- Hackensack Meridian Health (Neptune City, NJ)
- …all billing problems and initiate correction if applicable. Work to resolve billing issues with Medicare , Medicaid and insurance companies. Follow up ... for overall accounts receivable responsibilities including but not limited to billing , posting, collections and account analysis. + Confirm Delivery Tickets and… more
- Commonwealth Care Alliance (Boston, MA)
- …This role will ensure that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible ... research, as necessary on all new and revised coding logic, related Medicare / Medicaid policies for review/approval through the Payment Integrity governance… more
- NHS Management, LLC (Tallahassee, FL)
- …Strong understanding of GAAP and financial reporting principles. + Staff management experience + Medicare and Medicaid billing experience in the long term ... care industry + Collections experience + Proficiency in Microsoft Excel and other financial software. + Excellent analytical, problem-solving, and communication skills. + Ability to work independently and as part of a team. + Strong attention to detail and… more
- Moore County Hospital District (Dumas, TX)
- …correspondence, and memos. Ability to read and write simple correspondence. Experience in Medicare and Medicaid billing preferred. EXPERIENCE REQUIREMENTS: 3 ... years of business operations experience preferably in the health care industry. more
- Providence (Irvine, CA)
- …with key healthcare regulations, including Stark Law, Anti-Kickback Statute, False Claims Act, Medicare and Medicaid billing rules, HIPAA and EMTALA. + ... Draft and review physician agreements, including medical director agreements, on-call agreements, and professional services agreements. + Prepare and review business associate agreements, guiding clients on HIPAA compliance and navigating state and federal… more
- National Health Care Associates (Valley Stream, NY)
- …and projections + Ensure compliance with regulatory requirements and internal policies, including Medicare and Medicaid billing regulations + Assist in ... special projects and initiatives as directed by the CFO or senior management team + Workday FDM experience If you're passionate about playing a critical role in ensuring the financial health and stability of our operations, in an environment where your… more
- Moore County Hospital District (Dumas, TX)
- …correspondence, and memos. Ability to read and write simple correspondence. Experience in Medicare and Medicaid billing . High school graduate or equivalent ... preferred. EXPERIENCE REQUIREMENTS: 3 years of business operations experience preferably in the health care industry preferred. more
- Accura Healthcare (Omaha, NE)
- …pertaining to the position. QUALIFICATIONS: + Knowledge of Medicaid , Medicare , and insurance reimbursement systems, including billing forms and requirements ... Nebraska will be considered. Accura HealthCare has an opportunity to invite a Medicaid Billing Specialist - Lead to join our growing accounting and finance team!… more
- IQVIA (Wayne, PA)
- …with financial application software is essential. Understanding of **PBM systems and Medicaid / Medicare billing .** + **Familiarity with NCPDP standards.** + ... PBMs, and health plans** to resolve payment discrepancies. + Educate providers on billing processes and assistance programs. + Identifies and monitors areas of risk… more
- Commonwealth Care Alliance (Boston, MA)
- …(CPC) - AAPC + Certified Claims Professional (CCP) + Other AHIMA or Medicaid billing -related certifications **Required Experience (must have):** + 3+ years in ... disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare , and commercial payment methodologies and supports audit,… more