- Bassett Healthcare (Oneonta, NY)
- …Services + Completion of Care Plans, Assessments, updated documentation, home visits and billing . + Complete outreach for assigned members per the HH Policy and ... chronic illnesses, develops individual and web-based tools and resources to improve compliance . + Conducts thorough needs assessment and assist the member in setting… more
- Mom's Meals (Ankeny, IA)
- …Preferred Skills and Experience + Some college experience or equivalent + Medical Billing terminology Physical Requirements + Repetitive motions that include ... handling procedures maintaining the highest level of accuracy for billing and compliance purposes. This is a...may include, but not limited to + Review incoming Medical Service Authorizations and Medical paperwork to… more
- University of Miami (Miami, FL)
- …appropriately. The Senior Patient Accounts Representative uses advanced knowledge of billing procedures and coding expertise to assist management in the training ... of staff and in assuring compliance with protocols and regulations. CORE JOB FUNCTIONS +...researches coverage policies. + Assists patients with insurance and billing questions. + Sets up budget plans on outstanding… more
- University of Utah Health (Salt Lake City, UT)
- …follow through. **Qualifications** **Qualifications** **Required** + Three years of medical billing experience, or equivalency. **Qualifications (Preferred)** ... and denial resolution on outstanding claims. + Performs contract compliance on outstanding claims, ensuring timely and appropriate reimbursement...**Preferred** + Understanding of Medical billing terminology or equivalent. + Demonstrated… more
- University of Miami (Miami, FL)
- …hold high dollar transplant patient accounts are worked in UChart to make billing edits for a cleanclaim transplant to be submitted to the insurance for ... and CAR-T.3. Work closely with Central Business Office (CBO)/Transplant Hospital Billing team regarding insurancecase rates, case edit creations in UChart and… more
- Guidehouse (San Antonio, TX)
- …and collaborating with colleagues, providing feedback and guidance on work performance. + Medical billing experience + PMP or CAPM Certification. + Certified ... Optimizing patient orders within the Oracle Health (Cerner) system, ensuring accurate billing and compliance . + Designing, developing, and maintaining rules,… more
- Hartford HealthCare (Farmington, CT)
- …could impact denials and coding practices. *Communication* . Collaborate with Revenue Cycle, Billing , and Medical Staff teams to ensure a unified approach to ... of DRG downgrades, submitting appeals, coordinating follow-up actions, and ensuring compliance with regulatory standards. The specialist also plays a critical role… more
- St John's Community Services (Annandale, VA)
- …of SJCS. To create and implement appropriate monitoring systems to ensure compliance with all local, state, and federal regulations. To provide training and ... ISP goals. Make routine staff observations to ensure training effectiveness and compliance . Ensure full involvement of Support Specialists who work directly with the… more
- Walmart (Bentonville, AR)
- …considerations to achieve favorable outcomes. + Partner cross-functionally with Legal, Compliance , Provider Relations, Enrollment, Credentialing, and Billing to ... and deal terms ensuing decisions support Walmart's strategic, financial, and compliance objectives. **About the team:** Walmart's Payer Programs (Optical) team is… more
- Robert Half Accountemps (Manteca, CA)
- …you will play a vital role in managing financial processes, ensuring compliance with regulations, and supporting operational efficiency. The ideal candidate will ... * Manage vendor database and oversee 1099 processing to ensure compliance with reporting standards. * Process business license applications, assist customers… more