- CareFirst (Baltimore, MD)
- …Administration. + Knowledge of healthcare or health insurance payor industry ( Medicare , Medicaid , Commercial, DSNP and other payor programs), including ... role will also oversee complex projects related to provider contracts, reimbursement methods, documentation and amendments, and participate in internal workgroups… more
- The Wesley Community (Saratoga Springs, NY)
- …team members to resolve billing-related concerns. + Ensure compliance with Medicare / Medicaid billing requirements, regulatory standards, and facility specific ... types. + Monitor and maintain aging reports for outstanding claims . Respond to and resolve insurance claims ...years of billing procedures for all payer types including Medicare , NY Medicaid , HMO and Private insurance… more
- BrightSpring Health Services (Englewood, CO)
- …in medical billing with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement ; home infusion experience a plus ... Short & Long-Term Disability*Flexible Schedules & Paid Time Off*Tuition Reimbursement *Employee Discount Program & DailyPay*401k *Pet Insurance Responsibilities As… more
- Diversicare Healthcare Services & Diversicare Ther (Bessemer, AL)
- …entities per company guidelines and State and Federal regulations. 14. Ensures Medicare and Medicaid regulatory guidelines are completed accurately and timely ... Process Improvement Activities. 19. Continues to update knowledge base related to Medicare , Managed Care, Medicaid , RAI Process and computer technology updates.… more
- Ascension Health (Indianapolis, IN)
- …party organizations and/or government or self payers. + Research, analyze and reconcile Medicare / Medicaid billing and reimbursement practices. + Consult with ... 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
- Kaniksu Community Health (Sandpoint, ID)
- …inquiries related to billing, payment plans, and account status. + Monitors insurance claims for timely reimbursement + Ensure compliance with payer policies, ... electronic health records (EHR) systems (Athena and/or NextGen). + Familiarity with Medicare , Medicaid , and commercial payer policies. + Excellent organizational… more
- Option Care Health (Bannockburn, IL)
- …waste and abuse, including but not limited to HIPAA, Anti-Kickback, Stark, Medicare / Medicaid reimbursement . + Experience evaluating information to determine ... pharmacy and/or nursing compliance programs. + Direct experience applying knowledge of Medicare , Medicaid , and Managed Care reimbursement guidelines. +… more
- Covenant Health Inc. (Knoxville, TN)
- …and analysis of CPT coding, modifiers and billing processes to ensure compliance with Medicare , Medicaid guidelines and other insurance payers and to maximize ... and out-patient and/or physician practice. Good working knowledge of healthcare billing, Medicare / Medicaid billing guidelines, and other Third Party Payor rules… more
- Ascendis Pharma (Princeton, NJ)
- …Oversee the administration of rebate programs, including government rebates (eg, Medicaid , Medicare ), managed care rebates, and commercial rebates. Ensure ... models, and contracting strategies across various payer segments (eg, commercial, Medicare , Medicaid ). + Excellent negotiation, communication, and interpersonal… more
- United Therapeutics (IL)
- …Teams + Advanced knowledge of medical insurance terminology + Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in ... commercial teams, to develop and implement plans that optimize patient access and reimbursement . You are an expert in therapy access with an understanding of… more