- Cleveland Clinic (Cleveland, OH)
- …policies, local/state/federal laws, and credentialing standards (eg, ACR, MQSA, Medicare , FDA). + Oversee quality assurance, instrument calibration, and equipment ... troubleshooting equipment or software issues. + Assist with patient scheduling and billing processes; ensure high equipment uptime for accessibility. + Mentor new… more
- Option Care Health (Trenton, NJ)
- …to Neurology, Gastroenterology, and/or Allergy/Immunology specialties + Understanding of billing and reimbursement procedures for medical offices and hospitals ... (Commercial Insurance, Medicare Part B & D, Fee for Service Medicaid, Managed Medicaid) Due to state pay transparency laws, the full range for the position is below:… more
- Trinity Health (Livonia, MI)
- …secondary diagnoses, principal procedure, and secondary procedures. Assigns appropriate Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined DRGs ... and Patient Business Services (PBS) teams, when needed, to help resolve billing , claims, denial, and appeals issues affecting reimbursement. 10. Maintains CEUs as… more
- Dignity Health (Oxnard, CA)
- …+ Working knowledge of community clinic/health center business office, billing procedures, DHCS Medi-Cal Perspective Payment System, (PPS), rate ... setting/reconciliation reporting, and Medicare related cost reporting for licensed clinics and physician practices. + The ability to analyze, evaluate, plan,… more
- Trinity Health (Maywood, IL)
- …Loyola, and department policies. + Ensure timely EPIC entries and accurate billing . + Report potential risk or quality issues to leadership. **Professional ... standards, UNOS/CMS rules, and post-acute care options. + Understand insurance, Medicare /Medicaid, and financial assistance programs. + Adhere to ethical standards… more
- Baylor Scott & White Health (Pflugerville, TX)
- …is credentialed and privileged, and whose service is billed as an independent billing provider, as recognized by Medicare and Medicaid within the healthcare ... systems, and in accordance with the appropriate board. The Advanced Practice Provider provides medical care based upon the scope of practice as delineated by the supervising physician. Inpatient Medicine providers typically work in a hospital setting and… more
- UPMC (Williamsport, PA)
- …post-operative appointments and surgical cases for all patients. + Ensure all billing and insurance information is current and accurate. + Complete special projects ... sound decision-making skills. + Knowledge of insurance regulations, specifically Medicare , BC/BS, managed care plans and workers compensation carriers regarding… more
- Baylor Scott & White Health (Dallas, TX)
- …is credentialed and privileged, and whose service is billed as an independent billing provider, as recognized by Medicare and Medicaid within the healthcare ... systems, and in accordance with the appropriate board. The Advanced Practice Provider provides medical care based upon the scope of practice as delineated by the supervising physician. These providers work in a specialty clinic, and may specialize in… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …receive services. Maintains current knowledge of all insurance cards and billing necessities to obtain accurate demographic, financial, and clinical information and ... signatures from patients (or POA) as determined by Medicare , State and Federal guidelines. Collects copays as applicable and attempts to collect any outstanding debt… more
- Robert Half Technology (Lexington, MA)
- …with healthcare data compliance, including HIPAA, GDPR, and HITECH Act. Claims & Billing Data - Experience analyzing claims from Medicare , Medicaid, and private ... insurers. HEDIS Quality Measures CMS Data Data Management & ETL Experience ETL (Extract, Transform, Load) Processes - Experience working with data warehouses, SQL ETL pipelines Big Data & Cloud Platforms - Familiarity with AWS (Redshift), Google Cloud, and/or… more