- WellSpan Health (York, PA)
- …when coding and/or compliance issues are found. + Identifies denial trends, billing errors, and determines root cause to prevent future denials. + Investigates ... billing system errors, through help desk tickets and work...courses of action. + Prepares detailed appeals and attends Medicare Administrative Law Judge (ALJ) hearings as necessary for… more
- Covenant Health Inc. (Knoxville, TN)
- …discrepancies); accounts receivable, denials, and underpayments management; self-pay/uninsured billing and collections; and internal and external customer service. ... + Ensures fee schedules, as negotiated with payers, are loaded into the billing system. Monitors error reports when payments do not match the fee schedule… more
- University of Pennsylvania (Philadelphia, PA)
- …and financial implications. + Understanding and keeping current with FDA and Medicare regulations applicable to clinical trials. + Understanding interaction of ... Medicare regulations and/or third-party insurance to develop clinical trial...investigators. + Working with the Managers of Clinical Research Billing and Clinical Research when necessary. + Following institutional… more
- HonorHealth (AZ)
- …or Outpatient clinical documentation and diagnostic results as appropriate for billing , internal and external reporting, research, and regulatory compliance. Codes ... documentation & coding for appropriateness & accuracy in accordance to Medicare and American Medical Association (AMA) coding guidelines. Utilizes electronic medical… more
- Medical Mutual of Ohio (OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Responds to phone ... to broker inquiries via phone and e-mail regarding enrollment, billing /refunds, broker portal troubleshooting, marketing materials, plan benefits, claims, etc.… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …to report on all supplemental Federal and State reimbursement matters + Coordinates Medicare and Medicaid audits and assists with preparation of all supporting work ... trends, and develop insights to improve governmental reimbursements + Analyzes Medicare Administrative Contractor (MAC) correspondence and interim rate setting to… more
- Amgen (Jacksonville, FL)
- …to HCPs on how the products are covered under the benefit design (Commercial, Medicare , Medicaid) + Serve as a payer expert for defined geography and promptly ... with hubs and in-depth knowledge of issues related to billing , coding, and appeals across physician types + Strong...cross functional partner meetings + Experience with commercial payers, Medicare plans, and state Medicaid in a geographic region… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Provides critical ... vendors to resolve elevated issues related to claims, eligibility, plan design, billing , enrollment, etc. on behalf of customers. Demonstrates diligence in working… more
- Medical Mutual of Ohio (Dublin, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Account Administrator ... vendors to resolve elevated issues related to claims, eligibility, plan design, billing , enrollment, etc. on behalf of customers. Demonstrates diligence in working… more
- CenterWell (Texarkana, AR)
- …is to provide clerical support for the branch medical records and billing department. Also, responsible for day-to-day coordination of telephone / personnel ... appropriate. + Complete End of Period claim workflow as part of Billing Specialist responsibilities. This includes confirming all orders are signed appropriately and… more