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The Audit and Reimbursement Senior will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services.
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Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.
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PMHNP - BC•2+ years as a psych/mental health nurse practitioner We offer our Psychiatric Nurse Practitioners the following: •Flexible work schedules: Combination of on-site and telehealth work •No inpatient work •Full administrative support (scheduling & billing) and nursing support for callbacks and refills during business hours.
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Success is measured by health outcomes, not patient volume and billing (Not a Fee for Service Model) Independent family practice experience including routine wellness care, chronic care management, and urgent visit, preferred.
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Maintains knowledge of and reference materials for Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization/referral and a list of current accepted insurance plans.
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This includes, but not limited to, order entry, returns, expediting, resolving billing/pricing disputes (both vendor and customers), processing change orders, warehouse reconciliation, freight claims, and small quotations or general order support for Switchgear Specialists.
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Completes accurate and compliant billing in a timely manner using Physical Therapy CPT codes, including billing to third parties such as private health insurance companies and CMS. Ensures billing and documentation will maximize reimbursement.
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Report to billing department any problems with dogs, bees, snakes or other wildlife which prevents access to meters. Report to billing department any problems such as damaged boxes or lids, obstructions to meter access, water in meter box, water leaks, and spinning dials on register.
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HCPC and/or CPT coding experience and experience working with Medicare/Medicaid preferred. Reviews each submitted authorization to ensure it is accurate to complete, is a covered service, contains adequate HCPC or CPT codes based on provider contract and/or Medicare/Medicaid guidelines.
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This individual will have daily interaction with patients and customers of ProHealth Care involving both Hospital and Physician billing inquiries. Medical billing call center and must have demonstrated excellent customer service skills.
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Collaborating with all hospital departments to ensure proper coding, authorization, reimbursement contract guidelines and approved medical billing standards are being followed. Knowledge of medical terminology, including insurance terminology, medical billing, and follow - up for hospital and professional claims.
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Our network of nationally recognized medical billing & coding schools makes it easy for you to find the right program in your area - take the first step towards your new career today. My Medical Career is the #1 portal for individuals seeking a career in the Medical Billing & Coding field.
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Manage third-party vendor/supplier relationships including sourcing, recommending, selecting, and negotiating contracts on behalf of the Company; also trains vendors on work order and billing procedures and responsible for invoice processing and accuracy of cost center coding.
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We offer the following: Flexible work schedules: Combination of on-site and telehealth work Full administrative support (scheduling & billing) EMR - EPIC Collegial work environment Strong work/life balance Why Join ProHealth Care: We have nearly 5,000 dedicated clinical and non-clinical employees and physicians who work together every day to serve the health and well-being of our community.
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Handle credit card payments and consignment inventory billing. The Accounting Specialist will have a primary focus on Accounts Receivable activities but also will have some Accounts Payable responsibilities.
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billing medicaid jobs in Hartland, WI
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The job market has shifted significantly in recent years. The accelerated adoption of technology has not only pushed many companies into remote working arrangements but also increased the availability of supporting tools and technologies (i.e., video conferencing and collaboration software).
Building a Candidate Pipeline Through Internships
Building a candidate pipeline through a great internship program for local college students and recent graduates at local universities is a great and cost-effective way to attract and retain top talent. By offering meaningful and impactful work experiences, regular feedback, coaching, and mentorship, you can create a positive internship experience that will make your organization a sought-after destination for future employees. This not only benefits the organization in the short-term but also in the long-term, as you'll have a pool of well-trained and experienced candidates who may be interested in full-time employment once they graduate. Furthermore, building relationships with local universities and college students can increase brand awareness and build a positive reputation for your organization in the local community.