- East Boston Neighborhood Health Center (Revere, MA)
- …Position Summary: Under the direction of the Neighborhood PACE Business Office Supervisor , the Enrollment and Eligibility Specialist will be responsible for the ... of MassHealth eligibility + Strong knowledge of the overall Medicare eligibility of Part A, B and D +...online eligibility checks, initial and annual MassHealth applications and Medicare Secondary Payers Surveys + Ensuring that all … more
- Bon Secours Mercy Health (Oberlin, OH)
- …and distributes patient education documents, such as Important Message from Medicare , Important Message from Tricare, Observation Forms, MOON form, Consent forms, ... of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and… more
- Sunrise Senior Living (Silver Spring, MD)
- …Profit and Loss (P&L) Summary reporting, balance sheet account reconciliations, Medicare /Medicaid billing and adherence to Sunrise Senior Living business process ... collections of accounts receivables; develop effective working relationships with Medicare /Medicaid billing office to resolve claims and obtain timely reimbursement.… more
- St. John's Embrace Living (Rochester, NY)
- …care information, billing, and revenue collections + New York State Medicaid and Medicare rules and regulations + Basic methods and procedures of financial and ... paying privately. + Prepares and submits billing claims for Private, Medicare , Medicaid and other third-party insurances + Maintain Clearinghouse and/or Electronic… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for ... current NYS DOH, CMS regulations and standards if managing members of Medicare programs, and other regulatory requirements as applicable. + Carries out job… more
- CareOregon (Portland, OR)
- …care costs and increase provider/care team satisfaction. Housecall Providers has saved Medicare millions of dollars, while providing better care to our patients, ... as roughly 10,000 baby boomers a day enter the Medicare system. If you receive an offer of employment...Requisition # 25038 Direct Reports N/A Manager Title Hospice Supervisor Pay & Benefits Estimated hiring range $22.82 -… more
- Humana (Atlanta, GA)
- …Prepares sales presentations, contracts, and proposals subject to review by supervisor . May participate in special projects/programs as assigned, such as training ... Qualifications** + Bachelor's degree and 5+ years of experience in the Medicare industry with a focus on management/leadership + Experience working with Field… more
- University of Rochester (Rochester, NY)
- …and state regulations bringing concerns to the attention of billing Manager and Supervisor . The Claim Resolution Rep III will represent the department and Strong ... performance on assigned tasks, following standard procedures as directed by the Supervisor or Manager. **Machines and Equipment Used** : Standard office equipment,… more
- Catholic Health Initiatives (Bryan, TX)
- …of abilities, reports needed maintenance and/or deficiencies to relief and supervisor . 1. Receives and enters call/patient information into computerized dispatch ... with Billing Coordinator referencing necessary pre-transport screening patient information, Medicare and Medicaid Laws/Guidelines updates, and other contractual obligations… more
- Stony Brook University (East Setauket, NY)
- …review to increase revenue and prevent unnecessary denials. + Assist the supervisor in scheduling, timesheet, leave requests, performance programs and evaluations. + ... Assist the supervisor in training and make recommendation to improve policy...with Inpatient and Outpatient billing requirements (UB-04/837i) and/or CMS Medicare and New York Medicaid reimbursement methodologies. + Knowledge… more