- Veterans Affairs, Veterans Health Administration (Asheville, NC)
- …referring questionable coding for review. Submitting claims to third party health insurance carriers, with knowledge of Medicare coverage benefits. Interpreting ... policies and requirements for billing. Taking responsibility for Medicare reimbursable billing activities. Following instructions about timeliness, objectives, and… more
- Walmart (Washington, DC)
- …federal legislation and regulations related, but not limited, to employer-sponsored insurance plans, reimbursement systems, Medicare , Medicaid, and pharmacy ... (ERISA, group health plans, PBM dynamics) and traditional health policy areas ( Medicare , Medicaid, pharmacy, and broader healthcare delivery and financing) to inform… more
- Travelers Insurance Company (Walnut Creek, CA)
- …to manage losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best possible outcome. ... to manage losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best possible outcome +… more
- Luke Staffing (Butner, NC)
- …**Experience:** Possess 2 years of experience in a healthcare or insurance environment **Certification** : Must have one of the following certifications: ... . Selected applicant must have a thorough knowledge of Medicare payment principles, to include but not be limited...principles, to include but not be limited to: . Medicare Inpatient Prospective Payment System . Medicare … more
- Surgery Care Affiliates (Bonita Springs, FL)
- …guidelines and the process of collecting over the counter payments/deductibles/copay/co- insurance . Knowledge of payer contracts including Medicare , Medicaid ... 401k plan with company match, paid time off, life and disability insurance , and more. Click here (https://careers.sca.health/why-sca) to learn more about our… more
- DiPasquale Moore (Kansas City, MO)
- …successful candidate will be responsible for managing all claims related to health insurance and their liens, including Medicaid, Medicare , and ERISA. This role ... Health Insurance Lien Specialist / Administrative Assistant Kansas City,...settlements. * Manage the lien resolution process for Medicaid, Medicare , and ERISA claims. * Ensure timely and accurate… more
- TEKsystems (Salem, OR)
- Based out of Oregon, one of the fastest growing Healthcare Insurance companies focused on Medicare Advantage Plans is interested in hiring Customer Service ... growth. Description + Provide excellent customer service to all Medicare Advantage members. + Assist with coverage and claims...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
- Blue KC (MO)
- …Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance + ... communication skills + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other medical management… more
- Penn Medicine (East Petersburg, PA)
- …good standing with Medicare , Medicaid, and other federal and state health insurance programs, ie not excluded from participation in Medicare , Medicaid, or ... other federal or state health insurance programs + Excellent interpersonal skills + For Community Health: One 1 to three 3 years of community public health nursing experience We believe that the best care for our patients starts with the best care for our… more
- Elevance Health (St. Louis, MO)
- …member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services ... federal health programs. The **Audit and Reimbursement Senior** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for … more