- Bear Mountain Health Care (Boston, MA)
- …AND RESPONSIBILITIES: + Sets up and maintains financial files for resident billing , admission papers, State and Medicare documents + Performs routine collection ... calls + Meets with residents/responsible parties to assist with Medicaid applications + Meets weekly with Administrator on past due Private and Medicaid Pending… more
- City of New York (New York, NY)
- …conducting City, State and Federal clearances on all new hires, conducting Medicaid billing clearance, tracking and investigating nepotism, liaising with DCAS ... in alignment with the State and Federal regulations as it pertains to medical billing and article 28/36. Position Summary: The Staff Analyst Trainee will serve as… more
- United Musculoskeletal Partners (Golden, CO)
- …modification, fitting, training the patient on fit and function, and answering billing and insurance coverage questions. * Assists Ortho Technicians with daily ... * Review all necessary authorizations and medical necessity as required by Medicare, Medicaid , or commercial insurance to fit and bill for each orthosis per criteria… more
- Henry Ford Health System (Detroit, MI)
- …+ Medical billing background, preferred. + Understanding of Medicare and Medicaid regulations and rules with a background in coordination of benefits, preferred. ... GED equivalent. Associates degree is preferred. + General knowledge base of billing requirements and rules. + Comprehensive knowledge of insurance coverage generally… more
- Highmark Health (Denver, CO)
- …duties as specified. + Identify and report improper coordination of benefit billing practices through paid clams review. + Participate as pharmacy representative in ... formulary terminology + Pharmacy technicians must be familiar with multiple Medicaid drug benefit design offerings and rules/regulations across multiple states. They… more
- AbbVie (North Chicago, IL)
- …and knowledge of commercial and major medical insurance programs, billing requirements, healthcare benefit investigation processes, prior authorization and appeal ... of private payers, pharmacy benefits, medical benefits, Medicare Part D, Medicaid and alternate funding resources. + Demonstrated organization and problem solving… more
- Springbrook (Oneonta, NY)
- …supervision to Shared Day Habilitation Assistants. To ensure that training of staff, billing and provision of services comply with OPWDD and Medicaid regulation, ... Springbrook policies and procedures, and meets the Springbrook standard of excellence, incorporating best practices and a person centered approach which respects individual rights, choices and needs. This Includes maintaining a daily schedule of program… more
- University of Virginia (Charlottesville, VA)
- …use. + Monitor regulatory changes provided by the Centers for Medicare and Medicaid Services (CMS) and the Virginia Department of Medical Assistance Services to ... of experience required in a complex hospital setting Knowledge of third party billing and reimbursement methodologies required Understanding of CPT level II and III… more
- BrightSpring Health Services (Lawrenceville, GA)
- …session content, caregiver progress, and recommendations in accordance with Georgia Medicaid and company standards. + Collaborate with child's treatment team to ... ensure continuity of care. + Maintain timely and accurate billing documentation and session notes. + Collect and analyze data on caregiver goals. + Ensure all… more
- WellSpan Health (York, PA)
- …every 120 days in CAQH. - Runs reports and complete Medicare and Medicaid revalidations for WellSpan Medical Group (WSMG) & Hospital Based providers. - Maintains ... participates. - Runs weekly Credentialing Update reports to IS Department for billing system update. - Runs expiring provider credentials reports, notifies practices… more