- US Anesthesia Partners (Austin, TX)
- …skills. + Ability to prioritize work. + In-depth knowledge of Medicare , Medicaid, Workers Compensation guidelines and billing standards. + Revenue Cycle ... including, but not limited to clean claim guidelines, working. denials, writing appeals , resolving balances with carriers and patients. + Ability to work effectively… more
- Centene Corporation (Jefferson City, MO)
- …guidelines established by the American Medical Association and the Centers for Medicare and Medicaid Services. + Ensures Payment Integrity DRG Review consistently ... + Triages and resolves escalated health plan, Claims department, and provider inquires/ appeals or issues + Cross communication with IT, health plans, vendors, and… more
- Community Missions of the Niagara Frontier (Niagara Falls, NY)
- …to help residents access public assistance programs including SNAP, Medicaid/ Medicare , housing subsidies, and Social Security. Responsibilities include assessing ... eligibility, assisting with applications and appeals , and collaborating with staff to ensure residents receive the benefits they need. Ideal candidates have… more
- Community Legal Services, Inc. (Philadelphia, PA)
- …and health coverage including TANF Cash Assistance, SNAP (Food Stamps), Medicaid, Medicare , LIHEAP, SSI and other Social Security benefits. Paralegals are integral ... researching relevant rules, and applying them to cases + Filing administrative appeals and engaging in administrative advocacy under the supervision of an attorney… more
- Community Legal Services, Inc. (Philadelphia, PA)
- …and health coverage including TANF Cash Assistance, SNAP (Food Stamps), Medicaid, Medicare , LIHEAP, SSI and other Social Security benefits. Paralegals are integral ... researching relevant rules, and applying them to cases + Filing administrative appeals and engaging in administrative advocacy under the supervision of an attorney… more
- Sharp HealthCare (La Mesa, CA)
- …Management.Assure correct documentation is present for 2MN benchmark and presumption.Assure Medicare Inpatient to observation status changes follow Condition Code 44 ... to Revenue Cycle/HIM regarding RAC decision to appeal, denials, input into appeals , share findings with providers.Review all cases with readmission within 30 days;… more
- FlexStaff (New York, NY)
- …accurately submit claims to both private and public insurance carriers, including Medicare , Medicaid, and commercial plans. * Investigate and resolve denied or ... unpaid claims, handling appeals , resubmissions, and necessary corrections. * Analyze denial trends and offer feedback and suggestions for process improvement. *… more
- The County of Los Angeles (Los Angeles, CA)
- …quality assessment and assurance monitoring processes; and handle informal complainant appeals . Health Facilities Program Manager, Nursing positions are required to ... enforcement actions for the Division, including processing license revocations, Medicare and Medi-Cal de-certifications, and criminal complaints; and provides… more