- MyFlorida (Tallahassee, FL)
- …about the operations of the Medicaid fiscal agent, including Medicaid claims process, billing procedures, reimbursement methodologies, encounter submissions, ... and provider enrollment. * Remain informed about Medicare policies, national Medicaid /CHIP-related research and demonstration projects, Medicaid /CHIP medical… more
- MyFlorida (Tallahassee, FL)
- …about the operations of the Medicaid fiscal agent, including Medicaid claims processing, billing procedures, reimbursement methodologies, and provider ... and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities,… more
- WellLife Network (NY)
- …submit timely, and accurate claims to private and public insurance payers, including Medicare , Medicaid , and commercial plans. 2. Verify the accuracy and ... Associate will review and manage all aspects of the billing and accounts receivable cycle, including charge entry, claim...ICD-10, and HCPCS coding principles. + Knowledge of, HMO/PPO, Medicare , Medicaid , and other payer requirements and… more
- Marshfield Clinic (Marshfield, WI)
- …Common Procedure Coding System (HCPCS), and Center for Medicaid and Medicare Services (CMS) documentation and billing policies. The individual will typically ... medical records, or medical business office setting. Knowledge of Medicare , Medicaid , and commercial payer guidelines. **Preferred/Optional:** Experience… more
- The Arc Erie County NY (Tonawanda, NY)
- …(TSHH or TSSLD). Limited license may be required for CFY candidates (directly billing Medicare ). ASHA certification preferred. See our full Job Description ... or TSSLD). Limited license may be required for CFY candidates (directly billing Medicare ). ASHA certification preferred. Essential Job Functions: + Physical… more
- Access: Supports For Living (Middletown, NY)
- …knowledge of behavioral health billing in New York State, particularly regarding Medicare , Medicaid , Medicaid Managed Care, and Commercial Insurance. Key ... responsible for the day-to-day oversight and strategic leadership of billing operations, payment posting, collections, and insurance verification/authorizations. This… more
- BAYADA Home Health Care (Pennsauken, NJ)
- …our clients. + Perform an initial screening/verification of benefits according to Medicare , Medicaid , and third-party payor guidelines, coordinate equipment with ... screening to determine suitability for admission to Hospice care according to Medicare , Medicaid , and third-party payer guidelines. + Maintain discretion, as… more
- Trinity Health (Columbus, OH)
- …plan in accordance with Federal regulatory requirements and the Centers for Medicare and Medicaid Services (CMS). Responsible for ensuring the eligibility, ... experience required. **Why MediGold?** MediGold (https://medigold.com/) is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare… more
- Houston Methodist (Houston, TX)
- …claims processing. + Demonstrates understanding of fundamentals of all payors, including Medicare , Medicaid and commercial payors, and applicable revenue cycle ... Methodist, the Insurance Biller position is responsible for processing all billing related functions within the Centralized Business Office (CBO). This includes,… more
- Northwest Florida Community Hospital (Chipley, FL)
- …and process claims. A solid understanding of the various payment methodologies from Medicare and Medicaid is critical. + Promptly audit remittance advices to ... leadership for hospital business office functions that contribute to the billing and collection of patient service revenue. Responsibilities include best practices… more