- CareFirst (Baltimore, MD)
- …of services and approved claims. + Prepares retrospective reviews, case appeals, billing coordination, and clinical support. + Manages the analysis of utilization ... **Preferred Qualifications** : + Knowledge and experience in both government services ( Medicare , Medicaid, DSNP) and commercial lines of business in a health plan… more
- Cleveland Clinic (Medina, 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
- 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 ... sound decision-making skills. + Knowledge of insurance regulations, specifically Medicare , BC/BS, managed care plans and workers compensation carriers regarding… more
- Cleveland Clinic (Avon, OH)
- …Immediately reports any malfunctions to help desk and PACS Administrator. + Processes billing via RIS. + Assists with all policies and procedures required by local, ... state, and federal law, and with compliance or credentialing bodies (ACR, MQSA, Medicare , Medicaid, FDA, etc.) + Assists with instrument calibration and records to… more
- Cleveland Clinic (Dover, OH)
- …local, state, or federal law and compliance or credentialing bodies (ACR, MQSA, Medicare , Medicaid, FDA, etc.). + Assist with instrument calibration and records to ... acquiring, archiving, transmitting and printing images via PACS + Knowledgeable in billing via RIS Preferred qualifications for the ideal future caregiver include: +… more
- Mohawk Valley Health System (Utica, NY)
- …Managers and Attending Physicians to align on the level of care, patient billing status, and potential barriers to patient discharge. The Physician Advisor (PA) ... clinical variability throughout the medical staff. + Assist case managers with Medicare and Medicaid appeals and Administrative Law Judge (ALJ) testimonies. Act as… more
- Sanford Health (Fargo, ND)
- …as requested by the clinic support staff. o Conduct Office Visits or Medicare Annual Wellness Visits at assigned clinic(s) o Assist patients who cannot afford ... and mentor pharmacy students and pharmacy residents. o Understand and adhere to billing regulations and compliance. In a medical center or institutional setting, the… more
- Houston Methodist (Houston, TX)
- …anatomy, measurements, and abnormal findings. + Operates within Centers for Medicare & Medicaid Services (CMS), OPTN, Health Insurance Portability and Accountability ... with quality management. Submits variances timely to management for proper billing management. Contributes to meeting department and organ program financial measures… more
- Baylor Scott & White Health (College Station, 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 typically provide care to patients in an internal medicine,… more
- Hackensack Meridian Health (Hackensack, NJ)
- …enhancements to policies, procedures and internal controls for documentation and billing in order to assure compliance with payer and regulatory requirements ... including but not limited to those of Medicare , Medicaid and the State of New Jersey. **Education, Knowledge, Skills and Abilities Required:** + BA/BS. + Minimum of… more