- Peachtree Orthopedics (Atlanta, GA)
- …modifiers preferred. + Familiar with CMS 1500/UB04 claim form completion, knowledge of Medicare , Managed care and commercial insurance products and plans. + ... Knowledge of physician billing and /or collections. + Typing speed 55 wpm and the ability to use a calculator. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the… more
- Fallon Health (Springfield, MA)
- …hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Brief ... Summary of Purpose:** Responsible for the effective management and delivery of direct nursing care to PACE participants in any setting utilizing nursing process and adhering to standards of nursing practice. **Responsibilities** **Responsibilities** : +… more
- Cleveland Clinic (Cleveland, OH)
- …or FSA - Associate Society of Actuary's or Fellow Society of Actuaries + Medicare advantage experience from an insurance company Our caregivers continue to ... create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/ **Physical Requirements:** + Ability to perform work in a… more
- Fallon Health (Worcester, MA)
- …hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Brief ... Summary of Purpose:** Serves as a float Nurse Practitioner to each of the Summit ElderCare sites with assignment based on business need. In this role, provides primary health care to Summit ElderCare program participants focusing on disease prevention,… more
- Fallon Health (Leominster, MA)
- …hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Position ... Overview:** Our Physicians have flexibility to devote as much time as needed for the clinical and social needs of our participants and their caregivers to provide individualized quality care by a team of geriatric care professionals who work together with… more
- Robert Half Accountemps (Atwater, CA)
- …and manage patient accounts, including billing and collections for commercial, Medi-Cal, Medicare , and third-party payers. * Verify insurance coverage and ensure ... other relevant billing systems to ensure proper processing. * Collaborate with insurance providers to resolve claim discrepancies and expedite payments. * Maintain… more
- 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