- Polaris Pharmacy Services, LLC (Covina, CA)
- …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
- Stanford Health Care (Palo Alto, CA)
- …after a detailed review of medical records. Ensure compliance with Medicare , Medicaid , third-party guidelines, Local Coverage Determinations (LCD), National ... management. Evaluate internal controls related to documentation, coding, charging, and billing practices to ensure compliance. + Government Audit and Appeals Program… more
- Wayne State University (Detroit, MI)
- …services or resources with local and state agencies. Maintain current knowledge of Medicaid / Medicare and other Health Insurance Plans. Performs data entry into ... Collaborate with clinic leadership and program finance representatives regarding billing concerns related to clinical services. Supports check-in and check-out… more
- University of Rochester (Rochester, NY)
- …and cross-training staff. + Assists leadership with payer audits, including quarterly Medicare and Medicaid Credit Balance reports and additional credit balance ... feedback to supervisors and managers. Supports some aspects of billing office operations, including basic principles of staff management/supervision. **LOCATION**… more
- Catholic Health Services (Smithtown, NY)
- …Compliance: Stay up-to-date on current reimbursement regulations and guidelines (eg, Medicare , Medicaid ) and ensure compliance. + Data Analysis: Analyze ... (MDS) assessments and other relevant documentation. + Coding and Billing : Assist in the accurate coding and billing... Billing : Assist in the accurate coding and billing of resident care services to maximize reimbursement. +… more
- HCA Healthcare (Nashville, TN)
- …aged accounts first, and reports to leadership + Works with team members in billing , revenue integrity and/or the Medicare Service Center to resolve alerts/edits ... research/resolution + Escalates alert/edit resolution issues as appropriate to minimize final billing delays + Monitors the aging of accounts held by an alert/edit,… more
- Aveanna Healthcare (Lakewood, WA)
- …at any time with or without notice. Vaccination RequirementsAs an employer accepting Medicare and Medicaid funds, employees must comply with all health-related ... exemptions for medical or religious reasons as appropriate. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related… more
- Aveanna Healthcare (Yakima, WA)
- …any time with or without notice. Vaccination Requirements As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related ... exemptions for medical or religious reasons as appropriate. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related… more
- Molina Healthcare (Rio Rancho, NM)
- …in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Enters denials ... Qualifications** * Customer/provider experience in a managed care organization ( Medicaid , Medicare , Marketplace and/or other government-sponsored program), or… more
- University of Utah Health (Salt Lake City, UT)
- …analysis. + Knowledge of federal requirements set forth under the Centers for Medicare & Medicaid Services (CMS) Conditions of Participation (CoP) and/or ... Conditions of Coverage (CoC) in order to receive Medicare / Medicaid payment. **Qualifications** **Qualifications** **Licenses Required** + Registered Dietitian… more