- Catholic Health Services (Melville, NY)
- …Checker and National and Local Coverage Decisions. + Maintain knowledge of Medicare , Medicaid and third-party payer regulations and hospital charging and ... other patient access operational activities for the Catholic Health. The Authorization Specialist role is responsible to submit prior authorizations timely, and that… more
- Penn Medicine (East Petersburg, PA)
- …+ Basic medical terminology. + Knowledge of various insurance plans such as Medicaid , Medicare and Commercial insurances. + Ability to work efficiently and ... and scheduling with External Providers. Ensures compliance with hospital policies, billing guidelines, and payer policies. + Qualified individuals must have the… more
- Logan Health (Kalispell, MT)
- …needs to maintain smooth clinic flow. + Maintain working knowledge of Medicare , Medicaid , and commercial insurance requirements. + Identify opportunities to ... Representative who can seamlessly balance front-desk excellence with department specialist -level responsibilities. This position plays a central role in supporting… 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
- WellSpan Health (York, PA)
- …provider information every 120 days in CAQH. - Runs reports and complete Medicare and Medicaid revalidations for WellSpan Medical Group (WSMG) & Hospital ... participates. - Runs weekly Credentialing Update reports to IS Department for billing system update. - Runs expiring provider credentials reports, notifies practices… more
- Mohawk Valley Health System (Utica, NY)
- …clinical variability throughout the medical staff. + Assist case managers with Medicare and Medicaid appeals and Administrative Law Judge (ALJ) testimonies. ... Managers and Attending Physicians to align on the level of care, patient billing status, and potential barriers to patient discharge. The Physician Advisor (PA)… 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