? Kizano Employment Opportunities

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We provide a generous benefit package:

 

Kizano is currently seeking qualified people for the following positions.

Opportunity
Number
Description Location
2016-127 Program Manager, Medicare Claims Reimbursement

The Program Manager will manage a team of Kizano employees responsible for analyzing medical transactions from a medical provider to determine the appropriate reimbursement rate for the medical provider to be reimbursed by Medicare for services provided. The team will determine the Medicare allowable amount based solely on the following data elements:

  • Type of Claim (Uniform Bill (UB)/Health Care Financing Administration (HCFA)1500)
  • Rendering Provider National Provider Identifier (NPI)
  • Rendering Provider Locality
  • Line-level charge information (Units, Dates of service, Procedure codes, Modifier, Place of Service)
  • Diagnosis Related Group (DRG)
  • International Classification of Diseases (ICD) -9/10 codes
  • Patient’s Date of Birth
  • Patient’s Sex
Must have the knowledge and ability to calculate accurate Medicare reimbursements to include; available Medicare fee schedules, code edit and rates from prior years.

Northern, VA
2016-128

Senior Medicare Claims Specialist

The Senior Medicare Claims Specialist will be responsible for analyzing medical transactions from a medical provider to determine the appropriate reimbursement rate for the medical provider to be reimbursed by Medicare for services provided. Must be able to determine the Medicare allowable amount based solely on the following data elements:

  • Type of Claim (Uniform Bill (UB)/Health Care Financing Administration (HCFA)1500)
  • Rendering Provider National Provider Identifier (NPI)
  • Rendering Provider Locality
  • Line-level charge information (Units, Dates of service, Procedure codes, Modifier, Place of Service)
  • Diagnosis Related Group (DRG)
  • International Classification of Diseases (ICD) -9/10 codes
  • Patient’s Date of Birth
  • Patient’s Sex
Must have the knowledge and ability to calculate accurate Medicare reimbursements to include; available Medicare fee schedules, code edit and rates from prior years.

Northern, VA

To be considered for one of the above positions please send a resume to HR@Kizano.com