- Philips (Omaha, NE)
- …evidence and obtaining medical record documentation. + Be an expert on Medicare , Medicaid and private insurance coverage-criteria for InCourage vest therapy. Be able ... 401k (up to 7% match), HSA (with company contribution), stock purchase plan, education reimbursement and much more. Details about our benefits can be found here. US… more
- Sharp HealthCare (San Diego, CA)
- …developing the Benefits Administration team across multiple lines of business ( Medicare Commercial, Government, etc.) to ensure benefit plans are designed ... or application of benefit interpretation guidelines, coverage policies, and/or reimbursement policies. + Working knowledge and experience with medical coding… more
- CVS Health (Springfield, IL)
- …models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social ... transportation required. *Mileage is reimbursed per our company expense reimbursement policy **Preferred Qualifications** + Case management and discharge planning… more
- Munson Healthcare (Manistee, MI)
- …Commission (TJC) EOC, EM and Life Safety standards, The Centers for Medicare and Medicaid Services (CMS) requirements, Michigan Occupational Safety and Health ... Full benefits, paid holidays, and generous paid time off * Tuition reimbursement and ongoing educational opportunities* Retirement savings plan with employer match… more
- Arnot Health (Bath, NY)
- …the Long Term Care staff, attends weekly care conference meetings, and weekly Medicare A review with care team and therapies. + Demonstrates effective time ... MDS based Case Mix to ensure appropriate classification of residents for reimbursement . + Handles financial, personnel and medical records or other facility… more
- CareFirst (Baltimore, MD)
- …+ Trains staff on standards of practice of Utilization Management and reimbursement methodologies and treatment coding. + Manages policies and procedures of ... **Preferred Qualifications** : + Knowledge and experience in both government services ( Medicare , Medicaid, DSNP) and commercial lines of business in a health plan… more
- Covenant Health Inc. (Knoxville, TN)
- …rheumatology, sleep medicine and urology. Position Summary: Demonstrates knowledge of Medicare and payer billing guidelines and policies. Demonstrates ability to ... promptly review, interpret and communicate current and changes to published Medicare and other payer billing guidelines/policies. The Billing Liaison must be able to… more
- Tufts Medicine (Melrose, MA)
- … reimbursement sources. Escalates to referral management director and/or referral manager , in circumstances of potential admission where reimbursement sources ... program. + Works with hospice intake and eligibility department to verify insurance reimbursement for each referred patient and document in EMR. + Reviews and… more
- University of Rochester (Rochester, NY)
- …ensuring the visit balances on the accounts receivable are at expected reimbursement based on contractual agreements with payers, and determining and completing the ... insurance claims and resolve billing issues. Must track payer/billing issues that affect reimbursement of claims and advising the management team of those trends and… more
- Heritage Ministries (Conneautville, PA)
- …This individual will work in conjunction with the Management Company's Clinical Reimbursement Case Manager , acting as a liaison to finance/billing, and ... well as establish spells of illness and maintain communication with Clinical Reimbursement Case Manager / Billing Department regarding benefits. + Coordinates… more