- SUNY Upstate Medical University (Syracuse, NY)
- …regulations is required, including regulatory compliance requirements. Extensive knowledge of Medicare , Medicaid , Managed Care is required. + Strong analytical ... within the revenue cycle areas of responsibility, including charge capture, billing , payment posting, collections and follow up, denials management, insurance… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …Compliance: Ensure all products, processes, and activities comply with CMS (Centers for Medicare & Medicaid Services) regulations, as well as other federal and ... seeks a highly skilled and results-driven Senior Product Manager to lead our Medicare Advantage Risk Adjustment solution portfolio. In this critical role, you will… more
- Aveanna Healthcare (Atlanta, GA)
- …all guarantors for services provided. This is inclusive of claims to commercial, Medicare , Medicaid and private pay accounts. Essential Job Functions Maintains ... does not have a signed agreement with Aveanna. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements… more
- CVS Health (Cumberland, RI)
- …within the corporate billing system. This role maintains credentialing and billing systems with updated provider information from Medicaid and Commercial ... a set schedule that requires regular in office attendance. **Preferred Qualifications:** + Medicare / Medicaid experience on the Provider side + Adept at problem… more
- City and County of San Francisco (San Francisco, CA)
- …and implements billing rules, regulations and provider updates related to Medicare and Medi-Cal via review of released materials. Attends payer and vendor ... and/or collecting healthcare service reimbursements or medical claims from Medi-Cal ( Medicaid ), Medicare , insurance, third party payors, and individual payors… 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 ... + Prior experience and/or knowledge of regulations on charging and billing practices for Medicare , Medi-Cal, and other payers (UB04 and/or CMS1500) + Experience… more
- Therapeutic Alliance, LLC (Sterling, VA)
- …regulations. + Comply with privacy laws and requirements under HIPAA and Medicaid / Medicare regulations and understand the consequences of non-compliance. + ... both in-person and remotely. + Comply with insurance and Medicaid regulations and authorizations for billing and...insurance and Medicaid regulations and authorizations for billing and demonstrate appropriate use and knowledge of codes.… more
- Molina Healthcare (Cincinnati, OH)
- …according to the SIU's standards. Position must have thorough knowledge of Medicaid / Medicare /Marketplace health coverage audit policies and be able to apply ... data from all types of healthcare providers that bill Medicaid / Medicare /Marketplace. **KNOWLEDGE/SKILLS/ABILITIES** + Ensure investigators are managing their… more
- Saint Francis Health System (Tulsa, OK)
- …Epic workflows meet payer billing requirements and comply with Center for Medicare and Medicaid Services (CMS) and state guidelines. Works with Compliance ... all aspects of patient financial services including professional and hospital claims billing , cash posting, and management of patient receivables. This role ensures… more
- Kaniksu Community Health (Sandpoint, ID)
- …electronic health records (EHR) systems (Athena and/or NextGen). + Familiarity with Medicare , Medicaid , and commercial payer policies. + Excellent organizational ... role, you'll manage and optimize all phases of the revenue cycle-including billing , claims submission, denial management, and patient account follow-up. You'll work… more