- McLaren Health Care (Flint, MI)
- …our Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy ... two (2) years' experience in managed care claims operations or provider billing functions. + Valid state driver's license, reliable transportation, and automobile… more
- McLaren Health Care (Flint, MI)
- …our Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy ... HMO, PPO, TPA, PHO and Managed Care claims operations or provider billing functions. + Valid state driver's license, reliable transportation, and automobile… more
- Children's Mercy Kansas City (Kansas City, MO)
- …coding and clinical billing activities as specified through the Centers for Medicare and Medicaid Services and other payers. + Represents Children's Mercy ... management, and clinical documentation improvement (including coding and 485 billing activities) within the department. This position supports the organization's… more
- Commonwealth Care Alliance (Boston, MA)
- …Mentoring subject matter expert of the team + Managed Care experience (preferably Medicare / Medicaid ) + Experience in health plan provider relations + Experience ... lead communication sessions, educating on CCA's policies, program benefits, billing , referral and authorizations regulatory compliance, and contractual expectations.… more
- Commonwealth Care Alliance (Boston, MA)
- …experience + Experience in health plan provider relations. **Experience (Desired)** + Medicare / Medicaid experience preferred. + Experience with CPT coding and ... Program benefits; Clinical initiatives; Referral and authorization; Regulatory compliance; Billing and payments; Complaints and appeals; Policies and procedures. +… more
- Sanford Health (Minot, ND)
- …, documentation, and reimbursement guidelines/issues, including but not limited to Medicare , Medicaid , other third party, and contracted payers. Balance ... including the intake process, product selection, dispensing and setup, documentation, billing , compliance and performance management. Must also be knowledgeable on… more
- Callen-Lorde Community Health Center (New York, NY)
- …coaching, mentoring, and leading/building a team is required. + Knowledge of Medicaid /Managed Care, Medicare , HIPAA, ADA compliance, and state health ... of our dental services, with oversight of administrative workflows, scheduling, billing , and patient access. Reporting directly to the Director of Dentistry,… more
- Equinox, Inc (Albany, NY)
- …+ One year of professional experience + Knowledge and understanding of Medicaid , Medicare , Managed Care Plans and private insurance coverage Preferred ... for potential and current clients to maintain efficient and timely billing + Ability to navigate insurance websites efficiently performing insurance verification… more
- Marshfield Clinic (Iron Mountain, MI)
- …have been or be excluded from participation in any federally funded program, including Medicare and Medicaid . This is a condition of employment. Employee must ... experience in a healthcare setting working in a reception or billing role. Experience with Health Information Management system. **CERTIFICATIONS/LICENSES** _The… more
- Centene Corporation (Jefferson City, MO)
- …and guidelines established by the American Medical Association and the Centers for Medicare and Medicaid Services. + Ensures Payment Integrity DRG Review ... with all policies and standards **Education/Experience:** Associate's Degree in Medical Billing and Coding, Healthcare or related field, or equivalent experience… more