- Catholic Health Initiatives (Bryan, TX)
- … Billing Coordinator referencing necessary pre-transport screening patient information, Medicare and Medicaid Laws/Guidelines updates, and other contractual ... Billing Coordinator referencing necessary pre-transport screening patient information, Medicare and Medicaid Laws/Guidelines updates, and other contractual… more
- J&J Family of Companies (Milwaukee, WI)
- …on access and affordability solutions across multiple payer types and plans (ie, Medicare , Medicaid Managed Care, Commercial). + Execute business in accordance ... relates to payer approval processes and business acumen. + Understanding of Medicare , Medicaid , and private payer initiatives affecting reimbursement of… more
- Covenant Health Inc. (Knoxville, TN)
- …for improvement. Compliance & Regulatory Oversight + Ensures compliance with Medicare , Medicaid , TennCare, managed care, and other regulatory requirements. ... experience in a hospital business office or equivalent, with knowledge of Medicare , Medicaid , and third-party payer regulations. Licensure Requirement: None.… more
- UNC Health Care (Butner, NC)
- …preparation for certification.) * Some positions may require appropriate credentialing for billing purposes (eg, NPI, Medicare / Medicaid Provider, BCBSNC ... 3. Assists in achieving compliance with the Joint Commission, Centers for Medicare and Medicaid Services, Healthcare Facilities Accreditation Program (HFAP), or… more
- Project Renewal, Inc. (New York, NY)
- …with federal, state, and local healthcare regulations (eg, HIPAA, Stark Law, Medicaid / Medicare , Part 2). + Ensure the organization's compliance program meets ... (FQHC or Article 28 experience strongly preferred). + Strong knowledge of HIPAA, Medicaid / Medicare , Stark Law, Part 2, and healthcare regulatory standards. +… more
- Emory Healthcare/Emory University (Duluth, GA)
- …eligibility, and/or evaluating for financial assistance. + Requires knowledge of Medicare , Medicaid , and Third Party carriers, referrals and pre-certification ... perform aspects of Emory Healthcare processes from registration to billing . + This position requires thorough knowledge of the...a level appropriate for the job. + Knowledge of Medicare , Medicaid , Third Party carriers, referrals and… more
- AmeriHealth Caritas (Columbus, OH)
- …agencies. **Other Skills: ;** + Health care industry and/or Medicare / Medicaid /Pharmacy/Behavioral Health/Pharmacy Benefit Management knowledge required. + ... the Internet, data analysis tools, etc., to analyze aberrant;claims billing and practice patterns. + Analyzes data as part...adjudication standards & procedures preferred. + Solid knowledge of Medicaid , Medicare , and pharmacy benefit laws and… more
- Diversicare Healthcare Services & Diversicare Ther (Bessemer, AL)
- …entities per company guidelines and State and Federal regulations. 14. Ensures Medicare and Medicaid regulatory guidelines are completed accurately and timely ... are available and meet the request. 17. Participates in billing reviews (Triple Check) to ensure claims have supporting...Activities. 19. Continues to update knowledge base related to Medicare , Managed Care, Medicaid , RAI Process and… more
- Molina Healthcare (Bowling Green, KY)
- …procedures with emphasis on fraud investigations. + Knowledge of Managed Care and the Medicaid and Medicare programs as well as Marketplace. + Understanding of ... medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing...recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and… more
- Insight Global (Syracuse, NY)
- …regulations is required, including regulatory compliance requirements. Extensive knowledge of Medicare , Medicaid , Managed Care is required. Strong analytical and ... to ensure contract fees are modeled accurately in the billing system and working with billing staff to identify variances in actual payment. Identifies and… more