- Sunrise Senior Living (Arlington, VA)
- …and Loss (P&L) Summary reporting - Review balance sheet account reconciliations - Medicare /Medicaid billing - Adherence to Sunrise Senior Living business process ... controls **Qualifications:** - Associate degree in Accounting or related field preferred - Two (2) years experience in accounting field with exposure to accounting services within a senior housing and/or healthcare environment - To be successful you will need… more
- Highmark Health (Washington, DC)
- …Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but ... (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment… more
- Maxim Healthcare Services (Columbia, MD)
- The primary responsibility of the Compliance Specialist is to review clinical medical records and claims for accuracy of services related to home health care. The ... Compliance Specialist maintains a comprehensive understanding of ethical principles and...of care, quality indicators, medical necessity, length(s) of stay, billing , and denials + Makes proposals related to compliance… more
- Intermountain Health (Washington, DC)
- …from the patient or representative. Practice Details: As an Insurance Authorization Specialist you need to know how to: Verify the ordering clinician credentials ... on outpatient encounters. Work daily reports to ensure all payer specific billing requirements and authorization requirements are met. Obtain and verify necessary… more
- Somatus (Mclean, VA)
- …credentialing packages as required by hospitals, surgery centers, commercial payers, Medicare and Medicaid. Responsibilities + Maintain individual provider files to ... + Complete credentialing applications to add providers to commercial payers, Medicare , and Medicaid. + Complete re-credentialing applications for commercial payers.… more