- Beth Israel Lahey Health (Woburn, MA)
- …at the Beth Israel Deaconess Medical Center (BIDMC), the Revenue Integrity Senior Analyst contributes to Revenue Integrity and Coding oversight at the enterprise, ... theories to include RBRVUS, MPFS, and managed care o NCCI edits and Medicare LCD/NCDs o health care documentation, coding and billing requirements as well as… more
- Select Medical (Camp Hill, PA)
- **Overview** ** Senior Claims Resolution Specialist** **Starting at $18.50.00/hr but flexible for experienced candidates** Do you enjoy puzzles and research? Are you ... + Private and commercial claims collection experience (ideally provider side) + Medicare and Medicaid **Preferred:** + Computer Skills + Microsoft Office: + Outlook… more
- AbbVie (Washington, DC)
- …YouTube, LinkedIn and Tik Tok (https://www.tiktok.com/@abbvie) . Job Description The Senior Counsel, US Policy Legal, will be responsible for executing comprehensive ... and state laws, regulations, and policies, including the Inflation Reduction Act, Medicare and Medicaid laws, the Affordable Care Act, 340B, FDA regulations, OIG… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and Grady Health System. Fellows must be eligible at participants in Medicare , Medicaid and other third-party payers contracted with Emory Healthcare and Grady ... Health System + Other concerns or modifications from the standard curriculum outline will be considered on an individual basis **Key Responsibilities (non-program specific):** + Provide high quality patient care in one or more of the program's affiliated… more
- Centene Corporation (Austin, TX)
- …+ Case Management or Service Coordination + Managed Care - managing Medicaid or Medicare members Pay Range: $35.49 - $63.79 per hour Centene offers a comprehensive ... benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted… more
- The Cigna Group (St. Louis, MO)
- …related field or 6+ years of experience + Regulated markets experience ( Medicare , Medicaid, Exchange) preferred + Excellent PC skills including Microsoft Office and ... Internet experience + Excellent verbal and written communication and presentation skills + Strong analytical and problem-solving skills + Strong focus on book of business client satisfaction and client retention results + Demonstrated ability managing… more
- ICF (Reston, VA)
- …meet you! You will work on projects that support the Centers for Medicare and Medicaid Services (CMS) as we develop a next-generation analytics and reporting ... system that directly impacts healthcare quality. You will use SAS, Python and other AWS technologies to build data processing pipelines that derive information from large sets of government data. This program allows for the continued quality of clinicians'… more
- Trinity Health (Schenectady, NY)
- …both our centers. Eddy SeniorCare serves as both payer (we provide their Medicare and Medicaid insurance) and provider (offering a full range of services--from ... primary care providers, to home health care, transportation, adult day care, activities, social work, RN case management, nutrition, home delivered meals and medications and medical supplies, and much more!). This is a wonderful opportunity to work as part of… more
- Northwell Health (New Hyde Park, NY)
- …relevant experience, required. Preferred Experience + In-depth knowledge of Medicare and Medicaid billing regulations, guidelines, and compliance requirements (eg, ... medical necessity, Local Coverage Determinations (LCDs), National Coverage Determinations (NCDs) + Familiarity with common commercial payer policies and reimbursement methodologies. + Coding Systems expertise in ICD-10 and HCPCS codes + Strong understanding… more
- Ankura (Los Angeles, CA)
- …of in claims processing procedures, state and federal regulations, and Medicare Part D requirements. + Excellent written and verbal communication skills, ... ability to work in a remote environment, and time management skills. + Prior success in managing small projects and teams and able to Ability to be able work on multiple client projects simultaneously, if needed. + Ability to work in a fast-paced environment… more