- Somatus (Falls Church, VA)
- …role). + Educate patients on their insurance options including Group Health Plans (GHPs), Medicare , Medicaid , and managed care plans. Serve as a liaison between ... demeanor. + Maintains a customer/client focus. + Strong understanding of insurance, Medicare , Medicaid , patient payment processes. + Strong interpersonal skills… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- … Medicare reimbursement plans; + Determines and negotiates interim Medicare billing rates and rates for Medicaid supported patients in state facilities; + ... impact of legislation, regulations, policy changes, and legal settlements related to Medicaid and other DSS health programs. + Provide fiscal feedback and technical… more
- Molina Healthcare (Omaha, NE)
- …representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). M-F from 8am - 4:30pm EST ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and… more
- Molina Healthcare (Kenosha, WI)
- …Act** cases in accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and… more
- Molina Healthcare (Houston, TX)
- …in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Manages team ... complicated claims, COB and DRG/RCC pricing). * Experience with Medicaid and Medicare claims denials and appeals...related vocational program in health care (ie, certified coder, billing , or medical assistant). To all current Molina employees:… more
- Beth Israel Lahey Health (Westwood, MA)
- …participation with over 25 affiliated health plans/ products, including Medicare and Medicaid . **Job Description:** **Primary Responsibilities:** **Facilitates ... NCQA standards and health plan enrollment and credentialing guidelines (including Medicare and Medicaid ). (essential)** **Compiles accurate health plan… more
- Erie 2-Chautauqua-Cattaraugus BOCES (Williamsville, NY)
- …or TSSLD). Limited license may be required for CFY candidates (directly billing Medicare ). ASHA certification preferred. Essential Job Functions: + Physical ... of the agency, the Office for People With Developmental Disabilities OPWDD, Medicaid , Medicare , insurance companies, municipalities, Department of Health, school… more
- Therapeutic Alliance, LLC (Manassas, 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
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves ... role in testing, coding, modeling, and reporting on Hospital Billing (HB) and Professional Billing (PB) contracts for the MSHS Health System. This individual… more
- Truman Medical Centers (Kansas City, MO)
- …systems and workflows with ease and accuracy + Working with **commercial insurance, Medicare , Medicaid ** , and **special programs** like a seasoned pro + ... revenue cycle rolling smoothly!** Join our team as a Billing & Collections Specialist, where your attention to detail...You'll Be Doing: + Taking the reins on **daily billing of insurance claims** and **following up** on outstanding… more