- Specialty Rx, Inc. (Ridgefield Park, NJ)
- Job Description SpecialtyRx is a full-service pharmacy. We need Medicare Part B - Billing Representative with Pharmacy experience in our Ridgefield Park, ... We offer a competitive salary and benefits package. Responsibilities: + Experience with billing Part B claims, review and handle denials. + Knowledge with… more
- Southeast Health (Dothan, AL)
- …corrections; + Accurately determines Part A and Part B Medicare coverages and billing requirements; + Reviews correspondence daily for appropriate ... Using internal and external computer systems and payer portals, work traditional Medicare and Medicare Advantage/Replacement inventory to full resolution. Job… more
- Essentia Health (Superior, WI)
- …refill requests, submit medication prior authorizations via patients' pharmacy benefits, assist in Medicare Part B billing and processing, and ... ordered by Essentia providers requiring prior authorization + Understand Medicare Part B DME billing for Essentia retail pharmacies to help ensure … more
- Essentia Health (Superior, WI)
- …of medications dispensed to patients under PAP; supporting clinical criteria needed for accurate Medicare Part B billing for EH retail pharmacies; ... Associates with clinical questions when submitting prior authorization, verifying Medicare prescription eligibility, and applying for patient assistance + Optimize… more
- Beth Israel Lahey Health (Cambridge, MA)
- …service for repair as needed. + Oversees billing of all Pathology procedures including Medicare Part B billing procedures. Manages work queues in ... Laboratory Information System to reduce insurance claim denials. + Reviews all attorney requests for slides/reports and discusses such with the Director of the Laboratory and/or the Laboratory Manager prior to release. + Keeps abreast of developments in the… more
- Omnicell (Watertown, NY)
- …is preferred. + Five or more years of transplant experience with a strong understanding of Medicare Part B billing requirements is preferred. + A ... thorough understanding of the specialty pharmacy landscape, including prior authorizations, limited distribution products, complex disease states, and the managed care environment, is preferred. + Demonstrated experience interfacing with specialty provider… more
- Luke Staffing (Butner, NC)
- …Outpatient Prospective Payment System . Medicare Ambulatory Surgical Center Payment Rates . Medicare Part B Physician Fee Schedule . Medicare ... the inmates' medical records. . Utilizing Medicare Part A and Part B ...and the overall total calculation. . Utilizing knowledge of Medicare coding and billing standards and procedures,… more
- New York State Civil Service (Oxford, NY)
- …Senior Health Care Fiscal Analyst (NY HELPS) (Veteran Homes Centralized Billing Office) - 90440 Occupational Category Financial, Accounting, Auditing Salary Grade ... No County Chenango Street Address Health Facility Management - Veteran Homes Centralized Billing Office 4334 State Hwy. 220 City Oxford State NY Zip Code 13830… more
- US Tech Solutions (Monroeville, PA)
- … Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B , Major Medical and Medicaid. Individual must work ... fills and work claims through to resolution to ensure compliant, timely and accurate billing practices. Worker must live within 1 hour of the site (Monroeville, PA)… more
- Queen's Health System (Honolulu, HI)
- …QUALIFICATIONS: A. EDUCATION/CERTIFICATION AND LICENSURE: * High School diploma or equivalent. B . EXPERIENCE: * One (1) year recent experience as Patient Accounts ... preferably in an acute care facility, demonstrating knowledge of Medicaid, Medicare , Third Party payer requirements, SNF/ICF, ICD-9 and DRG's. An associate's… more
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