- Baylor Scott & White Health (Frankfort, KY)
- …and reporting to stakeholders across all lines of business (Commercial, DTE, Medicare , and Medicaid ). Candidate will oversee extracting and analyzing medical ... and pharmacy claims data, translating output into business recommendations. This individual...plan with dollar-for-dollar match up to 5% + Tuition Reimbursement + PTO accrual beginning Day 1 Note: Benefits… more
- UnityPoint Health (Dubuque, IA)
- …guide and support compliance with Det Norske Veritas (DNV), Centers for Medicare and Medicaid Services (CMS) Conditions of Participation (CoPs), Occupational ... four-legged family members. + Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow… more
- Centene Corporation (Austin, TX)
- …related field. + 3+ years of related analytical experience in managed health care, Medicare or Medicaid . + Experience with concepts of information management and ... an in depth knowledge of pharmacy/medical terminology, pharmacy claims processing, NDC/GPI/GCN, coding issues and practices, including ICD-9, CPT4, HCPCS Level II. +… more
- UCLA Health (Los Angeles, CA)
- …and advanced knowledge of medical billing processes, including familiarity with Medicare and Medicaid regulations + Advanced proficiency in analytical ... Representative, you will oversee a designated portfolio of inpatient and outpatient claims to maximize collection outcomes. In this role, you will conduct thorough… 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
- Logan Health (Kalispell, MT)
- …+ Current CPR. + Possess knowledge of rules and regulations pertaining to Medicare , Medicaid and other payer types. + Current Notary Public certification. ... regulatory requirements per department protocol; exhibits overall knowledge of claims and authorization processing for insurance companies including private,… more
- Kelly Services (Coppell, TX)
- …insurance benefits, deductibles, and eligibility with a variety of payers including Medicare , Medicaid , HMO, PPO, and third-party plans. + Communicate with ... and payment options. + Submit and follow up on prior authorizations and clean claims . + Process referrals and ensure documentation is complete and accurate. + Enter… 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
- CVS Health (Lansing, MI)
- …clinical models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and ... + Conducts assessments that consider information from various sources, such as claims , to address all conditions including co-morbid and multiple diagnoses that… more
- CVS Health (Trenton, NJ)
- …clinical models. You can have a life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and ... + Conducts assessments that consider information from various sources, such as claims , to address all conditions including co-morbid and multiple diagnoses that… more