- Commonwealth Care Alliance (Boston, MA)
- … Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare , and commercial payment methodologies and supports audit, compliance, ... 011250 CCA- Claims **Position Summary:** Reporting to the Director, ...and timely reimbursements within the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director… more
- Commonwealth Care Alliance (Boston, MA)
- …and medical coding (CPT, HCPCS, Modifiers) along with the application of Medicare /Massachusetts Medicaid claims ' processing policies, coding principals and ... Coding Sr. Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement ...new CPT and HCPCS codes for coding logic, related Medicare / Medicaid policies to make recommend reimbursement… more
- Guidehouse (San Antonio, TX)
- …TX office._** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare / Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 & ... Flexible Spending Accounts + Short-Term & Long-Term Disability + Tuition Reimbursement , Personal Development & Learning Opportunities + Skills Development &… more
- Prime Healthcare (Redding, CA)
- …Responsibilities The Senior Medicare - Medicaid Biller/Collector ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare - Medicaid . This includes maintaining the deficiency lists used to… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Senior Medicare - Medicaid Biller/Collector ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare - Medicaid . This includes maintaining the deficiency lists used to… more
- Humana (Denver, CO)
- …The Senior Business Intelligence Engineer will develop and maintain expertise in Medicaid reimbursement methodologies rooted in complex grouping concepts (EAPG, ... Business Intelligence Engineer will be responsible for: + Researching state-specific Medicaid reimbursement methodologies for hospitals and facilities +… more
- Zelis (Plano, TX)
- …the personal interests that shape who you are. Position Overview The Sr. Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory ... a related field + Five+ years of experience in Medicaid billing, reimbursement , claim payment or cost...or cost reporting. + Experience with Medicare / Medicare Advantage or commercial billing and reimbursement … more
- TEKsystems (San Antonio, TX)
- …collections accounts receivable, Emr, Epic, claims follow up, claims denials, claims appeals, medicare , medicaid , EOB, rebill claims Top Skills ... * Stay current on communication relating to healthcare reimbursement and regulatory changes * Develop and maintain positive...collect on outstanding claims . - highly prefer medicare or medicaid collections experience * High… more
- TEKsystems (Las Vegas, NV)
- …resolving unpaid or underpaid insurance claims , with a focus on Medicare and Medicaid accounts. This fast-paced, production-based role requires an analytical ... and utilize provider portals for claims resolution. + Strong preference for Medicare or Medicaid collections experience. + High school diploma or equivalent… more
- RWJBarnabas Health (Oceanport, NJ)
- …indicators associated with disease processes and pharmacology is required. + Knowledge of Medicare and Medicaid billing and coding regulations. + Must have ... Inpatient Coding Quality Officer III - ( Medicare )Req #:0000183242 Category:Coder Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services… more
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