- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview:** The Medicare Broker Relations Manager drives broker channel growth and ensures sales success. This position is responsible for cultivating and ... brokers and general agencies, while ensuring full compliance with Centers for Medicare & Medicaid Services (CMS), state, and internal regulations. This highly… more
- BlueCross BlueShield of North Carolina (NC)
- …of degree, 7+ years of experience in related field **Bonus Points** + Deep Medicare and/or Medicare Advantage regulatory experience + Extensive Medicare / ... care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We're committed to better health and better health… more
- Bozeman Health (Bozeman, MT)
- …Credit Balance Analyst is responsible for processing refunds for third party insurance , Medicare , Medicaid, and Government-Assisted Programs; for both hospital ... will also be responsible for incoming refund request letters from the insurance company. Candidate will be responsible to research and validate refund request.… more
- Providence (OR)
- …we must empower them._** **Providence Health Plan is calling an Individual and Medicare Producer Support who will:** + Be accountable for and facilitates Providence ... Health Plan's detailed benefits management support of Medicare and Individual / family lines of business +...expected to provide proof of driver license and auto insurance upon request. See policy for additional information. +… more
- Houston Methodist (Katy, TX)
- …Revenue Cycle, to include but not limited to: medical coding, insurance billing, collections, patient account resolution, appeals/denials, customer service, cash ... HB Epic AR management experience + Strong working knowledge of Facility Medicare (Part A) guidelines. + Problem solving thought leader with proven execution… more
- Truman Medical Centers (Kansas City, MO)
- …systems, and a whole lot of follow-up. + Master the world of ** Medicare , Medicaid, commercial insurance ** , and special programs-turning confusing denial codes ... in **professional or insurance billing** + Familiarity with **commercial insurance , Medicare , and Medicaid reimbursement** practices + Solid working… more
- Starfish Family Services, Inc. (Livonia, MI)
- …programs, eligibility requirements, and the continuum of care. + Knowledge of Medicaid, Medicare , and private insurance billing processes. + Ability to analyze ... and Receptionists, ensuring excellent customer service, efficient scheduling, accurate insurance verification, and compliance with agency and regulatory requirements.… more
- Logan Health (Kalispell, MT)
- …treatments and progress accurately, following therapy standards and payer guidelines ( Medicare , Medicaid, Private Insurance ). + Collaborate with leadership on ... you will deliver quality therapy services in accordance with state guidelines, Medicare , and Logan Health policies, while upholding legal, ethical, and institutional… more
- Centene Corporation (Charleston, WV)
- …estimate outcomes. **In this Sr. Actuarial Analyst role, you will:** + Support ** Medicare Advantage bid development** , including preparing and reviewing PBP and bid ... reports + Assist with determining the equitable basis for distributing money for insurance benefits + Performs other duties as assigned + Complies with all policies… more
- TEKsystems (Baltimore, MD)
- …highly preferred but not needed! Description Will be mainly focused on their Medicare billing (80-100 claims/month) and will be working other commercial payers when ... caught up on medicare Timely resolution and collection of assigned account balances...requests for assigned account balances. After determining that all insurance has been processed and paid appropriately, changes the… more