- University of Michigan (Ann Arbor, MI)
- …credentialing, and privileging following the strict requirements of Centers for Medicare and Medicaid (CMS), The Joint Commission (TJC), the ... systems, such as the electronic health record, online provider directory, and billing system. Ensures database accuracy so that Provider Enrollment can complete… more
- Albany Medical Center (Albany, NY)
- …as the provision and reimbursement of medical services including, but not limited, to Medicare and Medicaid . + Proven skills and knowledge relating to the ... not limited to physician and hospital clinical leadership, legal, compliance, billing , finance, IT, case and utilization management, quality, credentialing, and… more
- Waystar (Duluth, 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 ... YOU'LL NEED** * Bachelor Degree preferred * Extensive working knowledge of Medical Billing / Healthcare EDI **ABOUT WAYSTAR** Through a smart platform and better… more
- Humana (Miramar, FL)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... departments to ensure accuracy and completeness of all pertinent clinical, billing and demographic information in accordance with the policies and procedures… more
- General Dynamics Information Technology (Fairfax, VA)
- …As a Healthcare Coding Subject Matter Expert (SME) supporting the Centers for Medicare and Medicaid (CMS), you will be trusted to research healthcare ... Ancillary Health **Skills:** Healthcare Fraud (Inactive),Insurance Fraud Investigations,Insurance Regulations,Medical Billing and Coding,Technical Writing Documentation **Certifications:** Certified Professional Coder… more
- Gentiva (Nashville, TN)
- …a patient may be appropriate for home health or hospice care; Medicare / Medicaid regulations; and interdisciplinary process. + Meets mandatory continuing ... Family or Adult Medicine preferred + Practice experience with Part B billing + Able to work autonomously in an Advanced Practice Role… more
- UnityPoint Health (Anamosa, IA)
- …hospital and department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid ) regarding fraud, waste and abuse. Brings any ... workflows. Responsibilities may include the following: 1) registrations; 2) registration/ billing work queues; 3) inpatient, outpatient or outreach phlebotomy; 4)… more
- Penn Medicine (Philadelphia, PA)
- …regulatory requirements impacting lab operations including: AABB, CMS (Center for Medicare / Medicaid Services), DOH (Appropriate state Dept. of Health), DOH ... reports with monthly workload volume reports to ensure appropriate billing Manages inventory through reagent utilization analysis Collaborates with management… more
- Cleveland Clinic (Mayfield Heights, OH)
- …state, and federal law, and with compliance or credentialing bodies (ACR, MQSA, Medicare , Medicaid , FDA, etc.) + Assist with instrument calibration and records ... paperwork. + Report any malfunctions to help desk and PACS Administrator. + Process billing via RIS. + Assist with all policies and procedures required by local,… more
- University of Colorado (Aurora, CO)
- …the specific medical subspecialties, ensures programmatic adherence to all Centers for Medicare and Medicaid Services (CMS) and Organ Procurement Transplantation ... payor relations, and financial management including but not limited to: billing /coding optimization, contract review, revenue threshold, outreach and new program… more