- AdventHealth (Altamonte Springs, FL)
- …balances of Adventist Health System . Review the reasonableness of hospital interim reimbursement rates and special payments received from Medicare and Medicaid ... Medicare and State Medicaid programs, including changes affecting hospital reimbursement of Medicare bad debt, graduate medical education, disproportionate… more
- Banner Health (TX)
- …of laws and regulations pertaining to health care, regulatory compliance, Medicare /Medicaid and/or financial reimbursement systems. Must possess strong planning ... (AZ Time). In this position you will be monitoring Medicare Advantage Parts C & D operational control measures...is in place for accurate, complete, and compliant for Medicare Advantage Parts C & D. + Identifying and… more
- Elevance Health (Columbus, OH)
- … and Medicaid Services to transform federal health programs. The **Audit and Reimbursement III** will support our Medicare Administrative Contract (MAC) with the ... on complex issues involving the Medicare cost report and Medicare Part A reimbursement . They will participate in contractual Audit and Reimbursement … more
- RWJBarnabas Health (Oceanport, NJ)
- …will serve as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment strategies ... Director, Corporate Reimbursement (Hybrid/Remote) - Oceanport, NJReq #:0000180233 Category:Professional /...This includes planning, preparing and reviewing of the annual Medicare /Medicaid cost reports filings. In partnership with the Senior… more
- Genesis Healthcare (Rochester, NH)
- …MDS Nurse -- RN manages the overall process and tracking of all Medicare /Medicaid case-mix documents to ensure appropriate reimbursement for all services ... long term care clinical nursing experience is required. *Experience with Medicare /Medicaid reimbursement , MDS completion, clinical resource utilization and/or… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …attestations, and preparing to report on all supplemental Federal and State reimbursement matters + Coordinates Medicare and Medicaid audits and assists ... with complex academic healthcare and transplants preferred. + Strong knowledge of Medicare and Medicaid reimbursement regulations. + Excellent analytical and… more
- Genesis Healthcare (NH)
- …or equivalent professional license preferred) *Must have 3- 5 years' experience in Medicare and Medicaid reimbursement . *Must be able to travel, exercise a ... the communities we serve. Responsibilities Within a defined geographic area, the Clinical Reimbursement Market Advisor serves as a consultant to the Market Clinical … more
- AbbVie (Atlanta, GA)
- …of care + Comprehensive understanding of Parts A, B, C and D or Medicare and associated reimbursement dynamics + Strong understanding of drug acquisition and ... will be hired at a level commensurate with experience. The Immunology Field Reimbursement Manager (FRM) acts as an alternative in-office resource that is available… more
- State of Massachusetts (Boston, MA)
- …other collaterals as needed in order to complete application for Medicaid/Mass Health/ Medicare for hospital reimbursement and discharge planning. * Ensure that ... human services professional to serve as Benefits Coordinator (Patient Care Reimbursement Investigator). This professional will work within the Social Work Department… more
- Houston Methodist (Houston, TX)
- …**GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Seeks out opportunities to grow knowledge of Medicare reimbursement , tax regulations and the budget system. Shares ... service focus and application of positive language principles + Working knowledge of Medicare reimbursement , tax and/or FEMA rules preferred + Strong knowledge… more
- National Health Care Associates (Valley Stream, NY)
- …Side Budgeting experience preferred + Nursing Home Cost Reporting, 3rd Party reimbursement rates ( Medicare , Medicaid) preferred + Strong Qualitative and ... growth and seeking a specialist in healthcare budget and reimbursement to join our team at our corporate office...to coordinate the process of preparing and submitting annual Medicare , Medicaid and State statistical reports + Collaborate with… more
- Covenant Health Inc. (Knoxville, TN)
- …to develop financial projections/models reflecting changes in contracted rates and Medicare reimbursement for providers. Maintains yearly payer fee schedules. ... + Maintains current knowledge of changes affecting government contracts and reimbursement trends/calculations, including Medicare , TennCare, Medicare Risk,… more
- Arvinas (New Haven, CT)
- …+ Understanding of Benefit Design & Economics associated with Commercial, Medicaid and Medicare reimbursement for oral drugs with Oncology Customers + Experience ... experience in Medicare Part A-D, Medicaid, and private payer policies, reimbursement process, health policy, areas of coverage and payment. + History of… more
- Brookdale Senior Living (Bakersfield, CA)
- …Special RequirementsState RN license and comprehensive knowledge of all state-specific Medicare reimbursement , Medicaid and thirdparty regulations is required. ... offered include, but are not limited to: + Tuition Reimbursement + Pet Insurance + Adoption Reimbursement ...+ Participates in additional developmental reviews of Managed or Medicare residents. + Agrees not to disclose residents' health… more
- Ventura County (Ventura, CA)
- …is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general ... Reviews bulletins to identify new programs that may affect reimbursement for Medi-Cal and/or Medicare and prepares reports; + Serves as lead biller/specialist to… more
- Prime Healthcare (Gadsden, AL)
- …ongoing physician communication. Preferred qualifications: 1. Working knowledge of Medicare reimbursement system and coding structures preferred. Connect ... also the areas highest rated hospital, receiving Four-Stars from the Centers for Medicare and Medicaid (CMS). Originally named Holy Name of Jesus Hospital, Riverview… more
- Nuvance Health (Danbury, CT)
- …necessary volume, payment and cost data. Validates accuracy of data. 5. Calculates Medicare reimbursement and compares to payer reimbursement for same ... Summary: The Managed Care Analyst compiles, validates, and analyzes utilization and reimbursement data to aid in contract negotiations for all Nuvance entities. In… more
- Novant Health (NC)
- …common coding practices including CPT4, ICD10CM, and DRGs as well as current Medicare reimbursement methodologies. + Familiarity with the analysis of payor ... performance opportunity identification. + Maintain a working knowledge of Medicare , Medicaid, and commercial insurance products and value-based care incentive… more
- Brookdale Senior Living (Delano, CA)
- …other team members to establish appropriate level of care in accordance with Medicare /Medicaid reimbursement levels. + Assists the Director, Clinical Services in ... 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 assigned. This… more
- Banner Health (Tucson, AZ)
- …UB claims auditing, analyzing and researching medical records; knowledge of Medicare /Medicaid reimbursement guidelines including MS-DRG and/or APR-DRG; prior ... an innovative leader in health care, Banner Plans & Networks (BPN) integrates Medicare and private health plans to reduce healthcare costs while keeping our members… more