- Humana (Santa Fe, NM)
- …Activation Principal coordinates, implements, and manages oversight of the company's Medicare / Medicaid Stars Program for aligned areas. The Stars Improvement ... efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large.… more
- Kelly Services (Coppell, TX)
- …insurance benefits, deductibles, and eligibility with a variety of payers including Medicare , Medicaid , HMO, PPO, and third-party plans. + Communicate with ... patients regarding coverage, billing concerns, and payment options. + Submit and follow...accurate. + Enter and maintain accurate demographic, insurance, and billing information. + Identify and correct front-end billing… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers. The Prior ... of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers + Research,… more
- Columbia Memorial Hospital (Astoria, OR)
- …and work well under pressure. Minimum of (2) two years previous medical billing , third party, agency ( Medicare / Medicaid ). Patient follow-up experience ... REFERRAL BONUS: NON PRIORITY RECRUITMENT This position is responsible for billing and/or follow-up of patient accounts. Provides outstanding customer service to… more
- Nuvance Health (Danbury, CT)
- …, collections, charge capture, coding compliance, managed care contractual terms, Medicare and Medicaid reimbursements, thirdparty reimbursements and cash ... to interface all charges and new codes into the billing and medical record system in order to ensure...service codes at the departmental level to ensure correct billing . Assists in the streamlining of CDM codes across… more
- FlexStaff (New York, NY)
- …and accurately submit claims to both private and public insurance carriers, including Medicare , Medicaid , and commercial plans. * Investigate and resolve denied ... Medical Biller with extensive experience and strong technical knowledge of medical billing and insurance reimbursement processes to work for our external client, a… more
- Robert Half Finance & Accounting (Carlisle, PA)
- …and operational efficiency. Responsibilities: * Oversee the revenue cycle processes for Medicaid , Medicare , managed care, commercial payers, and sliding fee ... billing , coding, payer compliance, and revenue cycle systems. * Knowledge of Medicaid , Medicare , and commercial payer processes. * Excellent leadership and… more
- Option Care Health (Bannockburn, IL)
- …and abuse, including but not limited to HIPAA, Anti-Kickback, Stark, Medicare / Medicaid reimbursement. + Experience evaluating information to determine compliance ... and/or nursing compliance programs. + Direct experience applying knowledge of Medicare , Medicaid , and Managed Care reimbursement guidelines. + Proficiency… more
- Catholic Health (Buffalo, NY)
- …a regular basis + Request annual COI from clients and upload into CAQH + Complete Medicare and Medicaid re-validations when needed + Track when Medicare and ... phone call from Insurances, providers, client managers, practice and billing staff + Respond to numerous emails from clients,...Respond to numerous emails from clients, insurances, office and billing staff + Research requests from office and … more
- New York State Civil Service (Albany, NY)
- …data sets available in OPWDD including those for quality measurement, billing , external survey projects, service enrollment, Medicaid utilization, and ... eligible and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining… more