- Guidehouse (St. Paul, MN)
- …regarding compliance, and reimbursement under outpatient grouping systems such as Medicare OPPS and Medicaid or Commercial Insurance EAPG's. + Knowledge and ... various types of authoritative information. + Maintains current knowledge of Medicare , Medicaid , and other third-party payer billing compliance guidelines… more
- MyFlorida (Tallahassee, FL)
- …informed about the operations of the Medicaid fiscal agent, including Medicaid claims process, billing procedures, reimbursement methodologies, encounter ... submissions, and provider enrollment. * Remain informed about Medicare policies, national Medicaid /CHIP-related research and demonstration projects, Medicaid… more
- Covenant Health Inc. (Knoxville, TN)
- …and billing staff to maximize reimbursement within compliance guidelines for Medicare , Medicaid and other insurance payors as deemed appropriate by manager ... of charges, CPT coding, modifiers and billing processes to ensure compliance with Medicare , Medicaid guidelines and other insurance payors and to maximize … more
- MyFlorida (Tallahassee, FL)
- …informed about the operations of the Medicaid fiscal agent, including Medicaid claims processing, billing procedures, reimbursement methodologies, and ... and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities,… more
- WellSense (NH)
- …in a managed care or healthcare environment is preferred + Experience with Medicare and Medicaid Reimbursement Methodologies + Understanding of provider ... company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded in 1997,… more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves ... processes, and related regulations. ? Familiarity with contract terms, NYS regulations, claims processing, and healthcare reimbursement models. ? Experience in… more
- Humana (Springfield, IL)
- …authorizations & referrals). + Work with internal resources and systems (eg, claims , reimbursement , provider enrollment) to provide Exceptional Experience in all ... Create provider trainings based on provider feedback, trends in claims or process changes. + Educate provider on location...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- Stony Brook University (East Setauket, NY)
- …+ Experience with Inpatient and Outpatient billing requirements (UB-04/837i) and/or CMS Medicare and New York Medicaid reimbursement methodologies. + ... support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties… more
- WellSense (MA)
- …according to pre-set site visit servicing standards** + **Acts as liaison for all reimbursement , credentialing, claims , EDI web site procedures and issues of key ... transportation** **Competencies, Skills, and Attributes:** + **Knowledge or familiarity with Medicaid and Medicare required** + **Understanding of the local… more
- Ascension Health (Austin, TX)
- …organizations and/or government or self payers. + Research, analyze and reconcile Medicare / Medicaid billing and reimbursement practices. + Maintain detailed ... assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community _Benefit...account record of all billing activities. Maintain documentation of claims processed as part of the daily claims… more