- Elara Caring (Fort Worth, TX)
- …Health, and Personal Care Services (PCS) agencies at Elara Caring to ensure compliance with Medicare and Medicaid regulations and billing rules. Areas of ... in the Right Place. **Job Description:** **REMOTE POSITION** The Billing Compliance Auditor performs comprehensive audits within the Skilled Home Health, Hospice,… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to internal partners including but not limited to Member Service, Medicare Operations, Compliance , Legal, Medical Directors, Sales/Marketing/Product and external ... to ensure that all Commercial (Pharmacy and Medical benefits) and Medicare Advantage Part D coverage determination requests are processed consistently, timely… more
- Sea Mar Community Health Centers (Federal Way, WA)
- …required are general computer skills, typing skills and a working knowledge of Medicare Compliance , OSHA and HIPAA. Responsibilities include: + Posting payments, ... ensuring accurate and timely processing of all third party insurance, Medicaid, Medicare , Private Pay, and special programs. This position will require that… more
- Alight (FL)
- …process improvement. Must interact well professionally with colleagues. **Responsibilities** + Maintaining compliance with all Medicare CMS and Compliance ... **Requirements** + Enhanced (SME) for Customer Service best practices, Insurance & Compliance processes, and Medicare (AHIP). + Facilitate independently managing… more
- Northwell Health (Garden City, NY)
- …coding rules and regulations to the validation review process. 6.Reviews codes on Medicare /non- Medicare charts for compliance to rules and conventions. ... and principals; performs coding audits for optimization. 4.Audits and reviews Medicare /non- Medicare charts to ensure that proper standards are maintained… more
- Northwell Health (Westbury, NY)
- …coding rules and regulations to the validation review process. + Reviews codes on Medicare /non- Medicare charts for compliance to rules and conventions. + ... the Medical Record. Job Responsibility + Audits and reviews Medicare /non- Medicare charts to ensure that proper standards...changes necessary to provide the most valid documentation in compliance with Federal and State regulations. + Reports to… more
- TEKsystems (San Diego, CA)
- …sure you add the call volume to each job on resume) o Understanding HIPPA compliance , Medicare Experience Level Entry Level Pay and Benefits The pay range for ... for Healthcare Call Center Reps Description Inbound calls helping with Medicare Redetermination and signing up people for their HealthPlan, Answering questions… more
- HonorHealth (AZ)
- …competencies include project management, clinical trial operations, coding/billing compliance , Medicare coverage analysis/budgeting, contracting, Clinical Trial ... a detailed internal budget for studies in accordance with the protocol, the Medicare coverage analysis, and internal pricing guidance. Review and update the external… more
- Robert Half Accountemps (Riverside, CA)
- …Manage cost-reporting methodologies related to healthcare programs, including Medicaid and Medicare funding compliance , where applicable. Oversee the preparation ... organization. This role is instrumental in managing the financial health and compliance of our organization, ensuring we can provide critical healthcare services to… more
- Elara Caring (Muncie, IN)
- …staffing levels at branch locations to meet patient needs. + Ensures compliance of current Medicare , Medicaid, and third-party reimbursement regulations and ... all documentation is accurate, complete, timely and adheres to Medicare guidelines. + Assures compliance with the requirements of state licensure, Medicare … more