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Familiar with Reimbursement system of Medicare, Medicaid & Case Management of at least 1 year Knowledge of state and federal regulations, both clinical and financial as it relates to the RAI process and reimbursement systems Knowledge of the clinical software billing system and the MDS process.
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As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
Up to $120,000 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Possesses at least 6+ years recent experience with Medicare and/or Medicaid Part A, B, & DME claims, coding, and reimbursement procedures, service and coverage policies, coordination of benefits, as well as provider and beneficiary eligibility.
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QUALIFICATIONS & REQUIREMENTS: Must have 3 to 5 years of experience in third-party billing and reimbursement including Medicare, Medicaid, co-insurance, managed care and private collections preferredMust be detail oriented and have excellent customer service skillsMust have Medicare, Medicaid and Private Insurance billing experience to be considered.
$21 - $26 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Ensure that clients do not have another payer source such as Medicaid, Medicare, ADAP, and any other third party insurance. Job DescriptionThe bilingual English/Spanish Eligibility Specialist determines applicant eligibility for third party reimbursement, processes data necessary for admission of new patients into health services, ensure proper coding for insurance billing, and handle inquiries from prospective applicants and patients.
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Three + years leadership experience managing follow up and billing teams, Medicare, Medicaid collections and billing experience, strong revenue cycle management (high volume), recent supervisor/manager experience, Epic, reporting, presentation skills, personable personality is needed.
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Must possess active Medicare/Medicaid Enrollment or be eligible to enroll. Active Drug Enforcement Agency (DEA) registration or be eligible for registration. Comfortable with Electronic Medical Record (EMR) system; Athena preferred.
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Essential Functions and Responsibilities: Provide subject-matter knowledge on Medicare, Medicaid and private commercial coverage, coding and payment policy and other market access-related issues impacting healthcare sectors including diagnostic laboratories, medical devices, pharmaceuticals and biologicals.
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We uniquely align the interests of health consumers, providers, and payors to make high-quality healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.
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Exhibiting familiarity with healthcare compliance regulatory agencies and a general understanding of healthcare laws and regulations (e.g., HIPAA, CMS, Medicare, Medicaid, Affordable Care Act, Anti-Kickback, Fraud and Abuse laws, False Claims Act, Accreditation, Research and Academic Medical Center experiences); and.
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You can have life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges.
$18.5 - $35.29Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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6 months experience with Medicare claims, and Medicare and private insurance verification. Bills supplemental insurances including all Medicaid states on paper and online. Updates patient files for insurance information, Medicare status, and other changes as necessary or required.
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Duties/Responsibilities: Process Payroll for staff Accounts Payable (process vendor invoices for payment) Accounts Receivable (billing, follow-up, collections) Establishes, maintains, processes, and/or updates files, records, and/or other documents Submit reports and prepare presentations as needed Billing all insurances within timely filing guidelines, as well as follow-up on all claim in S/T status and those rejections by Medicare / Medicaid to ensure proper payment.
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Must have 3 to 5 years of experience in third-party billing and reimbursement including Medicare, Medicaid, co-insurance, managed care and private collections preferred. Take the lead on billing and follow up of all Medicare, Medicaid, private pay, co-insurance, and managed care billing for the facility.
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Works with other team members to monitor day to day care levels of residents for quality assurance and to verify appropriate levels of care are established according to Medicare/Medicaid reimbursement levels.
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medicare medicaid jobs in Houston, TX
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