- Danaher Corporation (Memphis, TN)
- …and maintain a comprehensive understanding of national, regional and local coverage and reimbursement issues for Medicare , Medicaid and Commercial payers ... and reimbursement . + Support customers with approved resources for denied claims , payer coverage expansion and inadequate reimbursement . + Respond to and… more
- Ventura County (Ventura, CA)
- …for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general insurance ... Experienced in leading and training staff on Managed Care, Medicaid , Medi-Cal, Medicare , and Commercial Insurance, they...with billing and processing claims for timely reimbursement and compliance with Medi-Cal, Medicare , and… more
- Humana (San Juan, PR)
- …certification from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement methodologies, ICD, CPT, and ... efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large.… more
- Molina Healthcare (Atlanta, GA)
- …and troubleshooting. **Job Duties** + Research, review, and decipher state-specific Medicaid and Medicare reimbursement methodologies for providers, ... or reimbursement processes + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg, performing basic… more
- Catholic Health Services (Smithtown, NY)
- …Compliance: Stay up-to-date on current reimbursement regulations and guidelines (eg, Medicare , Medicaid ) and ensure compliance. + Data Analysis: Analyze ... and patient, every time. Job Details Summary: The Clinical Reimbursement and Quality Management plays a vital role in...reimbursement . + Claim Review: Review and analyze submitted claims for accuracy and identify potential areas for improvement… more
- St Croix Hospice (Oakdale, MN)
- …Management is responsible for overseeing all aspects of the Medicare , Medicaid and Commercial billing, collections, and reimbursement processes for St Croix ... billing, claims processing, and collections. + Strong knowledge of Medicare hospice reimbursement rules, eligibility, and compliance standards, preferred. +… more
- Molina Healthcare (Carson City, NV)
- …to achieve operational goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met ... gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to...experience. + At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …BlueShield Association, the Food and Drug Administration (FDA), and Centers for Medicare and Medicaid Services (CMS). Provides routine interaction and ... + Maintains accurate and up-to-date knowledge of all Government Programs regulations ( Medicaid , Medicare , Federal Employee Program, New York State Department of… more
- Catholic Health Services (Rockville Centre, NY)
- …through complex data analysis. The ideal candidate possesses in-depth knowledge of Medicare / Medicaid reimbursement , managed care contracts, and healthcare ... reports and requests. + Prepare and review OASAS/OMH monthly claims and support County audits. + Medicaid ...cost reporting, or financial analysis. + Strong knowledge of Medicare and Medicaid regulations, reimbursement … more
- University of Rochester (Brighton, NY)
- …Self-Referral Law, the False Claims Act, Civil Monetary Penalties, and + Medicare and Medicaid billing regulations (including CMS, Medicare Advantage and ... reimbursement and billing issues and requirements (including CMS, Medicare Advantage, and New York State Medicaid )....CMS, Medicare Advantage, and New York State Medicaid ). Stays abreast of Medicare and … more