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This position is responsible to review and investigate denials from the Medicaid/MassHealth administrator(s), i.e. Dentaquest, resubmit claims, processing adjustments to accounts within system, including write-offs and billing to the patients, as appropriate.
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Utilize claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for payment while adhering to internal deadlines.
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Manages accounts receivable collections for past due resident accounts; ensures timely filing of Medicare, Medicaid, and insurance claims; POSITION SUMMARY: The Business Office Manager must be familiar with company policies and procedures related to billing and accounts receivable, census processing, payroll, and accounts payable.
ExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Directs processing of accounts receivable, adjustments/refunds, private and third party agencies, census information, ancillaries, cash deposits, and posting as applicable; Manages/maintains Private Spend Worksheets and assists with Medicaid Pending Tracking.
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Ensure that the proper payment guidelines are applied to each claim by using the appropriate tools, processes, and procedures (e.g., claims processing policies & procedures, grievance procedures, state mandates, CMS/Medicare/Medicaid guidelines, benefit plans, etc.
$50,000 - $56,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Oversee accounts receivable collections for past due patient accounts; facilitates timely filing of Medicare, Medicaid, and insurance claims. These functions are revenue cycle management, billing and accounts receivable, census processing, payroll, accounts payable, and patient/resident trusts.
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We offer solutions for Medicaid payments, healthcare, pharmacy benefits management and claims processing. Have experience managing teams delivering services, including Medicaid or healthcare call centers, pharmacy claims processing or other healthcare operations.
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Minimum of three (3) years of account management experience for a government or private sector client in health care with two (2) years of Pharmacy claims processing point of sale (POS)systems experience.
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This role also requires knowledge of health plan operations including Medicare and Medicaid plans, claims processing, EDI transaction processing, enrollment, financial reconciliation, and IT systems knowledge.
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Managing IT departments and Pharmacy Claims Processing & Rebates on a 24/7 basis. Healthcare Claims processing exp (REQ'D) Responsible for ensuring delivery of all contractual requirements for a State Medicaid fiscal agent project.
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Have a min 3 years client-facing management experience providing services to large health care claims processing organizations. Managed an organizational unit within a Medicaid Agency in a State or U.S. territory.
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Exists to manage and enhance computerized claims processing and information management systems in order to assure timely and accurate Medicaid and Child Health Plan Plus (CHP+) claims processing and payments in an environment of rapid policy change.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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State government/public sector experience with health and human services programs (Medicaid, MMIS, claims processing, eligibility, HHS analytics) State government/public sector experience with health and human services programs (such as Medicaid, MMIS, claims processing, eligibility, HHS analytics, etc.
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3 years' experience in financial advising, claims processing, collections, customer service, revenue cycle positions that including: admitting, patient accounting, prior authorizations, or pre-registration.
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We are looking for a motivated performer to join our Business Office team as a Collections Specialist, with an extensive knowledge of claims reimbursement and collection efforts for Managed Care, Medicare, Medicaid, Workers Comp, Commercial plans, etc.
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claims processing medicaid jobs
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