- Penn Medicine (Philadelphia, PA)
- …the highest level of billing standards following current guidelines from Medicare , Medicaid , and other insurance entities. + Answering revenue cycle patient ... hours per department needs **Summary:** + The Account Resolution Specialist I reports to the Supervisor of Billing... Specialist I reports to the Supervisor of Billing ; primary responsibilities are to facilitate activities necessary to… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …with ICD-10 and CPT-4 guidelines, UHDDS sequencing guidelines, CMS coding guidelines, Medicare and Medicaid regulations and the American Hospital Association ... with health system specific coding policies and procedures. The Coding Specialist will assist the assigned HRPAS hospital based providers with instruction,… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- Prior Authorization Specialist Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $19.00 - $23.00 Hourly Job Category Pharmaceutical ... advancement to all our team members. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected pharmacy… more
- HCA Healthcare (Plano, TX)
- …Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for ... of colleagues. Do you want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive patient interactions is valued? If you are… more
- Marshfield Clinic (Wisconsin Rapids, WI)
- …have been or be excluded from participation in any federally funded program, including Medicare and Medicaid . This is a condition of employment. Employee must ... most exciting missions in the world!** **Job Title:** Patient Access Specialist - TL, Float **Cost Center:** 101541274 Registration-Acute-SP-WR Reg **Scheduled Weekly… more
- Hartford HealthCare (Farmington, CT)
- …review of documentation of Evaluation and Management o Experience with interpreting Medicare , Medicaid and third-party billing and compliance regulations ... educators. 2. Researches literature from regulatory groups such as; HHS/OIG, Medicare , Medicaid , NGS, etc., professional and peer organizations'… more
- Molina Healthcare (Omaha, NE)
- …representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). M-F from 8am - 4:30pm EST ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and… more
- Molina Healthcare (Kenosha, WI)
- …Act** cases in accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and… more
- Beth Israel Lahey Health (Westwood, MA)
- …participation with over 25 affiliated health plans/ products, including Medicare and Medicaid . **Job Description:** **Primary Responsibilities:** **Facilitates ... NCQA standards and health plan enrollment and credentialing guidelines (including Medicare and Medicaid ). (essential)** **Compiles accurate health plan… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …requires a strong understanding of homecare regulations related to Medicare , Medicaid , and other insurance programs. The Intake Specialist will collaborate ... the general supervision of the Intake & Recruitment Supervisor, the Intake Specialist is responsible for processing referrals received from the RiseBoro marketing… more