- University of Delaware (Newark, DE)
- …in the HRIS system, vendor enrollments, ACH payments and returns, and Medicare -related programs such as TEFRA/DEFRA. Coordinate and ensure the accuracy of benefits ... billing , payments, and adjustments. Ensure compliance with applicable policies,...plans. Payroll experience is strongly preferred. + Knowledge of Medicare policies, regulations, processes, procedures, and documentation. + Knowledge… more
- Molina Healthcare (NY)
- …performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job Qualifications** **Required ... of related experience in healthcare + Demonstrated understanding of Medicaid and Medicare programs or other healthcare plans + Analytical work experience within the… more
- Marshfield Clinic (Iron Mountain, MI)
- …rural health clinics within the Health System. This individual will assist with Medicare and Medicaid Cost Report coordination, Wage Index, S10, DSH and other ... and State level while having a basic understanding and familiarity with the billing system and reporting. This individual provides financial information, serves as a… more
- Pine Acres Rehabilitation & Care Center (Fairfield, IA)
- …facility. Complies with facility policies and procedures for appropriately documenting, billing and coding for residents receiving physical and occupational therapy. ... assessment as required by facility policy (RAI User's Manual) for Medicare Part A, Medicare Advantage residents upon admission, interim and at time of discharge.… more
- Molina Healthcare (Scottsdale, AZ)
- …performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **JOB QUALIFICATIONS** **Required ... - 5 years supervisory experience + Demonstrated understanding of Medicaid and Medicare programs or other healthcare plans + Experience with Databricks + Proficiency… more
- Bassett Healthcare (Oneonta, NY)
- …as monitored by system audit + Accurate confirmation of attending PCP and Billing PCP, when appropriate. + Assures correct data capture and data entry (such ... of Advanced Beneficiary Notice signatures and form processing to meet Medicare regulations. + Ensures all corrections (demographics, insurance eligibility etc. based… more
- Genesis Healthcare (Clayton, NM)
- …Nurse -- RN manages the overall process and tracking of all Medicare /Medicaid case-mix documents to ensure appropriate reimbursement for all services provided within ... identify opportunities to enhance reimbursement. *Communicate case-mix data required for billing to the Business Office such as RUGs categories, modifiers, state… more
- Rochester Regional Health (Rochester, NY)
- …+ Check insurance eligibility via appropriate websites. + Complete the Medicare Secondary Payer Questionnaire for eligible patients. + Complete all required ... Medicare admission forms. + Verify third-party and Worker's Compensation...QUALIFICATIONS: + Knowledge of medical terminology, EHR systems, coding, billing , and HIPAA. + Strong customer service, communication, multitasking,… more
- Walgreens (Memphis, TN)
- …+ Fully abides to all compliance policies inclusive of participating in the billing and submission of claims to government- sponsored health care programs, including ... Medicare , Medicaid, and all other third-party payers, as well...and contracts with payers and pharmaceutical manufacturers (BOP, DEA, Medicare , accreditation bodies, compounding, FDA, etc.). + Complies with… more
- Saint Francis Health System (Tulsa, OK)
- …accounting software, and data analytics platforms. Working knowledge of healthcare billing and reimbursement processes, particularly related to Medicare and ... oversight to sales tax recovery for taxable items utilized directly on Medicare and Medicaid patients. Decision Making: Independent judgement in making decisions… more