- University of Michigan (Ann Arbor, MI)
- …outpatient populations. They are knowledgeable about insurance requirements and medical billing practices. The Appeals Specialist will collaborate with multiple ... Apply Now **Job Summary** **Why Join Michigan Medicine's Hospital Billing Audits & Appeals (HBAA) Department?** The Audit and...Audits & Appeals (HBAA) Department?** The Audit and Appeals Specialist has a strong knowledge of medical appeal and… more
- University of Rochester (Rochester, NY)
- …from a nationally accredited billing program (ie, Certified Medical Billing Specialist CMBS, Certified Medical Records Technician CMRT, Certified Medical ... of aged insurance accounts which have not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent decisions… more
- Always Best Care Senior Services (Honolulu, HI)
- …role, preferably with Medicare compliance knowledge. * Strong familiarity with Medicare billing , OASIS, and regulatory compliance. * Experience working with ... need. We are seeking an experienced Home Health Administrative Specialist to join our team. The ideal candidate will...The ideal candidate will have a strong understanding of Medicare compliance requirements for Home Health and will help… more
- Mount Sinai Health System (New York, NY)
- …with Epic. + Knowledge of insurance and governmental programs, regulations, and billing processes (eg, Medicare , Medicaid, etc.), managed care contracts and ... of the organization and bridges the gap between clinical care and medical billing and reimbursement. This position will report to the Senior Director. This role… more
- MetroLink (Los Angeles, CA)
- …network to perform your dental services. If you require treatment from a specialist , your contract dentist will handle the referral. Many services are covered at ... change dentists at any time, go to a dental specialist of your choice, receive dental care anywhere in...exceeds $50,000, be added to your Federal, State, and Medicare taxable earnings for W-2 reporting. This amount is… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy Services, we're more ... you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying a portfolio...pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their… more
- Henry Ford Health System (Troy, MI)
- …revenue codes to be compliant with Medicare rules and regulations, the Medicare Billing Manual, the American Medical Association, or any adopted resource ... Manual (BAM) policies with correct codes ensuring that all Medicare covered codes are found on the BAM, new...Medical Policy Team on communications issues related to compliance, billing , new procedures codes, or other matters for inclusion… more
- Rush University Medical Center (Chicago, IL)
- …financial challenges * Works closely with Finance to ensure that the proper billing , accounting, auditing, CPT coding, Medicare /Medicaid billing procedures ... American Medical Technologists (AMT) o Blood Bank (BB) or Specialist in Blood Banking (SBB) via the ASCP o...Ensures smooth operation of the laboratory's testing, reporting and billing for the RUMC in- and outpatients and outreach… more
- Tufts Medicine (Burlington, MA)
- …role focuses on activities related to revenue cycle operations such as billing , collections, and payment processing. In addition, this role focuses on performing ... share feedback to providers to capture the full scope of work, collaborate with billing specialists on denials and interact with Epic to ensure a smooth workflow for… more
- Care Plus NJ (Paramus, NJ)
- …and reimbursement. The role requires strong knowledge of NJ Medicaid and Medicare billing , collaboration with clinical and executive teams, and problem-solving ... of each plan. Job Summary: As an Accounts Receivable Specialist in our Finance Department, you will be responsible...and research variances + Keep abreast of all reimbursement billing procedures of third party and private insurance payers… more