... Contractor (RAC), Medicare Administrative Contractor (MAC), Cliented Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement ...
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... Contractor (RAC), Medicare Administrative Contractor (MAC), Cliented Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement ...
Quick apply
... Contractor (RAC), Medicare Administrative Contractor (MAC), Cliented Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
Ensures all third- party pass thru payments and lump sum adjustments are received as communicated by the Medicare Administrative Contractor (MAC) and account. 13. Reviews cost report settlements for ...
Ensures all third- party pass thru payments and lump sum adjustments are received as communicated by the Medicare Administrative Contractor (MAC) and account. 13. Reviews cost report settlements for ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
Ensures all third- party pass thru payments and lump sum adjustments are received as communicated by the Medicare Administrative Contractor (MAC) and account.13. Reviews cost report settlements for ...
Ensures all third- party pass thru payments and lump sum adjustments are received as communicated by the Medicare Administrative Contractor (MAC) and account.13. Reviews cost report settlements for ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
Serve as the lead liaison for Medicare Administrative Contractor (MAC) audits and internal financial statement audits. * Develop complex financial models to forecast reimbursement trends and support ...
Serve as the lead liaison for Medicare Administrative Contractor (MAC) audits and internal financial statement audits. * Develop complex financial models to forecast reimbursement trends and support ...
Ensures all third- party pass thru payments and lump sum adjustments are received as communicated by the Medicare Administrative Contractor (MAC) and account. 13. Reviews cost report settlements for ...
Ensures all third- party pass thru payments and lump sum adjustments are received as communicated by the Medicare Administrative Contractor (MAC) and account. 13. Reviews cost report settlements for ...
Austin, TX · On-site
Ensure compliance with CMS regulations, Medicare Administrative Contractor (MAC) requirements, HIPAA, and organizational policies. * Maintain current knowledge of Medicare Part A regulations, hospice ...
Austin, TX · On-site
Ensure compliance with CMS regulations, Medicare Administrative Contractor (MAC) requirements, HIPAA, and organizational policies. * Maintain current knowledge of Medicare Part A regulations, hospice ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
... Medicare Administrative Contractor, all facility policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 ...
Serve as the lead liaison for Medicare Administrative Contractor (MAC) audits and internal financial statement audits. * Develop complex financial models to forecast reimbursement trends and support ...
Serve as the lead liaison for Medicare Administrative Contractor (MAC) audits and internal financial statement audits. * Develop complex financial models to forecast reimbursement trends and support ...
Maintain compliance with CMS regulations and Medicare Administrative Contractor (MAC) requirements. Medicaid Provider & Group Enrollment * Submit revalidation Medicaid applications for both ...
Maintain compliance with CMS regulations and Medicare Administrative Contractor (MAC) requirements. Medicaid Provider & Group Enrollment * Submit revalidation Medicaid applications for both ...
$20.50 - $27.75/hr
Communicate with Medicare Administrative Contractors (MACs) to resolve claim issues. * Coordinate patient responsibility and secondary billing. * Ensure compliance with CMS regulations and proper ...
$20.50 - $27.75/hr
Communicate with Medicare Administrative Contractors (MACs) to resolve claim issues. * Coordinate patient responsibility and secondary billing. * Ensure compliance with CMS regulations and proper ...
Devens, MA · On-site
$20.50 - $27.75/hr
Communicate with Medicare Administrative Contractors (MACs) to resolve claim issues. * Coordinate patient responsibility and secondary billing. * Ensure compliance with CMS regulations and proper ...
Devens, MA · On-site
$20.50 - $27.75/hr
Communicate with Medicare Administrative Contractors (MACs) to resolve claim issues. * Coordinate patient responsibility and secondary billing. * Ensure compliance with CMS regulations and proper ...
$11.78 - $13.51
2% of jobs
$13.51 - $15.23
5% of jobs
$16.61 is the 25th percentile. Wages below this are outliers.
$15.23 - $16.96
22% of jobs
$16.96 - $18.68
15% of jobs
The median wage is $19.14 / hr.
$18.68 - $20.41
22% of jobs
$21.84 is the 75th percentile. Wages above this are outliers.
$20.41 - $22.14
11% of jobs
$22.14 - $23.86
15% of jobs
$23.86 - $25.59
3% of jobs
$25.59 - $27.32
2% of jobs
$27.32 - $29.04
2% of jobs
$29.04 - $30.77
1% of jobs
$11
$20
$30
A Medicare Administrative Contractor (MAC) is responsible for processing Medicare claims, handling reimbursements, and ensuring compliance with federal regulations. MACs work with healthcare providers to review claims, prevent fraud, and deliver customer support related to Medicare billing. Their role helps streamline Medicare operations and ensures that beneficiaries receive accurate and timely benefits.
Excelling as a Medicare Administrative Contractor requires a strong background in healthcare administration, regulatory compliance, and government contracting, usually supported by a bachelor's degree in a related field. Familiarity with Medicare payment systems, claims processing software, and federal guidelines such as CMS policies is essential. Strong analytical thinking, attention to detail, and effective communication skills are invaluable for interpreting complex regulations and interacting with healthcare providers. These abilities are crucial to ensure accurate claims administration, regulatory adherence, and positive customer interactions within the Medicare system.
Medicare Administrative Contractors often face the challenge of keeping up-to-date with frequently changing Medicare policies and regulations, which requires continuous learning and adaptability. They are responsible for processing a high volume of claims accurately and efficiently while ensuring strict compliance with government guidelines. Managing communications with healthcare providers to resolve complex inquiries or disputes can also be demanding. Successfully overcoming these challenges requires strong organizational skills and attention to detail, but it also provides valuable experience in healthcare administration and government operations.

$30/hr
Contractor
Re-posted yesterday
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Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.
Recruiting and staffing services
51 - 200 Employees
Edison, NJ, US
1996