- Cedars-Sinai (Los Angeles, CA)
- …Performs insurance verification electronically, telephonically, DDE or product website use on Medicare , Medicaid , HMO, PPO or commercial products. + Performs ... insurance verification, Third Party Liability (TPL) screening, Medi-Cal / Medicare eligibility verification, Workers Compensation eligibility, and securing cash… more
- Bluestone Physician Services (Stillwater, MN)
- …claim regulatory guidelines + Knowledge of medical terminology + Working knowledge of Medicare , Medicaid , and third party insurance and the rules and regulations ... (ACO) was the best performing ACO in the country (https://bluestonemd.com/2023/09/bluestone-aco-delivers-excellent-care-to-medically-complex-elderly-patients-saves- medicare -26-6-million/) as measured by the overall savings per … more
- UCLA Health (Los Angeles, CA)
- …hospital charges are processed promptly, accurately, and in compliance with Centers of Medicare & Medicaid Services (CMS), Medi-Cal, and other policies. You'll ... experience and/or knowledge of regulations on charging and billing practices for Medicare , Medi-Cal, and other payers (UB04 and/or CMS1500) + Experience with EPIC… more
- Ochsner Health (Baton Rouge, LA)
- …Advanced knowledge of managed care and public programs such as those funded by Medicare , Medicaid , Medicare Advantage, and commercial insurance plans. + ... Proficiency in using computers, software, and web-based applications. + Effective verbal and written communication skills and ability to present information clearly and professionally to varying levels of individuals throughout the patient care process. **Job… more
- Tarrytown Rehabilitation & Nursing Center (Everett, MA)
- …accordance with established acceptable time frames + Possess a strong knowledge of Medicare , Medicaid and other payment sources and their responsibility in the ... resident, staff and family education and in-servicing + Demonstrates working knowledge of Medicare Part A PPS case management + Complies with Federal and State… more
- Tarrytown Rehabilitation & Nursing Center (Cortlandt, NY)
- …+ Participates in internal audits as directed + Possess a strong knowledge of Medicare , Medicaid and other payment sources and their responsibility in the SNF ... resident, staff and family education and in-servicing + Demonstrates working knowledge of Medicare Part A PPS case management + Complies with Federal and State… more
- Penn Medicine (King Of Prussia, PA)
- …and charity requests.Supports Ongoing Patient Qualification Process Reviews and interprets Medicare , Medicaid and third-party payer guidelines to determine ... servicing through advanced knowledge of reimbursement methodology and procedures, and Medicare requirements prior to acceptance on service. Negotiates pricing, as… more
- Sodus Rehab & Nursing Center (Delhi, NY)
- …accordance with established acceptable time frames + Possess a strong knowledge of Medicare , Medicaid and other payment sources and their responsibility in the ... resident, staff and family education and in-servicing + Demonstrates working knowledge of Medicare Part A PPS case management + Complies with Federal and State… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …Job Knowledge: + Knowledge of community resources for older persons, knowledge of Medicare , Medicaid and insurance requirements as these relate to continuing ... ensuring that all relevant regulations and standards are met, including HFAP, Medicare , and state licensure. requirements. + Collects and compiles data and completes… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …Knowledge: Demonstrate a working knowledge of Medical Necessity and regulatory standards ( Medicare , Medicaid and Manage Care) + Training: Provide staff ... Maintains appropriate records (AIS, UR forms/charts, Peer to Peer log and Medicare forms) and substantiate activity by documentation that is entered in a… more