- CVS Health (Charleston, WV)
- …related to clinical findings + Initiates proactive data mining to identify aberrant billing patterns + Makes referrals, both internal and external, in the required ... year, depending on business needs) **Preferred Qualifications** + Previous Medicaid/ Medicare investigatory experience + Exercises independent judgement and uses… more
- UCLA Health (Los Angeles, CA)
- …+ Working knowledge of ophthalmic medical terminology. + Familiarity with current billing practices including governmental plans such as Medicare and Medicaid. ... + Computer skills sufficient to communicate by email. + Verbal and written skills in English sufficient to communicate effectively with patients, doctors and staff. + Excellent interpersonal skills to interact with individuals of varied backgrounds… more
- WMCHealth (Hawthorne, NY)
- …escalates to Managed Care staff as needed + Provides denial trends to Billing Functional Leader for operational improvement + Works with Local System Coding leaders ... + Demonstrated knowledge of healthcare management, collections management, Medicaid and Medicare . + Experience in establishing and managing claim denial activities,… more
- WMCHealth (Suffern, NY)
- …reporting systems, ensuring compliance with procedures and policies relating to patient billing and reporting to regulatory agencies such as Center for Medicare ... and Medicaid. * Prepares monthly income statements by collecting and consolidating accounting data. * Assists with preparation of yearly operating and capital budget. * Effectively uses automated systems to perform work assignments. * Performs related duties… more
- Cleveland Clinic (Cleveland, OH)
- …paperwork. + Report any malfunctions to help desk and PACS Administrator. + Process billing via RIS. + Assist with all policies and procedures required by local, ... state, and federal law, and with compliance or credentialing bodies (ACR, MQSA, Medicare , Medicaid, FDA, etc.) + Assist with instrument calibration and records to… more
- Help at Home (Fort Wayne, IN)
- …company and state regulations. + Coordination of client benefits including Medicaid, Medicare , SSI, SSA, and Food Stamps. + Securing community resources for clients ... pertaining to client's needs. + Scheduling, home visits, overseeing monthly billing according to the Notice of Action. **In order to be eligible for this role, you… more
- Hartford HealthCare (Farmington, CT)
- …determine the appropriate assignment of alpha numeric diagnosis/procedure codes and Medicare Severity Diagnosis Related Groups (MS-DRG). Data is classified for ... reimbursement purposes. 2. Collaborates with Quality Management and other departments ( Billing Registration, etc.) as required. 3. Seeks clarification from attending… more
- Care Initiatives (Stratford, IA)
- …person-centered care. + Manage budgets, monitor expenditures, and oversee billing and reimbursement processes. + Lead quality assurance and performance ... (SNF) or long-term care (LTC) environment. + Strong knowledge of Medicare , Medicaid, and state/federal regulations. + Excellent communication, leadership, and… more
- Stony Brook University (Stony Brook, NY)
- …all pertinent patient and insurance information is on file for clinical submission and billing . **_Training for this role will be FULLY ON SITE for an estimated 3 ... **Preferred Qualifications:** Healthcare or insurance industry experience. Experience with Medicare , Social Security and/or Medicaid systems. Bilingual. **Special Notes**… more
- Saratoga Hospital (Saratoga Springs, NY)
- …the HIM Operations Manager to ensure all clinical documentation is available to coding/ billing and clinical staff via the electronic health record within 24 hours of ... a basic understanding of Patient-Centered Medical Home (PCMH) and Centers for Medicare and Medicaid Services (CMS) quality measures is preferred. + Strong… more