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1+ years of Medicaid billing experience in physician setting. 1+ years of Medicaid billing experience in hospital setting. Collaborating with all hospital departments to ensure proper coding, authorization, reimbursement contract guidelines and approved medical billing standards are being followed.
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4+ years of medical billing experience. Understanding revenue codes, occurrence codes and bill types for hospital billing. Accurately billing all patient claims to their specific insurance companies.
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Complete necessary paperwork for Medicaid billing. SCHOOL POSITION NEED FOR Speech Language Pathologist Assistant or CFY ! 46+ for SLPA / CFY - $52 + for SLP. Complete necessary paperwork for Medicaid billing.
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Understanding place of service codes for professional billing. ProHealth Care is proud to be a leader in health care services, serving Waukesha County and the surrounding areas for more than a century.
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Opportunities with ProHealth Care, part of the Optum family of businesses. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life.
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Familiarity with Medicare and Medicaid billing processes, preferably with experience in reviewing notes for billing purposes. Ensure compliance with billing procedures for Medicare and Medicaid, reviewing notes for accuracy and completeness.
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Self motivated, critical thinker with detailed working knowledge and demonstrated proficiency in the major (Medicare, Medicaid and Blue Cross) payer's billing and/or collection process, including an understanding of the Florida Shared System (FSS) and guidelines of Medicare as the secondary payer(MSP.
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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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This role involves working with Medicare/Medicaid billing for in-home care services. This role involves working with Medicare/Medicaid billing for in-home care services. ProSearch, Inc. was established in Portland, Maine in 1994 to provide companies with a full range of search, staffing, and contracting services, specializing in the functional areas of information technology, accounting and finance, sales and marketing, customer service, human resource, and office support utilizing a consultative approach.
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Ability to work any of our full-time (40 hours / week), 8-hour shift schedules during our normal business hours in local time from Monday – Friday. 4+ years of follow - up and denials for hospital and professional claims.
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Knowledge of the 21st Century CURES Act and corresponding EVV requirements, Medicaid revenue cycle, and Medicaid billing rules. Knowledge of the 21st Century CURES Act and corresponding EVV requirements, Medicaid revenue cycle, and Medicaid billing rules.
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Gather both private and Medicaid billing information by reviewing consumer records. Assist in preparation of reports required by regulatory agencies as directed by the medical billing supervisor.
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Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills.
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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 Compliance Senior Manager also has experience in general healthcare compliance matters, particularly as they relate to federal Medicare, Medicaid, Fraud, Waste and Abuse laws, including but not limited to OIG, Stark, and Anti-Kickback Statutes and all other applicable regulations, including the development of general compliance policies and procedures, training, and auditing.
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