- Humana (Des Moines, IA)
- …on Pricer edit resolution + Provide consultation to internal business partners on Medicare reimbursement/ editing logic and Humana system logic **Use your skills ... closely with IT, the pricing software vendor, CIS BSS, claims operations, and other business teams involved in the...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- Primary Health Care (Des Moines, IA)
- …billing requirements. + Experience working with dental/medical insurance contractual agreements, Medicare and Medicaid regulations, payment and recoupments. + ... payment posting and follow up of medical and/or dental claims on behalf of PHC. Provides work direction and...the timely submission of all clinic charges and daily editing , ensuring appropriate coding, pay codes, etc. Ensures compliance… more