- Stanford Health Care (Palo Alto, CA)
- … + Working knowledge of commercial payer reimbursement models + Knowledge of Medicare billing practices. + Proficient EXCEL, WORD, PowerPoint skills **Licenses ... need to need to be removed from an account + Conducts audits for Medicare /Medicaid Cost Outlier accounts prior to billing , ensuring itemized bill is accurate.… more
- Humana (Carson City, NV)
- …clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicaid, and Medicare ... clinical group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …case planning and research, conducting onsite or desk audits, clinical reviews of medical records to ensure correct billing of services and appropriateness of ... Level I + Functions as a clinical reviewer of medical records, researching and investigating complex medical ...detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned, prioritizing case… more
- Henry Ford Health System (Troy, MI)
- …and revenue codes to be compliant with Medicare rules and regulations, the Medicare Billing Manual, the American Medical Association, or any adopted ... Manual (BAM) policies with correct codes ensuring that all Medicare covered codes are found on the BAM, new...knowledge of ICD-10-CM coding and guidelines. + Knowledge of medical billing and third-party payer regulations. +… more
- FlexStaff (New York, NY)
- … Medical Biller with extensive experience and strong technical knowledge of medical billing and insurance reimbursement processes to work for our external ... the office. Requirements: * 5+ years of experience in medical billing and claims processing, and insurance...claims to both private and public insurance carriers, including Medicare , Medicaid, and commercial plans. * Investigate and resolve… more
- Covenant Health Inc. (Knoxville, TN)
- …compliance. + Performs research and analysis of charges, CPT coding, modifiers and billing processes to ensure compliance with Medicare , Medicaid guidelines and ... F ive (5) years' experience in health care. Good working knowledge of healthcare billing , Medicare /Medicaid billing guidelines, and other Third Party Payor… more
- Mount Sinai Health System (New York, NY)
- …plans for resolving billing disputes. + Keeps abreast of changes in Medicare and Medicaid regulations that impacts Practice and Billing Office operations. + ... in accordance with established fee schedules and ensures compliance with Medicare and other insurance carrier guidelines. **Qualifications** + Associate?s degree in… more
- Covenant Health Inc. (Knoxville, TN)
- …(3) years of experience in healthcare revenue cycle required (ie, medical billing , insurance/precert verification, registration, Health Information Management ... Overview Medical Biller, CMG Business Office Full Time, 80...improperly paid insurance claims. This position is responsible for billing and follow-up functions for payors in all financial… more
- Banner Health (Phoenix, AZ)
- …paperwork faxed to PBO. Adheres to all billing procedures including preparation of Medicare billing at the end of the month within specific timelines. 3. ... Certified Medical Assistant with experiential training in medical front office and insurance billing procedures....training in medical front office and insurance billing procedures. Active Medical Assistant Certification is… more
- Covenant Health Inc. (Knoxville, TN)
- …(2) years of experience in healthcare revenue cycle required (ie, medical billing , insurance/percert verification, registration, Health Information Management ... Overview Medical Biller, CMG Business Office Full Time, 80...improperly paid insurance claims. This position is responsible for billing and follow-up functions for payors in all financial… more