- Sunrise Senior Living (Fort Belvoir, VA)
- …working relationships with Medicare / Medicaid billing office to resolve claims and obtain timely reimbursement . + Develop and maintain current knowledge ... and Loss (P&L) Summary reporting, balance sheet account reconciliations, Medicare / Medicaid billing and adherence to Sunrise Senior...get paid within hours of a shift + Tuition Reimbursement + In addition to base compensation, Sunrise may… more
- Scripps Health (San Diego, CA)
- …of healthcare EPIC software preferred. * Minimum two year experience billing Medicare , Medicaid , Blue Cross and Commercial insurance preferred, three or ... environment and has a passion for insurance and medical claims . As a Patient Account Specialist, you will be...and payer requirements. * Knowledge of Medical Terminology and Medicare Compliance. * Familiarity with HIPAA privacy requirements for… more
- Martin's Point Health Care (Portland, ME)
- …+ Knowledge of claims policies and procedures, including industry standards from Medicaid , CMS, and CCI Edits + Understanding of or experience with fraud, waste, ... claim payments. This role focuses on preventing overpayments, identifying incorrect claims , and leading recovery efforts while improving system controls and… more
- University of Rochester (Rochester, NY)
- …account review/resolution and all audits + Coordinate responses and resolution to Medicaid and Medicare credit balances. + Request insurance adjustments or ... independent decisions as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing issues. Maintain… more
- Commonwealth Care Alliance (Boston, MA)
- …Required Knowledge, Skills & Abilities (must have): * Strong understanding of claims processing, reimbursement methodologies, and payment policies, with the ... their impact on provider operations and satisfaction. * Strong understanding of Medicare and Medicaid health plan operations, including regulatory and compliance… more
- AmeriHealth Caritas (Columbus, OH)
- …agencies. **Other Skills: ;** + Health care industry and/or Medicare / Medicaid /Pharmacy/Behavioral Health/Pharmacy Benefit Management knowledge required. + ... using the Internet, data analysis tools, etc., to analyze aberrant; claims billing and practice patterns. + Analyzes data as...adjudication standards & procedures preferred. + Solid knowledge of Medicaid , Medicare , and pharmacy benefit laws and… more
- Commonwealth Care Alliance (Boston, MA)
- …initiatives to achieve high performance on CCA's Population Health goals; including Medicare Star measures, Medicaid - Medicare Plan withhold measures, quality ... CAHPS, HOS) and value-based contract performance metrics + Experience with Medicare Advantage, Medicaid ; and dually eligible populations **Desired Experience**… more
- Ascension Health (Wichita, KS)
- …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...record of all billing activities. + Maintain documentation of claims processed as part of the daily claims… more
- LA Care Health Plan (Los Angeles, CA)
- …Skills Required: Knowledge in CPT, HCPCS, ICD-9, ICD-10, Medicare , and Medicaid rules and regulations. Knowledge of healthcare reimbursement concepts, health ... Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …Specialist is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to ... + Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and...their customers + Research, analyze and appropriately resolve rejected claims by working with national Medicare D… more