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Resumes 21 - 30 of 94 |
Toms River, NJ
... 13.Audit use of appropriate modifiers: Medicare / Medicaid 14.Analyze and resolve claim denials that are rejected by edits from the Patient Accounts department. 15.Prepare monthly meetings for OP Coding Staff: Revenue Integrity, Billing, HIM Coding. ...
- 2023 Jun 22
Farmingdale, NJ
... H.To professional review organizations, in accordance with government contracts (Medicare/Medicaid). I.Disclosure of information to a third party payer in a care cost recovery action will be limited to date of birth; social security number; payment ...
- 2023 Apr 18
Eatontown, NJ
... ADA ACA, ADEA, ERISA, LAD, FMLA, FLSA, HIPAA, FDA, FCRA, I9 Compliance, IRS, ICE, Medicare, OSHA, EEOC, Division of Human Rights and NLRB matters. Risk Management of all claims across all lines of insurance including the purchase and management of ...
- 2023 Jan 25
Whiting, NJ
... appropriate processes and procedures (claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan documents/certificates) Complete the documentation necessary to track provider issues and ...
- 2022 Dec 13
Jackson, NJ, 08527
... Meeting with team members for UR and Medicare meetings. Worked the long term assessments, quarterlies, annuals and SC MDS. Educated staff for proper documentation in order to be captured for reimbursement. All completed and submitted to CMS in a ...
- 2022 Nov 01
New Jersey
... Knowledgeable regarding Medicare/Medicaid policies and criteria for hospice admission and re-certification or change in level of care Pronouncements and EDRS completions of legal documents Covered after hours emergency calls Sterile technique used ...
- 2021 Aug 21
Millstone Township, NJ, 08510
... to Jan, 2017 Medical Records (temp position) Prepare Doctor Verbal Orders for processing with Medicare –reviewing and inserting numerical data and doctor signatures on verbal orders,nurses’ face to face visits, physical therapy and hospice programs. ...
- 2021 Apr 13
Toms River, NJ, 08753
... 2018-Jul 2018 Group Visit Task Force, member Community Health Network, Indianapolis, IN Aug 2016-Aug 2017 PROFESSIONAL AND COMMUNITY SERVICE Medicare Part D Help Sessions, Indianapolis, IN INShape Black and Minority Health Fair, Indianapolis, IN St. ...
- 2021 Mar 21
Toms River, NJ
... area and client/members Provide technical support to new hire/trainees Recalculate haste customer complaints Handles all Medicare, Medicaid and Third Party Liabilities Working knowledge of ICD9 and CPT Codes Received a NOTT ( Night on the Town) ...
- 2020 Sep 09
New Jersey
... This project health with Medicare Plans, which is a health insurance for individuals who are 65 or older, or those under 65 who may qualify because of disability or another special situation. Responsibilities: •Providing technical architecture; ...
- 2020 Jul 16