- United Musculoskeletal Partners (Golden, CO)
- …cost center. Assists with supplies surrounding injectables and DME products. The DME Specialist is responsible for all matters concerning DME patient care and retail ... modification, fitting, training the patient on fit and function, and answering billing and insurance coverage questions. * Assists Ortho Technicians with daily… more
- Commonwealth Care Alliance (Boston, MA)
- …Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and strengthening relationships with ... lead communication sessions, educating on CCA's policies, program benefits, billing , referral and authorizations regulatory compliance, and contractual expectations.… more
- Commonwealth Care Alliance (Boston, MA)
- …provider community. In this highly visible field position, the provider relations specialist acts as the primary liaison between CCA and its providers including ... Program benefits; Clinical initiatives; Referral and authorization; Regulatory compliance; Billing and payments; Complaints and appeals; Policies and procedures. +… more
- Centene Corporation (Jefferson City, MO)
- …by the American Medical Association and the Centers for Medicare and Medicaid Services. + Ensures Payment Integrity DRG Review consistently meets production ... with all policies and standards **Education/Experience:** Associate's Degree in Medical Billing and Coding, Healthcare or related field, or equivalent experience… more
- Banner Health (AZ)
- …residents, heavy EM coding and inpatient visits sometimes involving split billing . **Shift: Monday-Friday, 7:30-4; 8am-4:30 with flexibility** **Ideal Candidate:** + ... with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General… more
- General Dynamics Information Technology (Fairfax, VA)
- …Healthcare Fraud (Inactive),Insurance Fraud Investigations,Insurance Regulations,Medical Billing and Coding,Technical Writing Documentation **Certifications:** ... (AAPC) - American Academy of Professional Coders (AAPC), Certified Coding Specialist (CCS) | American Health Information Management Association (AHIMA) - American… more
- Mental Health Association of SCK (Wichita, KS)
- …recovery. ESSENTIAL POSITION RESPONSIBILITIES: 1. Provides services to maintain required productivity/ billing standard of 5 contacts a day. 2. Meets deadlines and ... Maintains accurate and timely documentation of service provision per MHA, MCO/ Medicaid , and COMCARE guidelines and contracts. Completes treatment plans, strengths… more
- Henry Ford Health System (Troy, MI)
- …call center productivity. + Ensure compliance with the Centers for Medicare & Medicaid Services (CMS) and other regulatory agency guidelines, such as NCQA. + ... policies, procedures, systems tools, in cooperation with the departmental Training Specialist . + Assist and/or handle member complaints received through the… more
- Huron Consulting Group (Chicago, IL)
- …ICD-CM Official Coding Guidelines for Coding and Reporting, Centers for Medicare/ Medicaid Services (CMS) ICD-PCS Official Guidelines for Coding and Reporting o ... HIM and Patient Financial Services (PFS) teams, when needed, to help resolve billing , claims, denial and appeals issues affecting reimbursement. * Maintains CEUs as… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …eligibility and benefits through various payers, including commercial insurances, Medicaid , and Medicare. + Obtains the necessary prior authorizations, referrals, ... due on the account. + Educates the patient/responsible parties regarding billing processes, financial responsibilities, third party benefit information and, provides… more
Recent Jobs
-
Services Team Manager, DCEO
- Amazon (Hayward, CA)
-
Systems Engineer III
- EPSILON SYSTEMS (North Charleston, SC)
-
Indiana Bridge Group Manager
- Hanson Professional Services Inc. (Indianapolis, IN)
-
Warehouse Specialist Supervisor
- UIC Government Services and the Bowhead Family of Companies (Albany, GA)