- Cornerstone Caregiving (Waco, TX)
- …Oversee all payer relationships, reimbursement cycles, and revenue processes for VA, Medicaid , LTCI, work comp, and Medicare programs. + Ensure billing and ... and implement corrective action plans for delayed or disputed claims . + Ensure accurate application of payments and resolution...or RCM. + Deep expertise in LTCI, VA billing, Medicaid reimbursement , and/or Private Duty billing. +… more
- Walmart (Orlando, FL)
- …required documentation and maintaining a safe and clean work environmentComplies with Medicare and Medicaid policies and procedures by implementing and adhering ... rotating merchandise and supplies from distribution centers and suppliers handling claims and returns completing maintaining and securing paperwork forms and other… more
- WellLife Network (NY)
- …and accurate claims to private and public insurance payers, including Medicare , Medicaid , and commercial plans. 2. Verify the accuracy and appropriateness ... prior to claim submission. 3. Analyze denied or underpaid claims , identify root causes, and coordinate resolution with payers...ICD-10, and HCPCS coding principles. + Knowledge of, HMO/PPO, Medicare , Medicaid , and other payer requirements and… more
- Robert Half Finance & Accounting (Carlisle, PA)
- …and operational efficiency. Responsibilities: * Oversee the revenue cycle processes for Medicaid , Medicare , managed care, commercial payers, and sliding fee ... in billing, coding, payer compliance, and revenue cycle systems. * Knowledge of Medicaid , Medicare , and commercial payer processes. * Excellent leadership and… more
- Cardinal Health (Doral, FL)
- …of insurance claim processing and denial management preferred. + Familiarity with Medicare , Medicaid , and managed care preferred. + Proficiency in billing ... for providing outsourced services to customers relating to medical billing, medical reimbursement , and/or other services by acting as a liaison in problem-solving,… more
- YesCare Corp (Goshen, NY)
- …+ Strong knowledge of Coordination of Benefit (COB) provisions in commercial, Medicaid , or Medicare environments. + Proficient understanding of ICD-9, HCPCS, ... pay is $25.00 to $27.00/HR based on experience** **Key Responsibilities** + ** Medicaid Eligibility & Coverage Coordination:** + Submit inmate applications to … more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …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
- AmeriHealth Caritas (Washington, DC)
- …education and business experience. + Master's Degree preferred. + 2 to 3 years Medicaid and/or Medicare experience preferred. + 1 to 3 years managing dual ... is consistent with claim payment methodologies. + Maintains familiarity with State Medicaid fee schedules and analyzes comparable Plan pricing guidelines. + Resolves… more
- Sanford Health (MN)
- …Representative processes and monitors unpaid third party insurance, Medicare , Medicaid or government-assisted program accounts for proper reimbursement . Must ... to work accounts throughout the entire revenue cycle. Prepares and submits claims to payers either electronically or by paper. Secures necessary medical… more
- Cardinal Health (Sacramento, CA)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more