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Medicaid/Medicare, healthcare, senior living industry, pharmacy or long-term care environment preferred. Maintains census records in Accounts Receivable system for accurate billing. Manages month-end billing processes for all payer classes in an accurate and timely manner according to monthly AR calendar.
$22.94 - $28.67 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Maintain compliance of federal, state, and district mandates as it relates to the development and maintenance of Individualized Education Plans (IEP) Medicaid billing, report writing, treatment plans/ therapy log development.
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This position ensures that the documentation supports the levels or types of services billed and ensures the documentation is in compliance with Medicare/Medicaid billing regulations, provider documentation guidelines, CPT documentation and CMS coding guidelines.
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Mains and submits data for Medicaid billing as requested. Mains and submits data for Medicaid billing as requested. BONNEVILLE SCHOOL DISTRICT is committed to maintaining a work and learning environment free from discrimination on the basis of race, color, religion, national origin, pregnancy, gender identity, sexual orientation, marital/civil union status, ancestry, place of birth, age, citizenship status, veteran status, political affiliation, genetic information or disability, as defined and required by state and federal laws.
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Assigns procedures, E&M, and diagnoses codes as documented in the medical records all within the professional coding guidelines, Centers for Medicare and Medicaid (CMS) guidelines, and policies to obtain reimbursement.
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Must have obtained Medicare billing privileges as a nurse practitioner. Knowledge of Medicare reimbursement and coding for all levels of service - home, office, nursing home, assisted living, etc., Medicaid and other regulatory requirements.
$50 - $60 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
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Ensure billing is accurate and complete prior to signing off on the daily note in accordance with Alliance's policy, state practice act and federal regulations, including but not limited to HIPAA, Medicare and Medicaid.
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Ability to rapidly develop a sound understanding of Medicare, Medicaid and Commercial insurance reimbursement and billing practices. Working knowledge of medical terminology, insurance reimbursement, and billing requirements.
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This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits.
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Acts as an advisor and consultant in the establishment of operational policies of the practice to include: (1) Purchasing and capital allocations; (2) Managed care plan participation; (3) Budget and practice expenses; (4) Medicare/Medicaid participation; (5) Billing and collection of professional fees; (6) Personnel management and related policies; (7) Risk management and quality assurance; and (8) Coding compliance.
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The Attorney General’s Office is recruiting for a permanent full time Forensic Data and Financial Analyst (Financial Examiner 3) in the Medicaid Fraud Control Division. Understand and apply various billing regulations and policies, and medical coding systems to analyze complex healthcare data and records to identify billing and coding irregularities.
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3 years HCC coding and/or coding and billing. 5 years HCC coding and/or coding and billing. Associate degree in medical billing/coding, health insurance, healthcare or related field preferred.
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We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Understand/explain policies regarding services, pricing, insurance billing, and payment of account.
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Seeking a Credentialing Specialist who will be responsible for credentialing new and established health care providers and the maintenance of information to include primary source verification, follow-up, data collection, data entry and document review.
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