- Stanford Health Care (Palo Alto, CA)
- …and procedures and medical terminology + Knowledge of payer landscape, including Medicare , Medicaid , Workers' Compensation, Managed Care, or other Commercial ... is responsible for the timely and accurate processing of insurance balance patient claims in accordance with contracts and policies. The PAR works in various… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …department staff in the processing of Managed Care, Medicare Part D, Managed Medicaid , CMS Rebates, and Medical Rebate claims and fees in accordance with the ... staff with contract interpretation, entering contract terms (products, plans, reimbursement percentages, etc.) into Model N/Flex system, rebate calculations and… more
- HCA Healthcare (Miramar, FL)
- …act as a liaison and administer contracts in collection of third party accounts ( Medicare and Medicaid ) + You will complete account reconciliation of accounts ... and self-pay accounts to enhance cash flow and gather reimbursement based on established contracts. **What you will do...work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims… more
- KPH Healthcare Services, Inc. (Rochester, NY)
- …Care, and private billing, claim corrections and follow-up + Track and re-bill pending Medicaid accounts + Re-bill claims as needed + Identify pattern problems ... for facility and private pay + Month-end closing process + Re-bill claims to improve reimbursement from NETRX reporting + Assist in special projects as required… more
- Guidehouse (San Marcos, CA)
- …Functions** + Hospital Claims + Account Review + Appeals & Denials + Medicare / Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 **Duties & ... medical provider experience working with UB04, appeals & denials. + Hospital or EOB claims emphasis + PC skills in a Windows environment are required. Knowledge and… more
- HCA Healthcare (Las Vegas, NV)
- …act as a liaison and administer contracts in collection of third party accounts ( Medicare and Medicaid ) + You will complete account reconciliation of accounts ... and self-pay accounts to enhance cash flow and gather reimbursement based on established contracts. **What you will do...work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims… more
- 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 ... our patients and safeguard Michigan Medicine against loss of accreditation, malpractice claims , and claims of negligent credentialing. + Completes evaluation of… more
- PruittHealth (Norcross, GA)
- …patient benefits and payer contracts, and manage follow-up on denied or unpaid claims . * Ensure billing codes, documentation, and reimbursement amounts are ... HIPAA, and payer compliance standards. **Preferred Qualifications** * Experience with Medicare , Medicaid , and commercial insurance billing for infusion services.… more
- R1 RCM (Austin, TX)
- …Demonstrated extensive knowledge in the health insurance industry (Commercial Insurances, Medicare , Medicaid ); health claims billing and/or Third-Party ... questions and obtain appropriate information in pursuit of resolving unpaid claims . Responsibilities: Reads and interprets expected reimbursement information… more
- ConvaTec (Massapequa, NY)
- …**Key Responsibilities:** + Responsible for claim review and submission to Medicare , Medicaid , commercial and private insurance payers. Verifies accuracy ... Follows up with insurance companies on unpaid or rejected claims . Resolves issues and resubmits claims . +...and payer issues in an effort to recover proper reimbursement . + Provides customer service relating to all billing… more