- University of Virginia (Charlottesville, VA)
- …growth through participation in additional value-based programs and/or Fee-for-Service billing . + Continually assess external environment and emergence of ... pay-for performance programs in the commercial and governmental sectors, particularly Medicare value-based purchasing and alternative payment models. + Experience in… more
- Hackensack Meridian Health (Edison, NJ)
- …of all Access data elements, such as real time eligibility (RTE), Medicare Payer Secondary Questionnaire (MSPQ), Insurance plan codes, proper sequencing of COB ... time of registration to again mitigate loss of revenue and ensure timely billing standards are met as specified by certain payors. Education, Knowledge, Skills and… more
- Sharp HealthCare (San Diego, CA)
- …for confidentiality and HIPAA guidelines. Documentation meets all third-party payer ( Medicare , PPO, Work Comp and HMO) and regulatory requirements. Completes all ... notes and billing daily. Completes all tasks and documentation needs (ie utilization management, plan of care, medical necessity reviews) based on department and… more
- AdventHealth (Orlando, FL)
- …opportunities and relevant data. Provide physician coaching on documentation. Assist in billing for technical component of services and appeals for denials. Provides ... practice experience **_Experience Preferred_** _:_ . Understanding of hospital Utilization Management/ Medicare Regulations . Two years or greater experience as a… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …Enrollment Data Validation file and submissions + Working understanding of Centers for Medicare & Medicaid Services (CMS) guidance + Conform with and abide by all ... other entities as permitted to complete processing of enrollment, disenrollment, billing and or reconciliation transactions + Make appropriate system corrections and… more
- Erickson Living (Springfield, VA)
- …transmission. + Maintaining and sharing expertise and knowledge related to Medicare Reimbursement. + Partnering with departments, including therapy and finance, to ... ensure accurate and timely billing for areas related to the MDS. + Completing MDS audits to ensure documentation supports current standards for reimbursement,… more
- Atrius Health (Newton, MA)
- …. Develop and deploy subject matter expertise in public payer ACO models ( Medicare and Medicaid) and create analyses to assess ACO performance and inform ... development, * Generous health and welfare benefit package. **Job:** **Accounting/ Billing /Finance* **Organization:** **Finance* **Title:** *Senior Managed Care Analyst* **Location:**… more
- Johns Hopkins University (Bethesda, MD)
- …full clinical privileges at Suburban Hospital + Eligibility to participate in: + Medicare and Medicaid programs + Managed care arrangements affiliated with JHU and ... or transplant-related documentation, as applicable. + Submission of all required billing forms, clinical notes, and service documentation in accordance with JHU… more
- Beth Israel Lahey Health (Boston, MA)
- …at each visit to ensure collection of accurate information for billing and accurate capture of pre-transplant services; collaborates with Financial Coordinator ... and Tracking Record database and records time per instructions on the monthly Medicare time study. + Answers, screens, and processes a high volume of calls… 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