- Humana (Santa Fe, NM)
- …Principal coordinates, implements, and manages oversight of the company's Medicare /Medicaid Stars Program for aligned areas. The Stars Improvement Principal ... experience. This role is responsible for supporting the Stars strategy within Insurance Operations, serving as a subject matter expert for Stars-related initiatives,… more
- Truman Medical Centers (Kansas City, MO)
- …skill!) + Bring **2-3 years of experience** in a hospital, physician's office, or insurance billing role + Know your way around ** insurance reimbursement** ... You'll Be Doing: + Taking the reins on **daily billing of insurance claims** and **following up**...workflows with ease and accuracy + Working with **commercial insurance , Medicare , Medicaid** , and **special programs**… more
- HCA Healthcare (Gainesville, FL)
- …**Performs quality checks on medical records** + **Remains informed of Medicare guidelines** + **Directs billing inquiries appropriately** + **Directs all ... SPECIFIC DUTIES:** **Appointment Scheduling** + **Confirms the patient's primary care insurance coverage is Medicare ** + **Schedules appointments within five… more
- Sanford Health (MN)
- …The Insurance Representative processes and monitors unpaid third party insurance , Medicare , Medicaid or government-assisted program accounts for proper ... time to assure compliance with departmental standards. Keeps updated on all state/federal billing requirements and changes for insurance types within area of… more
- Robert Half Office Team (Fort Worth, TX)
- …workflows and improve patient experiences. Requirements * Proven experience in medical insurance verification and authorization processes. * Familiarity with ... manner. * Maintain detailed records of authorizations, payments, and insurance coverage. * Collaborate with billing teams... insurance plans, including Medicare Parts B and D. * Strong knowledge of… more
- Actalent (Birmingham, AL)
- …for conducting detailed reviews of clinical trial protocols to ensure appropriate billing of services in compliance with Medicare regulations and institutional ... billing , coverage analysis, or healthcare compliance. + Strong knowledge of Medicare regulations and clinical trial billing practices. + Familiarity with… more
- Truman Medical Centers (Kansas City, MO)
- …and government reimbursement programs; ie Medicare , Medicaid, MC+, etc. + Knowledge of medical insurance billing and collection + Knowledge with CPT, ICD ... medical terminology, anatomy and physiology + Knowledge of medical information systems for physician billing +...programs and devices. + Ability to maintain knowledge of Medicare rules and Local Carrier Determination (LCD) and national… more
- University of Rochester (Rochester, NY)
- …Accounting, Consumer Collections experience, or Certification obtained from a nationally accredited billing program (ie, Certified Medical Billing Specialist ... follow up. + Bills primary and secondary claims to insurance . 15% Identify and clarify billing issues,...audits + Coordinate responses and resolution to Medicaid and Medicare credit balances. + Request insurance adjustments… more
- Mount Sinai Health System (New York, NY)
- …Epic. + Knowledge of insurance and governmental programs, regulations, and billing processes (eg, Medicare , Medicaid, etc.), managed care contracts and ... organization and bridges the gap between clinical care and medical billing and reimbursement. This position will...compliance regulations set by entities like the Centers for Medicare and Medicaid Services (CMS). + Mitigate the risk… more
- Centene Corporation (Helena, MT)
- …established by the American Medical Association and the Centers for Medicare and Medicaid Services. + Analyze provider billing practices by utilizing ... equivalent experience. Coding certification and 2+ years of experience in medical billing & coding, coding/data analysis, accounting/business or… more