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Keywords: Claims Medicare and Regulatory Compliance Specialist, Location: USA

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HB Revenue Cycle Business Specialist II/ Patient Account Services / Full-Time

Description POSITION SUMMARY: Responsible for performing billing, collections and reimbursement services of claims... and duties of the hospital business office. In doing so, ensures that all claims billed and collected meet all government...

Company: Christus Health
Location: Santa Fe, NM
Posted Date: 10 Feb 2025

HB Revenue Cycle Business Specialist II Patient Account Services/Full-Time

Description POSITION SUMMARY: Responsible for performing billing, collections and reimbursement services of claims... and duties of the hospital business office. In doing so, ensures that all claims billed and collected meet all government...

Company: Christus Health
Location: Santa Fe, NM
Posted Date: 05 Feb 2025

Claims Medicare and Regulatory Compliance Specialist

Compliance with CMS Section 111 Reporting Requirements: Oversee accurate and timely Section 111 reporting for Medicare, including... business experience. 5+ years of related claims experience, with recent background in a quality or compliance oversight role...

Location: USA
Posted Date: 01 Feb 2025

Claims Compliance Specialist

for candidates taking part in the selection process. AXIS Capital Claims Compliance Specialist, Claims Shared Services...- Job Description AXIS is seeking a Claims Quality Assurance and Compliance Specialist, Claims Shared Services to join our Shared Services...

Company: AXIS Capital
Location: New York City, NY
Posted Date: 26 Jan 2025

Senior Manager, Medicare Product Implementation & Administration

and meet applicable regulatory requirements and timelines. The Senior Manager works closely with claims, membership operations... review, review of Medicare Plan Finder (MPF) for accuracy, etc. Support other annual regulatory submissions as necessary...

Company: Point32Health
Location: Canton, MA
Posted Date: 21 Dec 2024

Regulatory and Reporting Specialist

each person’s talents and strengths. Support all aspects of the Grievance and Appeals (G&A) compliance program for Medicare..., and Medicaid lines of business. Assume the primary role of interfacing with the Compliance department, Auditors, Vendors and G...

Location: USA
Posted Date: 08 Feb 2025

Regulatory and Reporting Specialist

each person’s talents and strengths. Support all aspects of the Grievance and Appeals (G&A) compliance program for Medicare..., and Medicaid lines of business. Assume the primary role of interfacing with the Compliance department, Auditors, Vendors and G...

Posted Date: 08 Feb 2025

Regulatory and Reporting Specialist

each person’s talents and strengths. Support all aspects of the Grievance and Appeals (G&A) compliance program for Medicare..., and Medicaid lines of business. Assume the primary role of interfacing with the Compliance department, Auditors, Vendors and G...

Posted Date: 08 Feb 2025

Regulatory and Reporting Specialist

each person’s talents and strengths. Support all aspects of the Grievance and Appeals (G&A) compliance program for Medicare..., and Medicaid lines of business. Assume the primary role of interfacing with the Compliance department, Auditors, Vendors and G...

Posted Date: 08 Feb 2025

Regulatory and Reporting Specialist

each person’s talents and strengths. Support all aspects of the Grievance and Appeals (G&A) compliance program for Medicare..., and Medicaid lines of business. Assume the primary role of interfacing with the Compliance department, Auditors, Vendors and G...

Posted Date: 08 Feb 2025

Coding & Payment Compliance Specialist

services performed at St. Joseph’s/Candler Health System. Coding & Payment Compliance Specialist must be able to assign HCPCS... reference accounts. The Coding & Payment Compliance Specialist serves as a liaison to clinical departments, Health Information Services...

Location: Savannah, GA
Posted Date: 27 Nov 2024

Coding & Payment Compliance Specialist

services performed at St. Joseph’s/Candler Health System. Coding & Payment Compliance Specialist must be able to assign HCPCS... reference accounts. The Coding & Payment Compliance Specialist serves as a liaison to clinical departments, Health Information Services...

Location: Savannah, GA
Posted Date: 27 Nov 2024

Compliance Specialist

provides support to the organization in coordinating all Federal and State compliance, privacy, and regulatory requirements... strong knowledge of healthcare compliance laws and regulations (e.g., HIPAA, Medicare, Medicaid, Anti-Kickback, Fraud and Abuse laws...

Company: Renown Health
Location: Reno, NV
Posted Date: 18 Jan 2025

Compliance Risk Specialist - RN

of compliance matters including but not limited to medical documentation to support claims billed, audits of medical records..., employee records and other documents to maintain compliance with regulatory requirements. Prepares written reports for facility...

Location: Saint Louis, MO
Posted Date: 01 Jan 2025
Salary: $59810 - 94539 per year

Priority Claims Analyst II

, medical policy or payor appeal requirements. Preferred Licensed Medicare auditor or Certified Medical Audit Specialist... and freedom. Could This Be For You? Primary responsibilities for the Priority Claims Analyst II - Remote include the...

Company: Hanger
Location: USA
Posted Date: 05 Feb 2025
Salary: $27.88 - 41.83 per hour

Analyst-Revenue Cycle Compliance

and recommendation regarding the organization's compliance with regulatory/statutory requirements affecting patient billing.... Coordinate Medicare and other regulatory reviews/audits. Provide recommendations to management based on audit results. Monitor...

Company: Ascension
Location: Glendale, WI
Posted Date: 29 Jan 2025

Coding Specialist

Overview Reviews and audits claims for billing, coding, services and other compliance or reimbursement issues. Assists... to ensure compliance in claims submissions. Works under moderate supervision. Compensation...

Company: VNS Health
Location: USA
Posted Date: 13 Feb 2025
Salary: $62400 - 72000 per year

Patient Access Specialist I

Overview: Monday-Friday 10:00AM - 02:00PM Our Patient Access Specialist assists in providing access to services... completion, preparation, and deployment of legal, ethical and compliance related documents that must be presented and thoroughly...

Company: Memorial Health
Location: Springfield, IL
Posted Date: 13 Feb 2025

Patient Access Specialist 1

are created. Maintains compliance with HIPAA and other regulatory requirements throughout all activities. Protects the safety... for claims processing and maintenance of an accurate electronic medical record. Registers and checks-in patients and determines...

Company: Trinity Health
Location: Howell, MI
Posted Date: 13 Feb 2025

Ambulance Revenue Cycle Specialist I

account; Adheres to compliance and regulatory rules and regulations as mandated by CMS including researching and resolving...Overview: Now hiring an Ambulance Revenue Cycle Specialist I Presbyterian is seeking an Ambulance Revenue Cycle...

Posted Date: 12 Feb 2025