- Saint Luke's (Kansas City, MO)
- …with and has general knowledge of managed care, Medicare and Medicaid rules regarding admitting requirements, billing rules, coverage issues and ... reimbursement **Job Requirements** Applicable Experience: 3-5 years Bachelor's Degree **Job Details** Full Time Day (United States of America) **_The best place to get care. The best place to give care_** **. Saint Luke's 12,000 employees strive toward that… more
- Stony Brook University (Stony Brook, NY)
- … processes and troubleshooting billing questions according to NYS DOH, Medicare , Medicaid and patient insurance regulations. d. Monitors the Reference Lab ... which include but are not limited to ICD-10 CM billing codes, medical necessity and Medicare questionnaires. + Handles all processing of biological specimens in… more
- Ellis Medicine (Schenectady, NY)
- …demographic and financial information in addition to preparing the account for billing upon patient discharge. Activities are related to interaction with third party ... inform them of their financial responsibility, data input to prepare account for billing , securing a payment source for patients with no insurance coverage, and… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …to apply. + Serves as a subject matter expert (SME) for billing /premium collections for the LaCHIP Affordable Plan (LAP) and FOA programs, as ... well as for Medicare premium payments made for the Buy-In program, and...the Buy-In System as it interfaces with the Louisiana Medicaid Eligibility Data System (LaMEDS), Medicaid Management… more
- Diversicare Healthcare Services & Diversicare Ther (Birmingham, AL)
- …documents, certifications prior to Medicare Part A, Part B, and Managed Care billing . + Ensuring Billing Notes are updated in AHT related to resident ... billing status ( Medicaid Pending status) + Provide...term care environment. 3. In depth working knowledge of Medicare and Medicaid programs required. 4. Excellent… more
- Mount Sinai Health System (New York, NY)
- …physician service charges to ensure they align with payer regulations, Medicare / Medicaid reimbursement methodologies, and managed care contracts. + Provides ... to coding guidelines and compliance regulations set by entities like the Centers for Medicare and Medicaid Services (CMS). + Mitigate the risk of compliance… more
- Texas Health Resources (Arlington, TX)
- …Manager oversees and manages auditing and monitoring activities related to billing and coding compliance. This role is responsible for developing policies, ... resource, this position provides guidance to providers, HIMS, the Central Billing Office, and other departments regarding coding compliance, documentation standards,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …BlueShield Association, the Food and Drug Administration (FDA), and Centers for Medicare and Medicaid Services (CMS). Provides routine interaction and ... + Maintains accurate and up-to-date knowledge of all Government Programs regulations ( Medicaid , Medicare , Federal Employee Program, New York State Department of… more
- MyFlorida (Naples, FL)
- …communicate effectively with clients and representatives from 3rd party insurance companies, Medicaid , and Medicare for the verification of insurance and ... including, but not limited to: + Verifies client insurance and coverage to include Medicaid , Medicare , and 3rd party insurances. + Utilizes the FLMMIS system,… more
- University of Southern California (Alhambra, CA)
- … billing , medical records, charge audit environment, CDM maintenance, Medicare / Medicaid reimbursement, managed care contractual arrangements, and patient ... accounting. + Req Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology. + Req Knowledge of other… more