- EPI (Rochester, NY)
- …+ Maintain all program participants' records (intakes, safeguards, Life Plans, Medicaid waiver authorizations, billing documentation) in accordance with OPWDD ... documentation; report all policy violations to appropriate personnel. + Review all billing documentation to ensure Agency compliance. + Track, gather, and compile… more
- Idaho Division of Human Resources (Boise, ID)
- …crimes. Strong analytical; interviewing, and report-writing skills. Working knowledge of Medicaid regulations and healthcare billing practices. + Criminal ... determined upon hire. Salary: $44.60 - $49.06 hourly Primary Duties: The Medicaid Fraud Control Unit (MFCU) is currently accepting applications for aCriminal… more
- Rochester Regional Health (Rochester, NY)
- …applications, and reporting tools. + May need previously experience in CMS, Medicaid /Medicare billing , and other regulatory processes + Bilingual preferred. ... EDUCATION: LICENSES / CERTIFICATIONS: PHYSICAL REQUIREMENTS: S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary… more
- Butterfly Effects (Deerfield Beach, FL)
- …+ High School Diploma or GED required. + 1-2 years of medical billing experience ( Medicaid and commercial insurance preferred). + Basic Excel knowledge ... a difference! Butterfly Effects is looking for a Medical Billing Specialist to support our national billing needs. In this role, you'll ensure clean claims and… more
- Novant Health (Charlotte, NC)
- …of healthcare regulations and compliance standards. + Expert knowledge of Medicare/ Medicaid regulations, payer rules, billing compliance, coding standards ... service delivery.Revenue IntegrityLeads efforts to ensure accurate and compliant billing and coding practices, minimizing denials and maximizing revenue… more
- Intermountain Health (Columbus, OH)
- …of experience in hospital or physician back-end revenue cycle (Payment Posting, Billing , Follow-Up, Collections) required + Knowledge of Medicaid and Medicare ... billing regulations required **Physical Requirements** + Operate computers and other office equipment requiring the ability to move fingers and hands. + Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other… more
- Penn State Health (Hershey, PA)
- …QUALIFICATION(S):** + Banking and/or Revenue Cycle Insurance. + Follow up background Medicaid Hospital Insurance billing experience + Follow up background ... Medicare/Medicare HMO Hospital Insurance billing experience **WHY PENN STATE HEALTH?** Penn State Health offers exceptional opportunities to learn and grow, exposure… more
- Abound Health Group, LLC (Gastonia, NC)
- …tasks with grace and determination. + Knowledgeable & Skilled: You understand Medicaid /State Funded billing requirements and consumer charting. Qualifications: + ... meetings, ensuring their voices are heard. + Drive Excellence: Monitor billing , maintain accurate documentation, and resolve grievances swiftly and compassionately.… more
- PruittHealth (Charlotte Hall, MD)
- **JOB PURPOSE:** The Business Office Medicaid Specialist plays a crucial role in supporting the financial operations of the organization, specifically focusing on ... Medicaid and compliance. This position is responsible for assisting...in the management of resident private pay accounts, including billing , collections, and financial reporting. 5. Ensure compliance with… more
- Commonwealth Care Alliance (Boston, MA)
- …that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for timely review and ... as necessary on all new and revised coding logic, related Medicare/ Medicaid policies for review/approval through the Payment Integrity governance process.… more