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Oversees the Laboratory Information System and billing decisions and maintenance. Responsible for all aspects of laboratory operations across the regional system including, but not limited to clinical laboratory programs, laboratory centers, budgeting, purchasing, staffing, recruitment and retention of staff, physician contracting, billing and collection processes, financial performance and reports and regulatory compliance.
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Candidate MUST HAVE knowledge of medical billing, payer follow-up, payer contracts, appeals, self-pay billing, Medicare and Medicaid billing, AR posting, along with excellent customer service skills.
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Practice support: We manage the administrative side of private practice, including marketing, verifying client insurance benefits, and handling the invoicing/billing process so you can accept insurance without ever interacting with it directly.
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Review PA requests for home health services, durable medical equipment, outpatient therapies, skilled nursing facility therapies, and all outpatient procedures pursuant to applicable Medicare and Medicaid criteria, iCare guidelines, and PA Department policies and procedures.
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Support Ryder's business development and operations in costing and pricing activities, which includes gathering cost data for development of costing analysis, analysis of alternative pricing and billing strategies, risk-return evaluation, contract review, analysis, and negotiation.
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Read more about our benefits here: About the opportunity: Mathematica is searching for a dedicated professional with experience successfully improving state behavioral health programs within or in conjunction with Medicaid programs and state, local, and private providers.
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Knowledge of Medicaid Management Information Systems (MMIS) or Medicaid Enterprise Systems (MES). Execute all aspects of the implementation of Medicaid Enterprise Products, from project initiation to deployment to successful transition to operations maintenance.
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This position will work closely with the CM Director as well as internal and external stakeholders (including, but not limited to, key internal teams such as Population Health, Quality Improvement, Provider Network, Compliance and Medicare/Medicaid Administration, along with providers and community partners) to develop and lead CM initiatives in accordance with CMS, OHA and NCQA requirements.
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The Billing and Collections Specialist must maintain a positive and professional attitude, enjoy problem solving, working with other departments for resolution and thrive in a fast pace rewarding environment.
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5+ years experience on an Integrated Eligibility projects with the knowledge on State and Federal programs like SNAP, TANF, Medicaid etc. Some areas that we focus on include Children Services, Eligibility & Enrollment, Child Support Enforcement, and Labor & Workforce Development.
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Reconcile all monthly invoices as it pertains to benefits against Paycom & Payworks to ensure billing accuracy and employee’s benefit elections and deductions are correct. Exhibit a willingness to learn, willingness to problem solve and willingness to step in to help others Creativity, capacity and a conviction to innovate and deliver best-in-class solutions Always put the customers’ needs first, think proactively from their vantage point, not your own Follow through with all customer expectations and accountabilities Follow through within the specified time-frame for all areas of your responsibility.
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Maintains comprehensive working knowledge of government billing regulations including Medicare and Medicaid regulations and serves as a resource for agency personnel. At least three years' experience in health care billing and collections management preferably in home health and/or hospice operations and within the Cornerstone Health organization.
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In addition, we’re the only Idaho hospital system to receive five-star Centers for Medicare and Medicaid Services (CMS) ratings and we’ve been named a Top 15 Health System in the nation for eight consecutive years.
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Experience in billing, charge documentation, charge audit or charge capture activities, or other functions related to revenue cycle activities. + Understand billing and coding requirements for government and commercial payers.
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Assist with the analysis, interpretation, and documentation of NMR dataProviding billing and reservation system support for the NMR facility. Our faculty members conduct research in areas such as drug discovery, medicinal chemistry & medical devices, cosmochemistry, prebiotic chemistry, archaeological science, computational chemistry, enzymology and enzyme mechanisms, RNA and protein chemistry, and polymer chemistry.
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billing medicaid jobs in Boise, ID
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