- Elevance Health (Smithfield, RI)
- **Audit & Reimbursement Senior -** ** Medicare Cost Report Audit** **Locations:** _This is a United States based, virtual position._ **National Government ... complex Medicare cost reports and Medicare Part A reimbursement . This position provides...an impact:** + Prepare and perform supervisory review of cost report desk reviews and audits. +… more
- Elevance Health (Columbus, OH)
- **Audit & Reimbursement III- Medicare Cost Report Audit** **_Locations:_** _This is a virtual United States based position._ **National Government ... experience on complex issues involving the Medicare cost report and Medicare Part A reimbursement . They will participate in contractual Audit and… more
- Elevance Health (Columbus, OH)
- **Audit & Reimbursement III- Medicare Cost Report Appeals** **Location** : This is a virtual position; US based **National Government Services** is a ... experience on complex issues involving the Medicare cost report and Medicare Part A reimbursement . They will participate in contractual Audit and… more
- AdventHealth (Altamonte Springs, FL)
- …of the Medicare , Medicaid and other State or Federal agency cost report audits, providing supporting documentation, reviewing audit adjustments, and ... in use of regulatory cost reporting software . Experience in healthcare reimbursement including Medicare , Medicaid reimbursement and regulatory cost … more
- AdventHealth (Altamonte Springs, FL)
- …Coordinate the Medicare , Medicaid and other State or Federal agency cost report audits, providing supporting documentation, reviewing audit adjustments, and ... of reopening and appeal papers, audit preparation and other cost report settlement activity and related analysis...of relevant experience in healthcare reimbursement including Medicare , Medicaid reimbursement and regulatory cost… more
- Elevance Health (Columbus, OH)
- …The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and Medicare Part A reimbursement . ... Services to transform federal health programs._ The **Audit and Reimbursement Senior** will support our Medicare Administrative...as assigned. + Prepare and perform supervisory review of cost report desk reviews and audits. +… more
- Elevance Health (Columbus, OH)
- …supervision and coordination on contractual workload involving the Medicare cost report and Medicare Part A reimbursement . This position provides a ... Services to transform federal health programs. The **Audit and Reimbursement Lead** will support our Medicare Administrative...+ Perform supervisory review on complex areas of the Medicare cost report such as… more
- Medical Mutual of Ohio (OH)
- …. **_Eastern & Central Time Zones preferred._** **Responsibilities** ** Medicare Pharmacy Coordinator I** Working under general supervision, administers ... standardized to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and Medicare Part C (medical drug) benefit programs.… more
- The Cigna Group (Bloomfield, CT)
- …Advantage Segment. This is a critical position on the NANPM Team and a direct report to the Senior Director of NANPM Medicare & Commercial Alignment. Experience ... This is a ** Medicare Advantage position** WORK LOCATION: REMOTE position The...external strategic partners / vendors to negotiate, manage, retain cost effective and quality programs. + Accountable for negotiation… more
- The Cigna Group (Bloomfield, CT)
- …met by evaluating the effectiveness of alternative care services and that cost effective, quality care is maintained. Maintains current knowledge of Cigna Healthcare ... Evaluate each case for quality of care, document and report quality issues to the appropriate team. + Other...Management + 1-2 years of oncology nursing experience + Medicare and/or Medicaid experience with geriatric populations + Certified… more
- HCA Healthcare (Dallas, TX)
- …our team. **Job Summary and Qualifications** Complete Medicare and Medicaid cost reports to obtain appropriate reimbursement from these programs and monitor ... the company's reimbursement policies and procedures .Prepare Medicare and Medicaid cost reports to obtain...to compute contractual adjustments based on the latest annual cost report and periodic interim cost… more
- University of Michigan (Ann Arbor, MI)
- …Michigan Medicine Finance is seeking a reimbursement analyst to provide support for cost report preparation, cost report appeals, audit preparation, ... and other third-party reimbursement methodologies + Experience working with electronic cost reporting software used by Medicare , Medicaid, and Blue Cross +… more
- Commonwealth Care Alliance (Boston, MA)
- … reimbursement policies for a variety of audiences, providing Medicare /Medicaid business requirements for payment system changes + Interpreting and implementing ... of health care reimbursement , public health care programs and reimbursement methodologies (Medicaid and Medicare ) + Applies subject matter knowledge;… more
- Billings Clinic (Billings, MT)
- …practices for reimbursement functions across all enterprise entities, including Medicare Cost Reporting, monthly and annual financial reporting, required ... implementation and optimization of the Net revenue tools and Medicare cost reporting work paper tool to...the reimbursement functions as well as any cost report or other reimbursement … more
- Prime Healthcare (Ontario, CA)
- …responsible for preparing and understanding the complexity of a cost report . The Corporate Senior Government Reimbursement Specialist fully understands how ... Accounting or Finance + Minimum 15 years in Government reimbursement and cost report preparation...multi-hospital system. + Experience in preparing and completing entire Medicare and Medicaid cost reports for a… more
- WellSpan Health (York, PA)
- …Preferred Knowledge, Skills, and Abilities: + Crowe RCA experience preferred. + HFS Medicare cost report software experience preferred. + Excellent ... Crowe RCA tool. Assists in preparation and filing of Medicare and Medicaid cost reports, therefore, must...patient accounting systems. + Acts as the lead in cost report audits as well as external… more
- Prime Healthcare (Ontario, CA)
- …Reimbursement Specialist will assist in preparing and understanding main sections of cost report . The Corporate Government Reimbursement Specialist should ... reports + Experience in preparing and completing entire Medicare and Medicaid cost reports, preferably for...Residents FTE counts. Apply the knowledge when preparing the cost report and its subsequent audit. +… more
- CommonSpirit Health (Englewood, CO)
- …**Responsibilities** The **Senior Reimbursement Analyst i** s responsible for providing cost report preparation, cost report appeals, audit ... all aspects of Medicare and Medicaid (Medi-Cal) regulations monitoring and report processes required + Experience as hospital Reimbursement staff or auditing… more
- BayCare Health System (Clearwater, FL)
- …related to Medicare , Medicaid and TRICARE/CHAMPUS, specifically completion of the annual Medicare Cost report filings and audits, AHCA (Agency for ... respect, responsibility and clinical excellence. **Responsibilities:** + The Senior Reimbursement Analyst will work independently within their area of...with at least two years direct preparation of the Medicare cost report working papers… more
- MyFlorida (Tallahassee, FL)
- …levels. Maintain detailed knowledge of Medicare and other health care program cost reimbursement principles and the Medicaid cost reimbursement ... and implementation of short- and long-range plans for the cost reimbursement analysis subsection. Developing and implementing...development and compilation of various special management or provider cost comparisons from cost report … more
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