- University of Washington (Seattle, WA)
- …+ Serve as a subject matter expert on genetic/molecular test billing and reimbursement . This includes reviewing Medicare /CMS, commercial payer and industry focus ... involve aspects of billing, pricing, prior authorization, clinical and reimbursement policies, costs estimations, ROI, staffing needs, risk management, compliance… more
- Veterans Affairs, Veterans Health Administration (Smyrna, TN)
- …Center, Billing and Insurance Verification Department in Smyrna, TN. The Medical Reimbursement Technician performs a broad range of duties to achieve established and ... Submit claims to 3rd party health Insurance Carriers, with knowledge of Medicare coverage benefits. Interprets third party insurance policies and requirements for… more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …(CPAC), in either the Billing or Insurance Verification departments. The Medical Reimbursement Technician performs a broad range of duties to achieve the established ... claims to third party health insurance carriers, with knowledge of Medicare coverage benefits; Interpreting third party insurance policies and requirements for… more
- Stony Brook University (Stony Brook, NY)
- …+ Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare and New York Medicaid reimbursement methodologies. + Knowledge of ... and experience. + Minimum three plus years' experience in charge/ reimbursement analysis, maintenance, audit or review for a Hospital...other governmental and third party payer reimbursement methodologies. + Proficiency in the use of Craneware… more
- Philips (Cambridge, MA)
- …aimed at solving real-world healthcare problems. + Support the analysis of reimbursement trends and review/analyze US regulations including Medicare payment or ... our site in Cambridge, MA. Support the Health Economics, Market Access, and Reimbursement (HEMAR) Global Leadership Team to deliver reimbursement , health policy,… more
- WMCHealth (Valhalla, NY)
- Financial Reimbursement Specialist - On Site Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Finance/Info Systems Department: Revenue ... of Financial Planning and the Director of Budget & Reimbursement in third party analysis and preparation of internal...external agencies. + Gathers data in preparation of Annual Medicare & Medicaid Cost Reports. + Aid in the… more
- BayCare Health System (Largo, FL)
- …and clinical excellence. We are currently seeking a **Infusion Pharmacy Reimbursement Specialist** who is passionate about providing outstanding customer service to ... 8-5PM + **Weekend Work:** None + **On Call:** No **Infusion Pharmacy Reimbursement Specialist** , under the immediate oversight of the Pharmacist, responsibilities… more
- Stony Brook University (East Setauket, NY)
- …role. + Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare and New York Medicaid reimbursement methodologies. + Knowledge of ... + Create audit and reconciliation plans related to: charges, adjustments, expected reimbursement and denials; accelerated and unposted cash. + Document and validate… more
- Walmart (Bentonville, AR)
- …director or senior leader level role. + Deep understanding of payer reimbursement models, including Medicare , Medicaid, managed care, and value-based ... ensuring regulatory compliance, partnering with H&W operations teams, optimizing reimbursement cycles, and driving enterprise-wide improvements in cash flow and… more
- WestCare Foundation (Henderson, NV)
- …knowledge of healthcare billing systems, coding guidelines (ICD-10, CPT), Medicare /Medicaid, commercial insurance, and reimbursement methodologies. + ... integrity. This role ensures the organization receives timely and accurate reimbursement for services rendered while maintaining compliance with payer rules,… more