- UnityPoint Health (Marion, IA)
- …hospital and department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid ) regarding fraud, waste and abuse. Brings any ... and manages patient flow. The role also supports administrative tasks, resolves billing issues, and ensures compliance with financial and insurance procedures. Why… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …with ICD-10 and CPT-4 guidelines, UHDDS sequencing guidelines, CMS coding guidelines, Medicare and Medicaid regulations and the American Hospital Association ... entry personnel to ensure proper entry of diagnostic and billing codes in accordance with guidelines and for assigned...Works claim edits identified along with compliance of the Medicare Coverage Determinations ( MCD ) , National Coverage… more
- Bluestone Physician Services (Stillwater, MN)
- …claim regulatory guidelines + Knowledge of medical terminology + Working knowledge of Medicare , Medicaid , and third party insurance and the rules and regulations ... (ACO) was the best performing ACO in the country (https://bluestonemd.com/2023/09/bluestone-aco-delivers-excellent-care-to-medically-complex-elderly-patients-saves- medicare -26-6-million/) as measured by the overall savings per … more
- Penn Medicine (King Of Prussia, PA)
- …and charity requests.Supports Ongoing Patient Qualification Process Reviews and interprets Medicare , Medicaid and third-party payer guidelines to determine ... servicing through advanced knowledge of reimbursement methodology and procedures, and Medicare requirements prior to acceptance on service. Negotiates pricing, as… more
- PruittHealth (La Fayette, GA)
- …home and methods of payment for those services including but not limited to Medicare , Medicaid , insurance and private pay 3. Verifies accuracy of patient ... records in a timely manner; reconciles facility petty cash 7. Assists with Medicaid pending procedures including assistance with the Medicaid application 8.… more
- Lifespan (Rochester, NY)
- …of benefits and programs applicable to clients, including but not limited to SSI and Medicaid , MMLTC, VA, Medicare , SNT. . Must have attention to detail and, ... of clients. The case manager is responsible for processing Social Security, Medicaid and other benefit related applications. The Case Manager is responsible for… more
- University of Washington (Seattle, WA)
- …determine appropriate insurance opportunities + Complete applications which include Health Care Exchange, Medicaid , Medicaid Expansion, and Medicare Part D + ... insurance coverage and/or Financial Assistance + Refer uninsured patients for Medicaid /Financial eligibility screening + Prepare estimates of fees upon request from… more
- Queen's Health System (Honolulu, HI)
- …and financial analysis. o Knowledge of reimbursement regulations, including Medicare / Medicaid program requirements, and medical terminology. o Ability ... ensure that all valid charges are captured in the billing process in a timely manner. * Identifies charge...of charge master principles and the relationship to coding, billing and compliance in a hospital setting. o Working… more
- HCA Healthcare (Plano, TX)
- …is met in compliance with departmental policies and procedures + Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as ... receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical/ billing , medical payment posting, and/or cash application. + Prior… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …Location:** El Paso **Preferred Qualifications:** + Extensive knowledge of HIPAA, Medicare and Medicaid guidelines and regulations evaluation and management ... medical documentation for outpatient and inpatient medical coding and timely billing . + Assist with onboarding training for physicians, residents, non-physician… more