- Primary Health Care (Des Moines, IA)
- …process. + Maintains knowledge of current health benefit options and practices, Medicaid , Medicare , Commercial Insurance, sliding fee discount program, and ... workflows to ensure maximum patient collections and minimization of registration related claims denials. Demonstrates iCare values in daily work. What You Will Do… more
- Surgery Care Affiliates (Boise, ID)
- …knowledge of medical billing, payer follow-up, payer contracts, appeals, self-pay billing, Medicare and Medicaid billing, AR posting, along with excellent ... Meeting and maintaining cash collection metrics and goals. + Maximized facility reimbursement . + Understands each payer contract and will utilize to ensure payments… more
- Sanford Health (Sioux Falls, SD)
- …Plan departments regarding contract requirements. Engages in the development of new reimbursement models jointly with Analytics, IT, Claims , Finance and Medical ... contract templates to ensure compliance with the requirements of NCQA, Centers for Medicare and Medicaid Services and other applicable laws and regulations. Also… more
- Molina Healthcare (Scottsdale, AZ)
- …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
- Rush University Medical Center (Chicago, IL)
- …of insurance and governmental programs, regulations, and billing processes eg, Medicare , Medicaid , Social Security Disability, Champus, Supplemental Security ... or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting, or customer service.… more
- WestCare Foundation (Henderson, NV)
- …Strong knowledge of healthcare billing systems, coding guidelines (ICD-10, CPT), Medicare / Medicaid , commercial insurance, and reimbursement methodologies. + ... integrity. This role ensures the organization receives timely and accurate reimbursement for services rendered while maintaining compliance with payer rules,… more
- Ascendis Pharma (Princeton, NJ)
- …innovative pricing models. + Familiarity with pharmaceutical policy impacts from IRA, Medicaid / Medicare rules, and global price referencing. + Proficiency with ... and analytical models in response to the evolving US healthcare reimbursement environment to inform executive-level insights and decision-making for in-line and… more
- Truman Medical Centers (Kansas City, MO)
- …experience in professional or insurance billing environment + Experience in commercial insurance, Medicare , and Medicaid reimbursement + Working knowledge of ... 40 **Job Description** Directly responsible for daily billing of insurance claims and collection activity on outstanding payor accounts and self-pay encounters… more
- Aveanna Healthcare (Fort Lauderdale, FL)
- …* Bilingual (English and Spanish) * Valid CPR As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements ... if internal billing and collection efforts to generate clean claims * Perform other duties as assigned Benefits Offerings:...Health, dental, vision, life, and pet insurance + Mileage reimbursement and cell phone allowance + Generous PTO, sick… more
- Novant Health (Charlotte, NC)
- …of healthcare regulations and compliance standards. + Expert knowledge of Medicare / Medicaid regulations, payer rules, billing compliance, coding standards ... coding practices, minimizing denials and maximizing revenue capture.Monitor billing processes, claims , and reimbursement patterns to identify and prevent… more