- 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
- The Cigna Group (Plano, TX)
- …in driving medical cost and affordability saving strategies + Knowledge of various Medicare reimbursement methodologies such as MS-DRG, OPPS, IPPS, APR-DRG, and ... will be accountable for the financial results and medical cost savings of Medicare Advantage payment integrity programs. Work with business partners to identify and… more
- AbbVie (North Chicago, IL)
- …assets, business strategies and channel-specific goals, and develop robust product-specific Medicare reimbursement strategies that aim to achieve optimal access. ... cross functional partners as an expert and strategic advisor on the Medicare reimbursement process and CMS engagement, coupled with deep understanding of how it… more
- Robert Half Accountemps (Sacramento, CA)
- …role is within the non-profit industry and involves working with healthcare reimbursement and Medicare billing. The primary responsibilities include processing ... Billing Functions * Knowledge of Medicare and Medicare Billing * Familiarity with HealthCare Reimbursement ...and Medicare Billing * Familiarity with HealthCare Reimbursement * Previous experience in a non-profit environment is… more
- Tarrytown Rehabilitation & Nursing Center (Everett, MA)
- …to MDS and MA Medicaid payment methodology. + Extensive knowledge of Medicare reimbursement , compliance, and eligibility. Knowledge, Skills, and Abilities + ... CLINICAL REIMBURSEMENT SPECIALIST/ MULTI FACILITY We offer competitive compensation...Ensures compliance with federal and state regulations, MA Medicaid, Medicare and Managed Care payment systems. Monitors, consults, and… more
- Sanford Health (SD)
- …minimum data set (MDS) documentation to assure appropriate levels of Medicare and/or Medicaid reimbursement . Works with executive leadership, administrators, ... training materials for MDS training sessions. Assures that facilities follow Medicare /Medicaid regulatory guidelines related to reimbursement and MDS submission… 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) with ... Reimbursement Senior will support contractual workload involving complex Medicare cost reports and Medicare Part A reimbursement . This position provides a… more
- Elevance Health (Columbus, OH)
- **Audit & Reimbursement III- Medicare Cost Report Audit** **Locations:** _This is a United States based, virtual position._ **National Government Services** is a ... Services to transform federal health programs The Audit and Reimbursement III will support our Medicare Administrative...Audit and Reimbursement III will support our Medicare Administrative Contract (MAC) with the federal government (The… more
- Hartford HealthCare (Farmington, CT)
- …of Medicare and Medicaid regulatory/settlement matters for the system, including Medicare DSH, Medicare IME/GME reimbursement and Transplant Services, if ... Administration preferred) *Experience* . Minimum: 7 years of healthcare reimbursement experience, including Medicare Cost Reporting . Preferred:Knowledge… more
- Elevance Health (Columbus, OH)
- **Audit & Reimbursement II- Medicare Cost Report Audit** **Locations:** _This is a United States based, virtual position._ **National Government Services** is a ... Services to transform federal health programs The Audit and Reimbursement II will support our Medicare Administrative...Audit and Reimbursement II will support our Medicare Administrative Contract (MAC) with the federal government (The… more
- Genesis Healthcare (Lebanon, 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
- Prime Healthcare (Ontario, CA)
- …payer oversight. Specifically, has experience overseeing Interns & Residents program reimbursement , Medicare bad debts, S-10 Charity, and Total Hospital ... members to join our corporate team! Responsibilities The Corporate Director Government Reimbursement and Reporting will serve as a lead in understanding and… more
- Northern Light Health (Pittsfield, ME)
- …and prior year totals. * Track and report Gas Card program. * Yearly, update Medicare reimbursement rates in order to track the therapy cap limits for each ... codes. * Perform monthly Series Batch Report. * Perform Medicare Secondary Payer Report. * Reconcile the monthly Write-Off...patient with Medicare insurance. * Acts as a liaison to all… 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
- Carle (Urbana, IL)
- …the IRF-PAI for each patient per state/federal guidelines to be used for the Medicare reimbursement system and quality reporting. + Regulates the PPS completion ... IRF-PAI is completed utilizing input from all disciplines. Responsible for managing reimbursement from Medicare and Managed Care companies. Provides training,… 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
- HonorHealth (Phoenix, AZ)
- …High School Diploma or GED Required Experience 2 years Commercial contract and Medicare reimbursement collection experience Required 2 years Commercial and ... to the Epic dashboard. Maintains current knowledge of regulatory billing requirements for Medicare Parts A, B, and DME, State Medicaid claims and other payers edits… more
- Sanofi Group (Cambridge, MA)
- …including benefit design and economics associated with Commercial, Medicaid and Medicare reimbursement . + Excellent financial & analytical skills and ... knowledge of pharmaceutical pricing strategies, health economics, payer negotiations, and reimbursement models in the US healthcare landscape. This critical senior… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …data analysis and process evaluation skills * Working knowledge of Medicare reimbursement system and coding structures */*Leadership *Knowledge/ Skills/ ... accounts receivable, compliance with regulatory requirements, coding data accuracy and reimbursement from third party payors. Responsible for budget preparation and… more
- Elevance Health (Boston, MA)
- …as needed. **Requirements:** + a BA/BS and a minimum of 8 years of audit/ reimbursement or related Medicare experience; or any combination of education and ... 8:30am-5:00pm **Responsible for coordinating all activities of an audit or reimbursement team in the initiation and completion of assignments which includes… more
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