- Sunrise Senior Living (Fort Belvoir, VA)
- …monthly Profit and Loss (P&L) Summary reporting, balance sheet account reconciliations, Medicare / Medicaid billing and adherence to Sunrise Senior Living business ... and collections of accounts receivables; develop effective working relationships with Medicare / Medicaid billing office to resolve claims and obtain timely… more
- Serco (Herndon, VA)
- …in federal health program implementation (particularly the Health Insurance Marketplace, Medicare , Medicaid and/or CHIP), program improvement and innovations, ... and processes, or other federal health programs (such as Medicaid , Children's Health Insurance Program or Medicare )...as Medicaid , Children's Health Insurance Program or Medicare ) and private health insurance industry. + Experience in… more
- Marshfield Clinic (Marshfield, WI)
- …diagnosis codes, Healthcare Common Procedure Coding System (HCPCS), and Center for Medicaid and Medicare Services (CMS) documentation and billing policies. The ... medical records, or medical business office setting. Knowledge of Medicare , Medicaid , and commercial payer guidelines. **Preferred/Optional:** Experience… more
- Humana (Columbia, SC)
- …of the responsibilities: + Engage with the producers and the Center for Medicare and Medicaid Services/Department of Insurance regulations specific to them if ... to the general ledger. + Analyze and interpret Center for Medicare and Medicaid Services and Department of Insurance regulations to establish required… more
- Humana (Annapolis, MD)
- …new drug approvals, as well as modeling financial impact of emerging therapeutics across Medicare and Medicaid LOBs + Researches and analyzes drugs and emerging ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- State of Georgia (Richmond County, GA)
- …position must perform the following duties: Must have experience in Patient Billing in Medicare , Medicaid , or 3rd Party Insurance. + Oversee interviews and data ... authorizations, and monitor client eligibility for benefits like Social Security, Medicare , and Medicaid . + Track and report Medicare credit balances,… more
- Covenant Health Inc. (Knoxville, TN)
- …of charges, CPT coding, modifiers and billing processes to ensure compliance with Medicare , Medicaid guidelines and other insurance payors and to maximize ... providers, and billing staff to maximize reimbursement within compliance guidelines for Medicare , Medicaid and other insurance payors as deemed appropriate by… more
- Humana (Dayton, OH)
- …Qualifications * Case Management Certification (CCM). * Experience working with Medicare , Medicaid or dual-eligible populations. * Field Case Management ... Qualifications** + Case Management Certification (CCM). + Experience working with Medicare , Medicaid or dual-eligible populations. + Field Case Management… more
- Humana (Springfield, IL)
- …regulatory requirements by the Illinois Department of Human Services (IDHS), Center for Medicare and Medicaid Services (CMS) and the National Committee on ... of in-home assessment and care coordination experience + Experience working with Medicare , Medicaid and dual-eligible populations + Field Case Management… more
- Beth Israel Lahey Health (Westwood, MA)
- …participation with over 25 affiliated health plans/ products, including Medicare and Medicaid . **Job Description:** **Primary Responsibilities:** **Facilitates ... NCQA standards and health plan enrollment and credentialing guidelines (including Medicare and Medicaid ). (essential)** **Compiles accurate health plan… more