- Elevance Health (Wilmington, DE)
- ** Audit & Reimbursement III - Medicare Cost Report Audit ** **_Locations:_** _This is a virtual United States based position._ **National Government ... Services to transform federal health programs. The ** Audit and Reimbursement III ** will support our Medicare Administrative Contract (MAC) with the… more
- Elevance Health (West Des Moines, IA)
- ** Audit & Reimbursement III - Medicare Cost Report Appeals** **Location** : This is a virtual position; US based **National Government Services** is a ... Services to transform federal health programs. The ** Audit and Reimbursement III ** will support our Medicare Administrative Contract (MAC) with the… more
- Ventura County (Ventura, CA)
- …is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general ... and timely payment; + Reviews bulletins to identify new programs that may affect reimbursement for Medi-Cal and/or Medicare and prepares reports; + Serves as… more
- Bassett Healthcare (Cooperstown, NY)
- …the best quality of life possible. What you'll do The Ambulatory Office Assistant III serves as the first point of contact for patients within the Bassett Healthcare ... is entered or scanned into the system accurately as monitored by system audit Accurate confirmation of attending PCP and Billing PCP, when appropriate. Assures… more
- Medical Mutual of Ohio (OH)
- …+ Keep detailed documentation of any projects or request processes leveraged in internal audit processes preferred. IT Project Manager III + Manages all stages ... fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s… more
- Hackensack Meridian Health (Hackensack, NJ)
- …clinical denials by: I. Peer-to Peer (P2P) Concurrent appeals ii. Written Concurrent appeals iii . Recovery Audit Contractors & levels of appeal iv. Root cause ... These include but are not limited to utilization review, hospital reimbursement , clinical compliance, case management, and transitions of care, as outlined… more
- CommonSpirit Health Mountain Region (Durango, CO)
- …Review patient satisfaction to ensure excellent quality of care. Chart audit oversight and performance improvement planning for all programs. Oversight of ... town of Durango. It is the only hospital in Colorado to be rated by Medicare with five stars for overall hospital quality. It is recognized for excellence in… more