- WMCHealth (Poughkeepsie, NY)
- …compassion. Special Requirements: Knowledge of Patient management System(s), payer websites, medical terminology, Medicare medical necessity and commercial ... Clerk processes insurance claims to third party health carriers for billing of medical services provided to patients at Westchester Medical Center.… more
- City and County of San Francisco (San Francisco, CA)
- …Completion of fifteen (15) semester units or twenty-two (22) quarter units of medical billing -related coursework from an accredited college or university may ... , claims processing and/or collecting healthcare service reimbursements or medical claims from Medi-Cal (Medicaid), Medicare , insurance,... billing for reimbursement; knowledge of priority of billing Medicare and Medi-Cal based on the… more
- HonorHealth (AZ)
- …+ High School Diploma or GED - Required Experience + 2 years healthcare billing and collections experience in a medical practice or healthcare organization - ... to assure that payments are accurate and comply with Medicare and Managed care contracts payment methodologies Work the...Required + 5 years healthcare related medical professional billing and collection s experience.… more
- Glens Falls Hospital (Glens Falls, NY)
- *The Impact You Can Make* Attention all dedicated medical billing professionals!! The Patient Financial Services (PFS) team is looking to help you broaden your ... at Glens Falls Hospital! Come join our team of medical billing experts as the Accounts Receivable...Healthcare Business Office required . Familiarity with Medicaid and/or Medicare rules and regulations and/or commercial billing … more
- Scripps Health (San Diego, CA)
- …are submitted to result in maximum reimbursement while following applicable billing reimbursement regulations. Reviews Medicare intermediary and other ... are not limited to Monitors and maintains hospital departmental chargemasters to ensure billing accuracy of new and existing service codes. . Insures the appropriate… more
- Integra Partners (Troy, MI)
- …to translated them into operational requirements + Strong understanding of DME billing guidelines, medical necessity criteria, coding protocols (ICD-10, HCPCS, ... The Medical Policy & Compliance Specialist is responsible for...Specialist is responsible for researching, analyzing, and interpreting CMS ( Medicare ) and state Medicaid guidelines to ensure the organization's… more
- Rush University Medical Center (Chicago, IL)
- …financial challenges * Works closely with Finance to ensure that the proper billing , accounting, auditing, CPT coding, Medicare /Medicaid billing procedures ... **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical ...Ensures smooth operation of the laboratory's testing, reporting and billing for the RUMC in- and outpatients and outreach… more
- UnityPoint Health (Des Moines, IA)
- …services. Qualifications Education: Two year business degree preferred. Experience: One year of medical office coding or medical billing experience. Working ... billing statements from providers, identifying pre-transplant cost for Medicare and commercial cost reports. Produces and maintains documentation and worksheets… more
- Cardinal Health (San Juan, PR)
- …(technical) services, including: detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular ... documentation and coding related to physician or hospital (inpatient and outpatient) billing and/or medical necessity reviews. + Manages focused audits involving… more
- Guthrie (Binghamton, NY)
- …coding, and billing staff to answer clinical questions related to medical necessity and patient status. 4. Maintain status determination tools and other UM ... clinical case summaries that include rationale for the recommended billing status. 2. Serve as a resource person for...Assist with preparation of discussion and appeal letters for Medicare /Medicaid medical necessity denials. 5. Assist with… more