lancaster, PA)
- …for supervising patient registration processes, bed control, customer service, insurance validation for all (but not limited to) patients requiring admission, ... to perform the following duties: + Provides supervision and coordination of hospital admissions, Emergency Department and WBH triage,...+ A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance… more
- Hackensack Meridian Health (Brick, NJ)
- …Payer Secondary Questionnaire (MSPQ), Insurance plan codes, proper sequencing of COB ( Coordination of Benefits ), and reviews physician licensure. Works with ... active on date of service, patient not found in payor website, accuracy of Coordination of Benefits , registration service type missing, and others) as identified… more
- Trinity Health (Troy, NY)
- …Disability, Champus, and Supplemental Security Income Disability), managed care contracts and coordination of benefits is highly desired. Working knowledge of ... patient identification, insurance cards, consent for treatment, assignment of benefits , release of information, waivers, ABNs, advance directives, etc. Identifies… more
- Hackensack Meridian Health (Hackensack, NJ)
- …rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another ... related electronic data interchange (EDI) transactions. Performs testing and validation for upgrades, system modifications and regulatory mandated changes. Ensures… more
- MD Anderson Cancer Center (Houston, TX)
- …Connect cash drawer on a daily basis. . Performs validation of the Medicare Secondary Payer Questionnaire (MSPQ). . Ensures coordination of benefits and ... assignment of Hospital Account Record (HAR). . Follows standard operating procedures for institution and center. . Protects the security and confidentiality of patient information at all times. . Other duties as assigned. **SUPERVISION** Received: Supervisor,… more
- MD Anderson Cancer Center (Houston, TX)
- …Connect cash drawer on a daily basis. Perform validation of the Medicare Secondary Payer Questionnaire (MSPQ).Ensures coordination of benefits and ... assignment of Hospital Account Record (HAR). Follow standard operating procedures for institution and center. Protect the security and confidentiality of patient information at all times. Education Required: High school diploma or equivalent. Experience… more
- MD Anderson Cancer Center (Houston, TX)
- …Connect cash drawer on a daily basis. Performs validation of the Medicare Secondary Payer Questionnaire (MSPQ).Ensures coordination of benefits and ... assignment of Hospital Account Record (HAR). Follows standard operating procedures for institution and center. Protects the security and confidentiality of patient information at all times. EDUCATION: High school diploma or equivalent. EXPERIENCE: Three years… more
- Trinity Health (Farmington Hills, MI)
- …Champus, Supplemental Security Income Disability, etc.), managed care contracts and coordination of benefits is required. Working knowledge of medical ... is low to moderate. Completion of regulatory/mandatory certifications and skills validation competencies preferred. Must possess the ability to comply with Trinity… more
- Trinity Health (Sioux City, IA)
- …Cart (CMS abstraction & Reporting Tool). + Provides assistance and coordination with key stakeholders and external organizations about measurement definitions, data ... efforts. This includes, but is not limited to: (1) The validation and reporting of Clinical Data/Information to external accrediting organizations (includes… more