- UnityPoint Health (Cedar Rapids, IA)
- …ASC, and department compliance requirements for federally funded healthcare programs (eg, Medicare and Medicaid ) regarding fraud, waste, and abuse. Brings any ... thru Friday 5:15AM - 1:45PM + Job ID: 170952 Overview The Registration Specialist will facilitate the patient intake process by performing quality functions for… more
- Trinity Health (Livonia, MI)
- …code(s) by utilizing coding guidelines established by: + The Centers for Medicare / Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding and ... and routes non-coding ones to appropriate owners eg, Revenue Integrity, Billing , etc. Adheres to Inpatient coding quality and productivity standards established… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …insurance eligibility and benefits through various payers, including commercial insurances, Medicaid , and Medicare . + Obtains the necessary prior authorizations, ... due on the account. + Educates the patient/responsible parties regarding billing processes, financial responsibilities, third party benefit information and, provides… more
- BJC HealthCare (St. Louis, MO)
- …according to the OIG (Office of Inspector General) workplan and Centers for Medicare and Medicaid Services (CMS), noting organizational trends or patterns. + ... cases and focused reviews of target case populations prior to final coding and billing across BJC. This position responds to review requests from across the system… more
- Rochester Regional Health (Rochester, NY)
- …and reporting tools highly desired. + May need previously experience in CMS, Medicaid / Medicare billing , and other regulatory processes. EDUCATION: LICENSES / ... Provides ongoing support for the tracking and trending of the Reimbursement Specialist charge recovery activities. + Assists with special projects including but not… more
- Atlantic Health System (Morristown, NJ)
- …safety grade - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating ... interventions, providing patient and family education, documenting interventions, and billing appropriately. Supports Lead Clinicians in competency development and… 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 ... We are looking for a Finance Accounting Specialist , to join us in leading our organization...accounting or financial related functions (ie accounts payable/receivable, payroll, billing ). **Preferred:** + Associates degree in Accounting or Finance.… more
- Cardinal Health (Nashville, TN)
- …of insurance benefits a plus. + Fundamental understanding of key payers including Medicaid , Medicare and private payers + Strong customer service experience ... and optimize the practice's revenue cycle, from prior authorization through billing and collections. **Job Description** The Coordinator, Benefits and Eligibility… more
- Montrose Memorial Hospital (Montrose, CO)
- …knowledge of hospital billing , collections and payment application for Medicare , Medicaid and Commercial insurances + Ability to effectively communicate, ... (American Association of Hospital Administrative Management) CRCS (Certified Revenue Cycle Specialist ) preferred. + 2 years hospital PFS department experience with a… more
- AdventHealth (Maitland, FL)
- …insurance requirements. + Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards by reviewing guidelines and ... role you'll contribute:** The Pre-Access Infusion Benefits and Authorization Specialist , under general supervision, maintains performance standards appropriate to… more