- Elevance Health (Columbus, OH)
- ** Audit & Reimbursement Senior -** ** Medicare Cost Report Audit ** **Locations:** This is a virtual position, the ideal candidate will live within 50 ... and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement Senior ** , will support our Medicare Administrative Contract… more
- Elevance Health (Columbus, OH)
- ** Audit & Reimbursement Senior - Medicare Cost Report Audit ** **_Location: This is a virtual position, the ideal candidate will live within 50 miles ... Services to transform federal health programs. The ** Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the… more
- Elevance Health (Columbus, OH)
- …and Medicaid Services to transform federal health programs._ The Audit and Reimbursement Senior will support our Medicare Administrative Contract (MAC) ... ** Audit & Reimbursement Senior **...** Audit & Reimbursement Senior ** **Location:** This is a...Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare… more
- AdventHealth (Altamonte Springs, FL)
- …**Job Location** : Hybrid; Altamonte Springs, FL **The role you'll contribute:** The Senior Reimbursement Analyst is responsible for preparing and filing the ... third party balances of AdventHealth + Review the reasonableness of hospital interim reimbursement rates and special payments received from Medicare and Medicaid… more
- Fairview Health Services (Minneapolis, MN)
- **Overview** We at Fairview Health Services are seeking a driven Senior Financial Analyst to work in the Solid Organ Transplant specialty department! This position ... whom are non-MN residents are welcome to apply. The Senior Financial Analyst will serve as the Solid Organ...and financial implications of the Transplant components of the Medicare Cost Report (MCR). **Responsibilities Job Description** The Sr… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …staff, Benefits Administration staff, Provider Audit , Network Administration and/or Medicare Advantage staff, and entry level Reimbursement Analyst by ... Medicare Advantage must have working knowledge of Medicare enrollment guidelines and reimbursement . **Licenses and...well as coordinating projects and time frames with less senior reimbursement staff. + Accountable for complying… more
- AdventHealth (Altamonte Springs, FL)
- …Hybrid **Job Location** : Altamonte Springs, FL **The role you'll contribute:** The Senior Reimbursement Analyst is responsible for preparing and filing the ... third party balances of AdventHealth . Review the reasonableness of hospital interim reimbursement rates and special payments received from Medicare and Medicaid… more
- University of Michigan (Ann Arbor, MI)
- Reimbursement Analyst Senior Apply Now **How to Apply** A cover letter is required for consideration for this position, and it should be attached as the first ... leadership, affiliated hospitals, payers, outside agencies and government entities. The reimbursement analyst will maintain current knowledge of Medicare ,… more
- Prime Healthcare (Ontario, CA)
- …preparation of various government reports and support their audits. The Corporate Senior Government Reimbursement Specialist is responsible for preparing and ... understanding the complexity of a cost report. The Corporate Senior Government Reimbursement Specialist fully understands how...a multi-state hospital system and provide the support at audit + Knowledge of Medicare rules on… more
- ProMedica Health System (Toledo, OH)
- Senior Reimbursement Analyst is responsible for hospital month-end revenue accounting, cost report preparation, audits and regulatory analyses. The position will ... *All duties listed below are essential unless noted otherwise* 1. Prepare Medicare , Medicaid and Tricare cost reports in compliance with government regulations. Cost… more
- Option Care Health (Chicago, IL)
- …and abuse, including but not limited to HIPAA, Anti-Kickback, Stark, Medicare /Medicaid reimbursement . Experience evaluating information to determine compliance ... pharmacy and/or nursing compliance programs. + Direct experience applying knowledge of Medicare , Medicaid, and Managed Care reimbursement guidelines. + Formal… more
- Nuvance Health (Danbury, CT)
- …states **Summary:** Reporting to the Special Associate Compliance Officer (SACO) Physician Audit & Billing, the Senior Inpatient Professional Auditor provides ... Senior Compliance Coding Auditor - Inpatient Location: Danbury,...auditing results. Effectively uses abstracting databases, internal and external audit results, QIO reports and revenue cycle edit/denial information.… more
- Bausch Health (Bridgewater, NJ)
- …of improving people's lives with our health care products. Reporting to the Senior Director, Finance (Revenue & GTN Accounting), the Senior Manager, Finance ... is responsible for managing and accounting for Commercial and Medicare Part D contracts and will oversee the daily...environment including the maintenance of the risk control matrix, audit support, and the periodic SOX sub-certification. + Lead… more
- CommonSpirit Health (Englewood, CO)
- …happen both inside our hospitals and out in the community. **Responsibilities** The ** Senior Reimbursement Analyst i** s responsible for providing cost report ... preparation, cost report appeals, audit preparation and other duties...the improvement of internal business processes and meeting future reimbursement service needs. The Senior Reimbursement… more
- Martin's Point Health Care (PA)
- …since 2015. Position Summary This position is located in Pittsburgh, PA. The Senior Network Representative will support the surrounding area. Please Note: This is ... not a remote position. Job Description The Senior Network Representative is responsible for all contracting, negotiations,...for these two roles. + Assists with high level audit and special contract projects meeting strict timelines. +… more
- Plante Moran (Columbus, OH)
- …+ CPA highly preferred + 10 years of experience in post- acute healthcare reimbursement including Medicare , Medicaid, and cost reporting + Strong background in ... Healthcare Reimbursement - Consulting Sr. Manager + Location: United...Location: United States, Ohio, Cleveland Make your mark. Our senior care healthcare consulting team focuses on our clients'… more
- The Cigna Group (Bloomfield, CT)
- …AND TAMPA** **Job Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment & Stars program for assigned populations in an ... to assigned providers and internal matrix partners of Cigna Medicare 's programs specific to CMS Risk Adjustment and HCC...and efficient. + Review and act on any assigned audit educational opportunities timely and provide primary care or… more
- AdventHealth (Maitland, FL)
- …coding experience in a hospital setting + Thorough knowledge of Medicare reimbursement methodology, documentation guidelines, data abstraction and encoder ... ICD-10PCS and DRG codes used for quality reporting and reimbursement purposes. The Senior Inpatient Coder provides...as needed for newer coders and for external coding audit review + Mentors more junior level staff and… more
- Beth Israel Lahey Health (Charlestown, MA)
- …networks. The Executive Director will report directly to the Vice President of Reimbursement . In this capacity, the Executive Director will assist the VP in merging ... BILH's six individual revenue valuation and reimbursement units into a centralized, system-wide department that promotes uniform goals and efficiency. The key… more
- St. John's Embrace Living (Rochester, NY)
- …medical record documentation and required clinical assessments to ensure optimal reimbursement from Medicare , Medicaid and Private Insurances. Responsibilities ... talented employees who are at the forefront of innovative senior services delivery in this community. St. John's embraces...to you, continue reading about the opportunity of MDS Reimbursement Manager. This is a full-time, 40 hour per… more