- Waystar (Atlanta, GA)
- …1K+ hospitals and health systems, and is connected to over 5K commercial and Medicaid / Medicare payers. We are deeply committed to living out our organizational ... scoping, project planning, implementation, and stabilization. The Consultant will leverage billing and coding subject matter expertise and industry experience to… more
- Vatica Health (Glasgow, KY)
- …both verbally and written + Understanding of health insurance benefit structure; especially Medicare and Medicaid + Must be technically savvy; this is critical ... in critical care (ie, ICU/CCU/MICU) and/or ED) + Proficiency with Diagnosis, Billing , and Quality Measures Coding a plus + Excellent interpersonal skills that… more
- BrightSpring Health Services (Little Rock, AR)
- …and reliable transportation + Strong knowledge of health insurance plans including Medicare , Medicaid , and commercial carriers + Ability to handle confidential ... or GED required: Associates Degree in Medical Office and Billing preferred + Minimum of one (1) year experience...+ Minimum of one (1) year experience in medical billing or medical insurance verification in a hospice environment… more
- UnityPoint Health (Grinnell, IA)
- …hospital and department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid ) regarding fraud, waste and abuse. Brings any ... in the delivery of services. + Timely and accurate documentation and billing according to regulatory and third party requirements. Documentation and billing… more
- Insight Global (Camden, NJ)
- …Experience with credit/overpayments and/or insurance refund processes - Strong knowledge of Medicare / Medicaid - Experience with EMR systems - Experience working ... The ideal candidate will have strong experience within hospital billing , specifically with credits/overpayments, refunds, submitting/disputing/appealing high dollar claims,… more
- Highland Hospital (Rochester, NY)
- …refers our self-pay patients to Financial Case Management (FCM) for Medicaid assessment or Financial Assistance, reviews and validates MSP questions, monitors ... Medicare days for exhausted benefits, identifies and resolves coordination of benefits discrepancies, and notifies Utilization Management of additional clinical… more
- Hart Medical Equipment (Findlay, OH)
- …sources to ensure proper documentation when needed. + Maintain current knowledge on Medicare , Medicaid and third-party payor sources for equipment. + Follows ... policy and work instructions to ensure the Billing Department has the correct paperwork to complete insurance. + Understanding and striving to meet or exceed… more
- Banner Health (AZ)
- …compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the ... residents, heavy EM coding and inpatient visits sometimes involving split billing . **Shift: Monday-Friday, 7:30-4; 8am-4:30 with flexibility** **Ideal Candidate:** +… more
- Johns Hopkins University (Bethesda, MD)
- …full clinical privileges at Suburban Hospital + Eligibility to participate in: + Medicare and Medicaid programs + Managed care arrangements affiliated with JHU ... or transplant-related documentation, as applicable. + Submission of all required billing forms, clinical notes, and service documentation in accordance with JHU… more
- Highmark Health (Denver, CO)
- …duties as specified. + Identify and report improper coordination of benefit billing practices through paid clams review. + Participate as pharmacy representative in ... formulary terminology + Pharmacy technicians must be familiar with multiple Medicaid drug benefit design offerings and rules/regulations across multiple states. They… more