- Novant Health (Wilmington, NC)
- …to product verification, medication history, hazardous drug management, billing / reimbursement , controlled substances diversion prevention, medication therapy ... management, sterile compounding) or one additional certificate/certification for technicians with Validating Tech credentials (NC). The additional certificates/certifications must be obtained within 12 months of hire and maintained as applicable.; required. +… more
- University of Rochester (Brighton, NY)
- …but not limited to the Office of Integrity and Compliance on relevant reimbursement and billing issues and requirements (including CMS, Medicare Advantage, and ... This includes, but is not limited to fraud and abuse, billing compliance, corporate transactions, physician employment and compensation, telemedicine, graduate… more
- Intermountain Health (Brighton, CO)
- …role. + Demonstrates knowledge of the Affordable Care Act, Insurance billing , medical terminology, and reimbursement practices. + Demonstrated proficiency ... role. + Demonstrates knowledge of the Affordable Care Act, Insurance billing , medical terminology, and reimbursement practices. + Demonstrated proficiency… more
- WellLife Network (NY)
- …experience in medical and clinic-based billing , with strong understanding of billing codes, regulations, and reimbursement process. + Strong understanding of ... Revenue Cycle Associate will review and manage all aspects of the billing and accounts receivable cycle, including charge entry, claim submission, and follow-up… more
- SUNY Upstate Medical University (Syracuse, NY)
- …report writing and oral communications. Ability to interpret regulations, payment and reimbursement systems, billing and coding guidelines and apply standards. ... main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or guidelines and professional coding and… more
- Option Care Health (Itasca, IL)
- …+ Credentialing-ready: must maintain licensure and provide payer documentation for billing and reimbursement **Preferred:** + Experience with biologics, ... using their licensure to obtain and maintain payer credentialing and reimbursement eligibility for the organization. **Job Description:** **Job Responsibilities… more
- Carle Health (Champaign, IL)
- …activities such as advanced level tasks, bankruptcies, Risk Management. Acts as a billing and reimbursement expert for a defined payer product line. ... not limited to healthcare liens, settlement requests, workers' compensation reimbursement computation forms and attorney requests. Handles escalated appeals. Assists… more
- Gentiva (St. Louis, MO)
- …and monitoring required + Understanding of Medicare/Medicaid and Commercial insurance billing and reimbursement **We Offer** + Comprehensive Benefits Package: ... Health Insurance, 401k Plan, Tuition Reimbursement , PTO + Opportunity to Participate In a Fleet...In a Fleet Program + Competitive Salaries + Mileage Reimbursement + Professional Growth and Development Opportunities **Legalese** +… more
- Elevance Health (Chicago, IL)
- …+ Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria ... and coding terminology preferred. + Knowledge of Plan policies and procedures in all facets of benefit programs management with heavy emphasis in negotiation preferred For candidates working in person or virtually in the below location(s), the salary* range… more
- Elevance Health (Chicago, IL)
- …guidelines, medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology preferred. ... recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions… more