- AdventHealth (Altamonte Springs, FL)
- …regulations . Proficient in use of regulatory cost reporting software Experience in healthcare reimbursement including Medicare , Medicaid reimbursement ... balances of Adventist Health System . Review the reasonableness of hospital interim reimbursement rates and special payments received from Medicare and Medicaid… more
- Healthfirst (NY)
- …MS Excel (lookups, sum product, array formulas). + Knowledge of SQL, Medicaid/ Medicare programs, Healthcare Claims and/or reimbursement preferred. Minimum ... MS Excel (lookups, sum product, array formulas). + Knowledge of SQL, Medicaid/ Medicare programs, Healthcare Claims and/or reimbursement preferred. Preferred… more
- Elevance Health (Columbus, OH)
- **Audit & Reimbursement III - Medicare Cost Report Audit** **_Locations:_** _This is a virtual United States based position._ **National Government Services** is ... and Medicaid Services to transform federal health programs. The **Audit and Reimbursement III** will support our Medicare Administrative Contract (MAC) with the… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- The Medicare Billing and Follow-up Representative are responsible for the compliant, accurate and timely billing and follow-up of all hospital Medicare and ... limited as other tasks may be assigned. + Submit Medicare / Medicare Advantage plan claims both electronic and...information or resolve issues in order to receive accurate reimbursement and optimize internal and external customer satisfaction +… more
- Prime Healthcare (Ontario, CA)
- …Us! (https://careers-primehealthcare.icims.com/jobs/178464/senior- medicare -medicaid-biller-collector/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300… more
- Prime Healthcare (Redding, CA)
- …core values of quality, compassion and community! Why Prime Healthcare ? (https://shastaregional.com/why- healthcare -prime/) Shasta Regional Medical Center; a ... member of Prime Healthcare , offers incredible opportunities to expand your horizons and...plan + Outstanding Medical, Dental, Vision coverage + Tuition reimbursement + Nurse Clinical Advancement Program (NCAP) + Many… more
- Highmark Health (Harrisburg, PA)
- …programs. + Directly responsible to analyze and interpret data in government value-based reimbursement reports in the areas of Medicare STARS, Medicaid HEDIS and ... and engagement of primary care providers (PCP) enrolled in government value-based reimbursement programs and continuous improvement models. This job is a highly… more
- Medical Mutual of Ohio (OH)
- …remote opportunity_** . **_Eastern & Central Time Zones preferred. Extensive Medicare Part D experience is highly sought after._** **Responsibilities** ** Medicare ... supervision, administers standardized to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and Medicare Part C (medical drug)… more
- Medical Mutual of Ohio (OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s ... our members achieve their best possible health and quality of life. ** Medicare Sales Operations Specialist** Executes all end-to-end functions relating to the… more
- Humana (Fort Lauderdale, FL)
- …us** About CarePlus Health Plans: CarePlus Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in ... exceed $115K depending on experience and location. Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the… more
- Centene Corporation (Jefferson City, MO)
- …of specific healthcare policies and regulations with a focus on Medicare . + Provides legal advice to Centene entities to define and develop solutions ... management concerning state and federal legislation with a focus on Medicare Advantage and Prescription Drug plans, regulations and other requirements applicable… more
- Centene Corporation (Austin, TX)
- …Pre-Law Degree or Juris Doctor preferred. + 7+ years Compliance, preferably in healthcare environment, required. + 5+ years Medicare and/or Managed Care, ... federal and state legal and regulatory requirements as it relates to Medicare compliance and HPMS/CMS regulations. + Oversee and monitor various of cross-functional… more
- Humana (Harrisburg, PA)
- …caring community and help us put health first** Are you passionate about the Medicare population, looking for a role in management with the ability to directly ... self-driven individuals to join our team. Our Senior Manager, Medicare Sales motivates and drives a team of ...retirement savings plan with a competitive match + Tuition reimbursement and/or scholarships for qualifying dependent children + And… more
- Molina Healthcare (Columbus, OH)
- …**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** 5 - 7 years in healthcare /managed care industry with knowledge of provider contracting, provider ... reimbursement , patient management, product, benefits design, or related experience....position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Humana (Mocksville, NC)
- …exceed 120K depending on experience and location. Are you passionate about the Medicare population, looking for an opportunity to work in sales with the ability ... community events, as well as, visiting prospects in their homes. Our ** Medicare Sales Field Agents** sell individual health plan products and educate beneficiaries… more
- LA Care Health Plan (Los Angeles, CA)
- Medicare Advantage Product Solutions Manager II Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, ... data and experience driven decisions. Working knowledge of the company's healthcare products, functions and regulatory guidelines. Working knowledge of policy and… more
- Banner Health (UT)
- …of laws and regulations pertaining to health care, regulatory compliance, Medicare /Medicaid and/or financial reimbursement systems. Must possess strong planning ... to be a part of - apply today! Becker's Healthcare recently honored Banner as one of 150 top...(AZ Time). In this position you will be monitoring Medicare Advantage Parts C & D operational control measures… more
- Humana (Madison, MS)
- …exceed 113K depending on experience and location. Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the ... the community we serve through face-to-face, telephonic, virtual interactions. Our Medicare Sales Representatives sell individual health plan products and educate… more
- VNS Health (Manhattan, NY)
- OverviewThe Medicare Enrollment Specialist educates consumers who have reached out to VNS Health Plans and existing VNS Health Plans MLTC members about the benefits ... and financial wellness programs + Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care and commuter transit program + Generous tuition … more
- Kelsey-Seybold Clinic (Pearland, TX)
- …It determines the order of benefits for individuals with multiple healthcare policies and ensures accurate coordination of benefits. The Specialist validates ... benefits information and proactively resolving COB issues. **Job Title: Medicare Benefits Validation Analyst** **Location: Pearland Administrative Office** **Department:**… more