- Intermountain Health (Concord, NH)
- …CMS Medicare , Medicaid, Managed Care and Commercial health plan billing , reimbursement and regulations. 2. Knowledge of quality measures, patient safety ... indicators, value-based purchasing, risk adjustments, mortality scoring, hospital acquired conditions, CMS 5 star, and external publicly reported quality metrics. 3. Knowledge of how ICD codes, DRGs and SOI/ROM scores are used for reimbursement, public… more
- Little City Foundation (Grayslake, IL)
- …and duration, serving as a liaison with the finance department on billing and resolution. 7. Partner with development/grants team members to ensure commitments ... Management Divisions (BQM), Occupational Safety and Health Act (OSHA), Centers for Medicare and Medicaid Services (CMS), Department of Public Health and Office of… more
- Rush Copley Medical Center (Aurora, IL)
- Seeking candidate with previous medical office and billing experience to serve as financial counselor for busy clinics. Primary responsibilities include but are not ... office guidelines. This position requires strong knowledge of insurance plans (including Medicare and Medicaid) and their limitations and CPT/ICD9 coding. The ideal… more
- Gentiva (Alliance, OH)
- …patient may be appropriate for home health or hospice care; Medicare /Medicaid regulations; and interdisciplinary process; value based and/or accountable organization ... Based Care practice experience preferred + Practice experience with Part B billing + Able to work autonomously in an Advanced Practice Role… more
- AbbVie (Houston, TX)
- …+ Strong understanding and ability to communicate technical elements of coding and billing requirements at the National and Regional level across all settings of ... care + Comprehensive understanding of Parts A, B, C and D or Medicare and associated reimbursement dynamics + Strong understanding of drug acquisition and dispensing… more
- UPMC (Pittsburgh, PA)
- …post-operative appointments and surgical cases for all patients. + Ensure all billing and insurance information is current and accurate. + Complete special projects ... possess sound decision-making skills. Knowledge of insurance regulations, specifically Medicare , BC/BS, managed care plans and workers compensation carriers… more
- Robert Half Accountemps (Nashua, NH)
- …code, and enter benefit data to support Point of Service Collections and billing processes. * Use the Advance Beneficiary Notice (ABN) software to accurately screen ... medical necessity, inform Medicare patients of potential non-payment of tests, and distribute the ABN as needed. * Utilize auditing and reporting systems for quality… more
- AdventHealth (Orlando, FL)
- …is knowledgeable in the areas of clinical trial budgets and protocols, Medicare coverage analysis, clinical trial financial processes including invoicing and time ... recovery, accurate reporting of enrollment and clinical trial performance, and billing compliance. + Perform tasks supporting study builds in CTMS including… more
- Actalent (West Des Moines, IA)
- …Nurse (RN) license required. + 3+ years of experience in medical record review, billing , and auditing with extensive knowledge of medical coding and/or Medicare ... Guidelines. + Strong problem-solving skills and ability to work independently. Additional Skills & Qualifications + Medical Coding licensure preferred; open to candidates actively pursuing certification such as CPC, CIC, COC, CPMA, or AHIMA. Job Type &… more
- Lawrence General Hospital (Lawrence, MA)
- …guidelines, alerts ordering physician's offices as needed, and generates a Medicare ABN as appropriate. + Verifies patient insurance coverage via electronic-based ... direction and work independently. Preferred: + Bilingual English/Spanish + Knowledge of medical terminology, third party payer billing and managed care requirements. more