Norcross, GA
... Data management of Medicaid/Medicare populations claims for HEDIS® in project to NCQA for compliance. Daily import of protected vendor files in secure software. Experience working in a secure system with a team of motivated individuals completing ...
- Nov 20
Metairie, LA
... Adept at aligning enterprise strategies with Medicaid/Medicare regulatory requirements and optimizing performance through robust data management and operational excellence. SKILLS Quality management Data analysis Regulatory compliance Project ...
- Nov 20
Milwaukee, WI
... Medical Laws & Ethics CMS 1500 Claim Form Billing Cycle Claims Appeal Process Medical Billing Knowledge Third Party Billing Medicare Medicaid HMO PPO Insurance Verification Basic Coding Skills for ICD-10 & CPT Anatomy & Physiology EDUCATION Ultimate ...
- Nov 20
Philadelphia, PA
... Establish connections and build relationships with community leaders that have access to our eligible patient population of older adults on Medicare. Contact community leaders to create events and opportunities for our Outreach Associates to present ...
- Nov 20
Fairburn, GA
... Compensability Investigative & Medical Assessment Risk Analysis Mediation & Arbitration Counsel & Litigation Management Medicare Set-Aside Arrangement (MSA) Mandatory Insurer Reporting (MIR) PROFESSIONAL EXPERIENCE Senior Technical Specialist, AIG ...
- Nov 20
Chennai, Tamil Nadu, India
... Skilled in working with Medicare, Medicaid, and commercial insurers using systems like Athena billing software. Strong understanding of revenue cycle workflows, HIPAA compliance, and insurance guidelines. Known for improving posting accuracy and ...
- Nov 20
Lancaster, CA
... CPT code book HCPCS codes and modifiers Human anatomy Team player Detail oriented Basic pharmacology Blue cross blue shield claim requirements Medicare and medicaid reimbursement Microsoft Word, Excel and Powerpoint Customer service Sales Data entry
- Nov 20
Las Vegas, NV
... Medicare/Medicaid Tricare. Worker’s Compensation. HMOs/PPOs/Other health plans. CPT/ICD- 10/HCPS Codes. Medical Coding Software. Medlock, Collaborated MD. Medical Terminology. HIPAA, Joint Commission Standards. Electronic Claims Submission. Medical ...
- Nov 19
Santa Clara, CA, 95054
... • Medicare and Medicaid • Commercial Insurance • Denial Management • Contracts Negotiation • Medical Billing & Coding PROFESSIONAL PROFILE City View Post Acute Business Office Manager/Payroll/Assistant Director Medical Record San Francisco, Ca. ...
- Nov 19
St. Charles, MO
... Implemented OSHA programs Implemented electronic medical records Certified the entire building to the Federal program of Medicare Maintained occupancy of over 98% for past 3 years Met budget goals for the past 5 years with revenue growing from $8.5 ...
- Nov 19