- Genesis Healthcare (Danbury, CT)
- Overview Sub-Acute, Long-Term Care is a sector of healthcare exploding with potential and work-life balance flexibility (no weekends or on call)! AlignMed Partners ... Fee For Service Attending Physician for our Autumn Lake Healthcare at Glen Hill Center, located in Danbury, CT....within the Compliance Process, Standard/Code of Conduct, Federal False Claims Act and HIPAA. Participate in required orientation and… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …BS/BA degree preferred or equivalent experience or training + Minimum of 5 years claims audit /quality assurance experience in healthcare required + Strong ... Ready to help us transform healthcare ? Bring your true colors to blue. What...reconciliation QA audits for BCBSMA's payment integrity programs. + Audit vendor claims data and invoices against… more
- Synergy Healthcare Solutions (FL)
- …per hour | Hourly | Posted 20-May-2025 (EST) | Business Office | Synergy Healthcare Services - Remote | FL, USA **Looking for qualified Traveling Business Office ... regulations and company policy. + Generate accurate and complete claims for billing systems for all payers. + Provide...claim edits and rejections. + Coordinate responses to various audit requests. + Assist new BOM's with month end… more
- Covenant Health Inc. (Knoxville, TN)
- …+ Coordinates with appropriate parties the complete/ partial payment or repayment of the claims , as described in the Audit Policy, as findings are identified ... Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with 10 hospitals (http://www.covenanthealth.com/hospitals/) , outpatient and… more
- Aveanna Healthcare (Los Angeles, CA)
- …Tickets to correct and update client's invoices. * Works with Respite Biller to ensure claims are refiled and/or billed to the Regional Centers in a timely manner. * ... Understands Regional Center specific requirements for submitting claims (ie, includes Respite biller's notes, invoices, etc.). *...Computer literate and ability to type, file and maintain audit records. * Strong Excel skills * Excellent research… more
- Covenant Health Inc. (Knoxville, TN)
- …+ Coordinates with appropriate parties the complete/partial payment or repayment of the claims , as described in the Audit Policy, as findings are identified ... Covenant Health Overview: Covenant Health is East Tennessee's top-performing healthcare network with 10 hospitals (http://www.covenanthealth.com/hospitals/) and over 85… more
- Genesis Healthcare (Camp Hill, PA)
- …within the Compliance and Ethics Program, Standard/Code of Conduct, Federal False Claims Act and HIPAA. 2. Participates in required orientation and training ... Officer via the Integrity Hotline. 4. Cooperates with monitoring and audit functions and investigations. 5. Participates, as requested, in quality assurance… more
- Sharp HealthCare (San Diego, CA)
- …all decisions. Maintains set turnaround times for program completion (subject to audit ).Observes and follows through on Pharmacist or Medical Director directions in ... of the functions of Managed Care including HMO/PPO and ACO eligibility, claims , utilization management and the financial impact of decisions related to each.… more
- Genesis Healthcare (Hauppauge, NY)
- …within the Compliance and Ethics Program, Standard/Code of Conduct, Federal False Claims Act and HIPAA. 2. Participates in required orientation and training ... Officer via the Integrity Hotline. 4. Cooperates with monitoring and audit functions and investigations. 5. Participates, as requested, in quality assurance… more
- Genesis Healthcare (Roosevelt, NY)
- …within the Compliance and Ethics Program, Standard/Code of Conduct, Federal False Claims Act and HIPAA. 2. Participates in required orientation and training ... Officer via the Integrity Hotline. 4. Cooperates with monitoring and audit functions and investigations. 5. Participates, as requested, in quality assurance… more