- AdventHealth (Altamonte Springs, FL)
- …regulatory cost reporting software . Experience in healthcare reimbursement including Medicare , Medicaid reimbursement and regulatory cost reporting This ... reimbursement rates and special payments received from Medicare and Medicaid and follow-up as appropriate...regulations of the Federal Medicare and State Medicaid programs, including changes affecting hospital reimbursement … more
- AdventHealth (Altamonte Springs, FL)
- …of 4 years of relevant experience in healthcare reimbursement including Medicare , Medicaid reimbursement and regulatory cost reporting **Preferred ... reimbursement rates and special payments received from Medicare and Medicaid and follow-up as appropriate...regulations of the Federal Medicare and State Medicaid programs, including changes affecting hospital reimbursement … more
- Elevance Health (Columbus, OH)
- …with short timelines is strongly preferred. + Knowledgeable of the application of Medicaid , Medicare or Commercial reimbursement policies and guidelines. + ... Admin** ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate … more
- Genesis Healthcare (Philadelphia, PA)
- …you will maximize revenue through the evaluation and optimization of the Medicare / Medicaid reimbursement process. Position Highlights*Participate in the ... development, implementation, evaluation and outcomes management of reimbursement priorities in nursing centers to assure proper utilization...*BS or a BA degree is required *Must have Medicare and Medicaid experience. Other Info +… more
- CVS Health (Dallas, TX)
- …Medicaid product pricing + Health Plan Operations + Provider contracting and reimbursement methodologies + Medicaid , Medicare or Commercial health ... and affordable. **Position Summary** The Executive Director, CFO Texas Medicaid Market role will function as the CFO for...role will function as the CFO for the Texas Medicaid Health Plan, and will lead the respective markets'… more
- Genesis Healthcare (Lebanon, NH)
- …of long term care clinical nursing experience is required. *Experience with Medicare / Medicaid reimbursement , MDS completion, clinical resource utilization ... -- RN manages the overall process and tracking of all Medicare / Medicaid case-mix documents to ensure appropriate reimbursement for all services provided… more
- Guthrie (Athens, PA)
- …Certification in coding required. Experience: Three to five years of professional reimbursement experience. Medicare / Medicaid reimbursement experience ... leaders, managers, providers, and clinic personnel to ensure effective and efficient reimbursement and coding procedures for all clinic sites. Assigned area consists… more
- Geisinger (Danville, PA)
- …Technician (RHIT) - American Health Information Management Association Experience with Medicare and Medicaid reimbursement methodologies; experience with ... Geisinger Health Plan is looking for candidates with significant Medicare / Medicaid policy experience to join the reimbursement services team. (medical… more
- Arvinas (New Haven, CT)
- …specialty pharmacy. + Understanding of Benefit Design & Economics associated with Commercial, Medicaid and Medicare reimbursement for oral drugs with ... reimbursement and product access. + Knowledge and experience in Medicare Part A-D, Medicaid , and private payer policies, reimbursement process, health… more
- Beth Israel Lahey Health (Charlestown, MA)
- …with the VP and AVP, the Director will develop long- and short- term Medicare , Medicaid , and other government reimbursement revenue strategies, oversee ... Financial and Government Audits, etc. 9. Identify and design strategic reimbursement initiatives including Medicare & Medicaid DSH, GME, UC, bad debt … more
- AbbVie (Chicago, IL)
- …Aesthetics operations and products including but not limited to health care and Medicare and Medicaid reimbursement . + Analyze Federal Registry documents ... reimbursement . This position will call on commercial payors, managed care organizations, Medicare MACs, state Medicaid , Medicare Advantage and commercial… more
- Prime Healthcare (Inglewood, CA)
- …Responsibilities The Senior Medicare - Medicaid Biller/Collector ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare - Medicaid . This includes maintaining the deficiency lists used to… more
- Brookdale Senior Living (Lakeway, TX)
- …other team members to establish appropriate level of care in accordance with Medicare / Medicaid reimbursement levels. + Assists the Director, Clinical ... offered include, but are not limited to: + Tuition Reimbursement + Pet Insurance + Adoption Reimbursement ...+ Monitors supply and equipment needs and budget. Monitors Medicare / Medicaid reimbursements. + Completes other duties as… more
- Brookdale Senior Living (Colorado Springs, CO)
- …assurance and to verify appropriate levels of care are established according to Medicare / Medicaid reimbursement levels. + Maintains care plans for each ... prepares monthly variance report; monitors equipment and supplies. Maintains Medicare / Medicaid reimbursements according to established categories. + Plans,… more
- Gentiva (Fairfax, VA)
- …to travel a minimum of 75% of the time throughout the region + Experience with Medicaid and Medicare reimbursement + Experience in health care sales and/or ... **We Offer** + Comprehensive Benefits Package: Health Insurance, 401k Plan, Tuition Reimbursement , PTO + Opportunity to participate in a Fleet Program + Competitive… more
- Gentiva (Warwick, RI)
- …Able to travel up to 100% of the time throughout the region + Experience with Medicaid and Medicare reimbursement + Experience in health care sales and/or ... **We Offer** + Comprehensive Benefits Package: Health Insurance, 401k Plan, Tuition Reimbursement , PTO + Opportunity to participate in a Fleet Program + Competitive… more
- Masonicare (Wallingford, CT)
- …in geriatric nursing; Requires at least two (2) years experience with federal Medicare / Medicaid and Managed Care reimbursement systems with a thorough ... RN Manager Clinical Reimbursement Job Location: Wallingford Center, Connecticut RN Manager...billing office. + Keeps abreast of changes in the Medicare , Medicaid and managed care areans and… more
- Point32Health (Canton, MA)
- …provider reimbursement , and claims concepts is needed. Experience with Commercial, Medicaid , and Medicare reimbursement methodologies is preferred + ... Excellent communication and interpersonal skills, including presentation, verbal and written skills + Ability to be a team leader and a team player, managing group dynamics to effectively reach a positive outcome + Ability to understand strategic objectives… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …exit interviews of care providers; + May supervise and participate in hospital Medicare and Medicaid reimbursement programs including preparation of appeals ... in state health care facilities for purposes of maximizing reimbursement revenue via Medicare Part B programs;...Joint Commission on Accreditation of Healthcare Organizations (JCAH) and/or Medicare and Medicaid standards and regulations at… more
- BrightSpring Health Services (Englewood, CO)
- …at Amerita is acceptable) and working knowledge of Managed Care, Commercial Insurance, Medicare and Medicaid reimbursement , and Cash Applications + Home ... to the collection of all Accounts Receivable, including but not limited to Medicare , Medicaid , commercial insurances and patient balances. The Collection Group… more