- National Health Care Associates (Stafford Springs, CT)
- …personalized resident care plans and ensures the capture of clinical reimbursement for services provided. **Key Responsibilities:** + Determine Patient Driven ... prospective residents by assessing their nursing needs and determining appropriate clinical reimbursement levels + Complete and assure the accuracy of the MDS… more
- National Health Care Associates (Stafford Springs, CT)
- …for developing personalized resident care plans and the capture of clinical reimbursement for services provided. You will ensure the highest level of revenue ... looking for potential risks and/or changes that may affect reimbursement + May train, mentor and/or manage MDS Coordinators,...teams to ensure accurate data collection for assessments + Provide insights and ongoing education to facility staff and… more
- Humana (Hartford, CT)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
- Humana (Hartford, CT)
- …part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the ... of the team as it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- …records and compile documents for case presentations; + May supervise and participate in hospital Medicare and Medicaid reimbursement programs; + May testify ... high volume, we are unable to confirm receipt or provide status updates directly. For recruitment updates, please check...of care providers; + May supervise and participate in hospital Medicare and Medicaid reimbursement … more
- J&J Family of Companies (Hartford, CT)
- …+ Account Management and/or Reimbursement experience working in the hospital and/or provider office setting, building strong customer relationship. + ... to payer approval processes and business acumen. + Understanding of Medicare, Medicaid , and private payer initiatives affecting reimbursement of pharmaceutical… more
- Humana (Hartford, CT)
- …- 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts. + Proficiency in analyzing, understanding ... part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes dental provider contracts… more
- Baystate Health (Springfield, MA)
- …are a 716-bed independent academic medical center. We are the community's major referral hospital , and we provide a wide range of services, including: + Cancer ... 4 consecutive times + Named a top 50 cardiovascular hospital by Watson Health **SCHEDULE:** + Full time 40...separation from Baystate Health) + Continuing education support and reimbursement + First Time Home Buyers Financial Packages +… more
- Baystate Health (Springfield, MA)
- …are a 716-bed independent academic medical center. We are the community's major referral hospital , and we provide a wide range of services, including: + Cancer ... 4 consecutive times + Named a top 50 cardiovascular hospital by Watson Health **LOCATION** : + Baystate Medical...separation from Baystate Health) + Continuing education support and reimbursement + First Time Home Buyers Financial Packages +… more
- Hartford HealthCare (Farmington, CT)
- …reason for underpayments, denials and cause of payment delays.Maximizes insurance reimbursement timely with commercial and governmental payers C. Resolves denials ... Prepares research and documentation in preparation for meetings with provider reps that will assist in resolution of payer...for other ad hoc analyses and projects as needed Provide team support during team vacations and unexpected absence… more
- Molina Healthcare (Springfield, MA)
- …modeling current and future contract rate proposals. + Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of ... Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard. + Generate hospital performance analytics tools on a quarterly basis; develop reports on… more
- Hartford HealthCare (Farmington, CT)
- …accounts receivables engagements with small balance, out of state Medicaid and credit vendors as needed. *_Requirements and Specifications:_* *Education* ... and Ability Requirements** * . Epic experience and working knowledge of Resolute Hospital and Professional billing modules preferred . Knowledge of state and federal… more
