- Methodist Health System (Dallas, TX)
- …5 days **Work Shift :** **Job Description :** Your Job: The SR REIMBURSEMENT( MEDICARE ) ANALYST will assist the Manager of Regulatory Compliance, the Manager of ... * CPA Preferred * Position requires extensive knowledge of governmental programs ( Medicare and Medicaid). * Good written and oral communication skills. * Good… more
- USAA (Tampa, FL)
- …Minimum of 4 years working with Medicare Supplement claims and/or Medicare -related claims. + Expert Advice: Ability to review complicated medical records ... talented **Medical Specialist Principal** to play a crucial role in advising the Medicare Supplement Claims Department on the morbidity and claims risk of health… more
- UCHealth (Denver, CO)
- …patient enrollment in clinical trials to ensure quality and accuracy of Medicare Coverage Analysis documentation. Conducts facility review of submitted studies ... / hour. Pay is dependent on applicant's relevant experience Summary: Facilitates review and approval of requested clinical research services and ensures billing… more
- Sharp HealthCare (La Mesa, CA)
- …coverage through MCA for SRS/SCMG and MPV (or Portal) for potential Medicare or Medi-Cal.Use Coordination of Benefits (COB) standards to prioritize billing order ... of insurance plans. Medicare patients - Medicare Secondary Payer (MSP)...insurances, or patient family/friends until after medical screening.Using scripting, review Conditions of Admission (COA). If unable to secure… more
- Molina Healthcare (WA)
- …Company's assigned contact to log tickets for premium restoration such as Medicare Secondary Payer and ESRD. **JOB QUALIFICATIONS** **Required Education** HS Diploma ... or GED **Required Experience** 1-3 years' experience in an administrative support. **Preferred Education** Associate degree **Preferred Experience** 3+ years' experience in an administrative support role. To all current Molina employees: If you are interested… more
- Intermountain Health (Boston, MA)
- …Billing, Follow-Up, Collections) required + Knowledge of Medicaid and Medicare billing regulations required **Physical Requirements** + Operate computers and ... other office equipment requiring the ability to move fingers and hands. + Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment. + May require lifting and transporting objects and office supplies,… more
- Bassett Healthcare (Cooperstown, NY)
- … Medicare Cost reporting. . Identify unique funding levels in Medicaid and Medicare based on rural provider status. . Review information used in development ... . Oversee completion of Network Hospital IRS form 990 Schedule H. . Review budget variance's with hospital departments in areas of volume, revenue and expense.… more
- Guidehouse (Birmingham, AL)
- …on the account. + Monitor Medicare days and co-insurance days on in-house patients. Review all in-house Medicare accounts on the 1st and 15th of each month. ... and eligibility through Insurance, Federal, State, and/or County government benefits. Review accounts for proper plan codes, financial class, and patient type.… more
- Healthfirst (NY)
- …institution + Clinical license: LPN, RN, LMSW or LCSW + Multiple years of HEDIS review experience for both Medicaid and Medicare lines of business + Medical ... management + Assists in writing member and/or provider articles on HEDIS, QARR, Medicare Advantage, and/or health promotions for the HF newsletter + Assists and… more
- Molina Healthcare (Iowa City, IA)
- …and production of the annual marketing strategy and objectives for Molina Medicare 's portfolio of Medicare products. + Responsible for supporting the ... + Developing, implementing, improving, and maintaining Marketing Operations for Molina Medicare . + Directing and analyzing Market Research Activities for Molina … more
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