- Walworth County (Elkhorn, WI)
- …trends as assigned. Timely prepares assigned monthly, quarterly and annual fiscal reports/ claims for HHS and LHCC federal and state funding. Understands and assists ... single audits. Assists in the compilation of data required for LHCC Medicaid/ Medicare annual reports or other state or federal reports. Completes accounting related… more
- University of Michigan (Ann Arbor, MI)
- …team is looking for a highly motivated Senior Billing Clerk/Patient Account Representative to join our Medicare Advantage Hospital Billing Team. Responsible ... insurance collections. + You will initiate and process claims and other forms within prescribed guidelines; screening for...claims and collect from private insurers, Medicaid and Medicare . **Modes of Work** Positions that are eligible for… more
- Humana (Oklahoma City, OK)
- …determination of the appropriate courses of action. The Provider Relations Representative - Behavioral Health (BH) is responsible for day-to-day front line ... issues with appropriate enterprise business teams, including those associated with claims payment, prior authorizations, and referrals, as well as appropriate… more
- State of Colorado (Pueblo, CO)
- …Physician's orders, Court order, Environment of Care manual, Centers for Medicare and Medicaid Services, Safety Data Sheets, Colorado State Personnel Procedure ... meet education and mandatory training requirements. + Reports abuse allegations, claims of harassment/workplace violence immediately to the Emergency On Call… more
- The County of Los Angeles (Los Angeles, CA)
- …new or revised procedures. + Works with Professional Standards Review Organization representative to orient new staff to Federal laws and regulations pertaining to ... Medicare and Medi-Cal reimbursement. + Analyzes cases for referral...provided to patients are appropriate and covered by the insurance payer. They are responsible for ensuring that patient… more
- 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. + ... a variety of medical office /clerical tasks relating to claims processing; contact patients and responsible parties to resolve...calculator. Physical Demands: The physical demands described here are representative of those that must be met by an… more
- Medtronic (Minneapolis, MN)
- …payers. + Reviews and understands US reimbursement and payment systems, including Medicare payment systems, payer coverage policies, claims data sets, and ... medical device reimbursement, including US healthcare coding (HCPCS/CPT, ICD-10), Medicare payment systems, and Medicare and US...within the Responsibilities section of this job description are representative of those that must be met by an… more
- Centene Corporation (Frankfort, KY)
- …medical provider office, customer service within a healthcare organization, and medical claims . Knowledge of health care, managed care, Medicare or Medicaid.Pay ... up accurately in the provider information system for state reporting, claims payment, and directories. Responsible for multiple state deliverables, network reporting… more
- Advanced Orthopedics and Sports Medicine Institute (Freehold, NJ)
- …time ( on -site ) Monday - Friday The AR Billing and Collection Representative II is responsible for analyzing assigned past due accounts and coordinating between ... parties to resolve payment discrepancies and delayed payments. The AR/Collection representative II core responsibility includes but not limited to minimizing… more
- City of Gulfport (Gulfport, MS)
- …program through coordination with the third-party administrator; manages worker's compensation claims and maintain follow up with employees, supervisors and third ... * Provides vendors appropriate documentation for life, pension, and disability benefits claims . * Evaluates and compares existing employee benefits with those of… more