- Adecco US, Inc. (Columbus, OH)
- …degree or equivalent experience. + Minimum of 8 years of healthcare-related reimbursement experience. + Strong knowledge of Medicare and commercial insurance ... Adecco is assisting a local client recruiting for Field Reimbursement Manager (FRM) opportunities in the Northeast Territory. This is an excellent opportunity to… more
- Adecco US, Inc. (Detroit, MI)
- …meet the following requirements to be considered:** * 3+ years of healthcare reimbursement experience ( Medicare & Commercial insurance) * Strong background in ... Adecco is assisting a local client recruiting for **Field Reimbursement Manager** opportunities in **Detroit, MI territory.** This is an excellent opportunity to… more
- National Health Care Associates (Bloomfield, CT)
- …check to review and correct all skilled/Part B payers as needed. Coordinate with Medicare Specialist when claims are ready for Core Submission for Medicare ... Medicare , Medicaid, Pending, Applied Income, and Managed Care reimbursement regulations. 4. The ability to handle multiple priorities;...A & B- Notification will be sent to the Medicare Specialist to submit Medicare … more
- MetroLink (Los Angeles, CA)
- …network to perform your dental services. If you require treatment from a specialist , your contract dentist will handle the referral. Many services are covered at ... change dentists at any time, go to a dental specialist of your choice, receive dental care anywhere in...have the option of seeing out-of-network providers, but full reimbursement is not guaranteed. VSP has contracted with many… more
- University of Rochester (Rochester, NY)
- … Specialist CMBS, Certified Medical Records Technician CMRT, Certified Medical Reimbursement Specialist CMRS); or an equivalent combination of education and ... visit balances on the accounts receivable are at expected reimbursement based on contractual agreements with payers, and determining...reports:- - - 2nd insurance level report - - Medicare and Medicaid credit balance report - - Over… more
- HonorHealth (AZ)
- …at least one (1) of the following certifications: CCS (Certified Coding Specialist ), or CIC (Certified Inpatient Coder), or RHIT (Registered Health Information ... documentation & coding for appropriateness & accuracy in accordance to Medicare and American Medical Association (AMA) coding guidelines. Utilizes electronic medical… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) responsible for promoting the achievement of ... all objectives delineated in the Utilization Review Nurse and Utilization Review Specialist Nurse job roles and is responsible for facilitating appropriate length of… more
- HonorHealth (AZ)
- …documentation & coding for appropriateness & accuracy in accordance to Medicare and American Medical Association (AMA) coding guidelines. Utilizes electronic medical ... documentation & coding for appropriateness & accuracy in accordance to Medicare and American Medical Association (AMA) coding guidelines. Utilizes electronic medical… more
- Banner Health (AR)
- …Demonstrates extensive knowledge of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group ... clinical documentation to ensure that clinical coding is accurate for proper reimbursement and that coding compliance is complete. Provides feedback on coding work… more
- Molina Healthcare (Provo, UT)
- …Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay ... understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans. + Translates… more