- Excellus BlueCross BlueShield (Rochester, NY)
- …or desk audits, clinical reviews of medical records to ensure correct billing of services and appropriateness of care, interviewing potential witnesses, developing ... Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned, prioritizing case load as… more
- MyFlorida (Moore Haven, FL)
- …(HMS) billing function, which identifies cash collections, billings to Medicaid , Medicare, Private Insurance, or other third-party payment sources. As assistant ... staff in serving clients from an interdisciplinary approach. Dental Billing :Retrieve signed authorization from case Manager. Scheduling new patient appointments… more
- Robert Half Legal (Rochester, NY)
- …of legal processes and client services within business law, estate planning, Medicaid planning, and real estate practice areas. Location: Rochester, NY Role: Legal ... closing documentation, and liaise with title companies + Assist with Medicaid application preparation and documentation gathering + Maintain accurate timekeeping… more
- BAYADA Home Health Care (Pennsauken, NJ)
- …This role collaborates with different departments to obtain necessary billing and clinical preadmission information and build effective working relationships ... Collaborate with different BAYADA functional offices to obtain necessary billing information, clinical information, referral source/account preferences, and build… more
- Trinity Health (Des Moines, IA)
- …procedures, and objectives, continuous quality improvement objectives, medical records, billing and safety, environmental, and/or infection control standards. . ... participates in clinical quality improvement initiatives. . Supports appropriate billing for professional service through timely documentation and maintaining… more
- HCA Healthcare (Dallas, TX)
- …and maintained timely and that accurate charging and coding is reported with patient billing . **In this role you will:** + Analyze all facility and Supply Chain ... needed. + Stays abreast of current regulations and industry charging and billing guidelines. + Assist with the standardization process for facilities. + Coordinate… more
- University of Southern California (Alhambra, CA)
- …, medical records, charge audit environment, CDM maintenance, Medicare/ Medicaid reimbursement, managed care contractual arrangements, and patient accounting. ... synchronization of data between the CDM residing in the billing system and CDM management tools . The Senior...the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. This includes… more
- Trinity Health (Columbus, OH)
- …reconciliation of all data and payments from CMS as well as accurate billing and premium payment reconciliation of the plan's membership Organizes, conducts and ... and membership functions relating to enrollment, disenrollment, special status, billing , premiums, revenue and reconciliation processes for the health plan… more
- Beth Israel Lahey Health (Exeter, NH)
- …support for all financial components of healthcare; specifically focusing on billing concerns, understanding insurance options and benefits, gaps in coverage, and ... process. This position supports Patient Access and both Hospital and Professional Billing areas and works in conjunction with Customer Service. **Job Description:**… more
- Beth Israel Lahey Health (Peabody, MA)
- …support for all financial components of healthcare; specifically focusing on billing concerns, understanding insurance options and benefits, gaps in coverage, and ... process. This position supports Patient Access and both Hospital and Professional Billing areas and works in conjunction with Customer Service. **Job Description:**… more