- US Anesthesia Partners (Austin, TX)
- …of insurance processing, guidelines, laws, and EOBs. + Knowledge of managed care, Medicare , and Medicaid guidelines. + Data entry skills with high accuracy. ... without a reasonable accommodation) + Contacts insurance companies for status on outstanding claims . + Processes and follows up on appeals to insurance companies. +… more
- HCA Healthcare (Sarasota, FL)
- …a liaison accounts 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
- BrightSpring Health Services (Little Rock, AR)
- …communication with insurance companies, patients, providers, and other staff + Review claims to ensure reimbursement requirements are met + Verification of ... and reliable transportation + Strong knowledge of health insurance plans including Medicare , Medicaid , and commercial carriers + Ability to handle confidential… more
- J&J Family of Companies (Fort Worth, TX)
- …pre-authorization, billing, coding, claims , and appeals/grievances); practice management; Medicare and Medicaid rules and regulations; OSHA; HIPAA; and ... of product promotion, including but not limited to product access, pull-through and reimbursement . + Mentor doctors and staff on how to develop and implement an… more
- J&J Family of Companies (Phoenix, AZ)
- …pre-authorization, billing, coding, claims , and appeals/grievances); REMs certification; Medicare and Medicaid rules and regulations; and state-specific ... requirements to set up TC capabilities, overall operational considerations, pre-authorization, reimbursement and REMs. Educate entire staff on REMs set up,… more
- Northwest Florida Community Hospital (Chipley, FL)
- …process claims . A solid understanding of the various payment methodologies from Medicare and Medicaid is critical. + Promptly audit remittance advices to ... include best practices and principles related to patient accounting, insurance reimbursement , governmental and other payer source billing, credit and collections and… more
- J&J Family of Companies (Jacksonville, FL)
- …pre-authorization, billing, coding, claims , and appeals/grievances); REMs certification; Medicare and Medicaid rules and regulations; and state-specific ... requirements to set up TC capabilities, overall operational considerations, pre-authorization, reimbursement and REMs. Educate entire staff on REMs set up,… more
- Cognizant (Topeka, KS)
- …billing, with strong knowledge of RARC and CARC codes. . Expertise in Medicare , Medicaid , Managed Care, and Commercial payer processes. . Deep understanding ... reduce denials. You'll work closely with payers to ensure timely reimbursement and contribute to operational excellence through data-driven insights and… more
- Sutter Health (Sacramento, CA)
- …. Interpret and apply federal and state health care laws, including Medicare / Medicaid regulations, managed care rules, prompt-pay statutes, and payment integrity ... contract interpretation matters. Provide legal guidance on contract compliance, reimbursement methodologies, value-based arrangements, and network participation requirements. Revenue… more
- Molina Healthcare (Miami, FL)
- …modeling current and future contract rate proposals. * Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more