- Prime Healthcare (Redding, CA)
- …family. For more information, visit www.shastaregional.com. Responsibilities The Senior Medicare - Medicaid Biller/Collector is responsible for both billing and ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare - Medicaid . This includes maintaining the deficiency lists used to… more
- Humana (Trenton, NJ)
- …a managed care healthcare system or health plan. + Experience working in Medicaid and/or Medicare . **Preferred Qualifications** + 3+ years of leadership ... programs. + **Experience with Smartsheet (PM tool)** + Experience working in Medicaid / Medicare implementation. + Prosci, Six Sigma, and/or Project Management… more
- Fallon Health (Worcester, MA)
- …strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid , and PACE (Program of All-Inclusive Care for the ... SLA's. With speed, accuracy, and integrity, ensures that enrollee data for Medicare Advantage, Medicare Supplement, NaviCare, Summit Elder Care, Fallon Health… more
- Guidehouse (El Segundo, CA)
- …from home._** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare / Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 & ... CMS 1500 + Complete all business-related requests and correspondence from patients and insurance companies. + Responsible for working on 40-70 Accounts Per Day + Complete all assigned projects in a timely manner. + Assist client and patients in all requested… more
- Allied Universal (Fort Collins, CO)
- …The Field Site Inspector will perform site visit inspection services for Medicare and Medicaid providers/suppliers in accordance with established requirements. ... Committee for Quality Assurance (NCQA) and The Joint Commission (TJC), Medicare Provider Enrollment, or other healthcare profession or facility credentialing, is… more
- OhioHealth (Columbus, OH)
- …**Job Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This ... position will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid ) reimbursement is received for OhioHealth. * This position is… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- Summary The Centers for Medicare and Medicaid Services (CMS) seeks candidates, including accountants and attorneys, to fill a vacant position on the Provider ... five-member panel that adjudicates disputes over institutional reimbursement matters in the Medicare program. Responsibilities Serves as a Member of the five Member… more
- TEKsystems (West Des Moines, IA)
- …will have a minimum of 2 years of experience with Iowa and/or Illinois Medicaid and Medicare insurance follow up experience. Description Daily Duties: + Work ... Qualifications High School graduate or equivalent Must have Iowa and/or Illinois Medicaid payer experience Physician Billing and Denial/Follow Up experience - 2+… more
- Geisinger (Danville, PA)
- Job Summary We are seeking a detail-oriented professional with expertise in Medicare and Pennsylvania Medicaid cost reporting to join our team. The ideal ... candidate will have a strong understanding of Medicare settlement processes, compliance requirements, and hospital reimbursement regulations. This role requires the… more
- Centers for Medicare & Medicaid Services (Washington, DC)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Legislation (OL) in Washington, DC. ... sector, to include: 1) Reviewing and analyzing legislation and policies regarding Medicare , Medicaid , Children's Health Insurance Program (CHIP) or private… more