- HonorHealth (AZ)
- …Other 18 months patient accounts experience - Required Other 18 months billing, collection or Medicare /Commercial billings - RequiredLicenses and Certifications ... You'll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact. HonorHealth offers a diverse benefits portfolio for our full-time and… more
- Trinity Health (Schenectady, NY)
- …of trends in healthcare, combining an insurance role (we are the Medicare /Medicaid insurer for our participants) with a comprehensive healthcare provider role ... (primary care, home health, adult daycare, transportation, all coordinated by an interdisciplinary team). The primary purpose of this job position is to provide skilled nursing care and prescribed treatments to participants according to professional nursing… more
- Novant Health (NC)
- …practices including CPT4, ICD10CM, and DRGs, as well as current Medicare reimbursement methodologies. + Knowledge of pricing, healthcare finance, managed care, ... provider incentives and risk contracting required. + Ability to distill data to salient information and recommendations to present findings of all analyses in a logical, concise manner required. Excellent communication skills and ability to interact with all… more
- McLaren Health Care (Indianapolis, IN)
- …Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana ... Plan health insurance programs. Learn more about MDwise, Inc. at https://www.mdwise.org/ . **Position Summary:** Under the direction of the manager, responsible for preparing and analyzing financial and operational data, maintaining data integrity,… more
- Corewell Health (Grand Rapids, MI)
- …Coding Specialist CCS + Project Management Professional PMP certification + Medicare and ACA Risk Adjustment experience + Proven leadership experience About ... Corewell Health As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of… more
- Cardinal Health (Nashville, TN)
- …insurance claim processing and denial management preferred. + Familiarity with Medicare , Medicaid, commercial insurance plans, and managed care preferred. + ... Proficiency in billing software (eg Athena, G4 Centricity, etc.) and Microsoft Office Suite. + Excellent verbal and written communication skills. + Ability to work independently and manage time effectively. + Detail-oriented with strong analytical and… more
- WellSpan Health (Lebanon, PA)
- …health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and ... one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000… more
- AdventHealth (Bolingbrook, IL)
- …substance oversight, and billing including, Long Term Care (LTC) billing and Medicare D claim adjudication. + Serves as a resource for automation technology, ... training & involvement with IV workflow, carousels, Pyxis, automated dispensing cabinets, troubleshooting, compounding, and robotics. + Provides advanced cross-training for dedicated buyers, staff, operating room satellite, and retail. + May monitor compliance… more
- Molina Healthcare (Cleveland, OH)
- …Directory (including ongoing execution, QA and maintenance of supporting tables), Medicare Provider Directory preparation, and FQHC/RHC reports. + Generates other ... provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER, Network Access Fee, etc.).; and mailing label extract generation. + Develops and maintains documentation and guidelines for all… more
- Centene Corporation (Tallahassee, FL)
- …landscape preferred + Risk Adjustment regulatory audit experience preferred + Medicare experience preferred Pay Range: $68,700 -123,700 annual 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… more