- Elevance Health (Dearborn, MI)
- ** Audit & Reimbursement Senior - Appeals ** _This is a United States based, virtual position._ **National Government Services** is a proud member of ... Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement Senior - Appeals ** will support our Medicare… more
- University of Michigan (Ann Arbor, MI)
- Reimbursement Analyst Senior Apply Now **How to Apply** A cover letter is required for consideration for this position, and it should be attached as the first ... analyst to provide support for cost report preparation, cost report appeals , audit preparation, revenue recognition, ad-hoc reporting, and other duties… more
- State of Colorado (Denver, CO)
- …Assistant III - Part-Time at CCCS Internal Audit Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4632156) Apply Administrative Assistant III ... - Part-Time at CCCS Internal Audit Salary $2,077.00 - $2,493.00 Monthly Location Denver, CO...the college education of your dependents through our tuition reimbursement program. EMAIL ADDRESS: All correspondence regarding your status… more
- New York State Civil Service (Albany, NY)
- …questions raised by health care providers and outside auditors relative to assigned reimbursement rates; Reviews audit reports from the Office of the Medicaid ... NY HELP Yes Agency Health, Department of Title Senior Health Care Management System Analyst (NY HELPS)...on assigned health care providers and any changes to reimbursement rates or systems; Reviews rate appeals … more
- Iowa Department of Administrative Services (Des Moines, IA)
- Retirement Benefits Officer Senior Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4648613) Apply Retirement Benefits Officer Senior Salary ... of Public Safety (DPS) is seeking to fill a Retirement Benefits Officer Senior position within the Administrative Services Division. This position is responsible for… more
- CommonSpirit Health (Englewood, CO)
- …happen both inside our hospitals and out in the community. **Responsibilities** The ** Senior Reimbursement Analyst i** s responsible for providing cost report ... preparation, cost report appeals , audit preparation and other duties related...the improvement of internal business processes and meeting future reimbursement service needs. The Senior Reimbursement… more
- Sacramento County (Sacramento, CA)
- Senior Retirement Benefits Specialist *Revised Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/3876080) Apply Senior Retirement Benefits ... 7/10/2024, 8/7/2024, *9/11/2024, 10/9/2024 *(Final) Under general supervision, the Senior Retirement Benefits Specialist leads, plans, schedules and oversees the… more
- Walmart (Bentonville, AR)
- …the development and then drive strategies to address crafting and executing audit plans, negotiation strategies, managing appeals , and at times supporting ... Experts (SMEs) in the implementation and execution of foreign audit plans, along with alternative dispute resolution strategies +...company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement , and more. You will also… more
- Walmart (Bentonville, AR)
- …business, including but not limited to red flags and deal breakers. + Review Audit Appeals : Conduct appeal audits to ensure accuracy and adherence to policies. ... Position Summary What you'll do **Job Title:** Senior Specialist, Facilitator, Learning and Development **Job Summary:**...company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement , and more. Live Better U is a… more
- Walmart (Bentonville, AR)
- …resolve non-U.S. tax controversies, including foreign country tax audits, tax appeals , and tax litigation. + Provide global insight, expertise, and oversee ... Experts (SMEs) in the implementation and execution of foreign audit plans and alternative dispute resolution strategies + Support...company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement , and more. You will also… more
- Medical Mutual of Ohio (OH)
- …outpatient, inpatient and professional claim irregularities, overpayments and provider appeals from a clinical coding perspective, applying coding guidelines. ... combinations, inherent charges, provider supporting documentation, etc.** + **Documents audit results including denial reasons, erroneous activities, etc. and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …denials by: I. Peer-to Peer (P2P) Concurrent appeals ii. Written Concurrent appeals iii. Recovery Audit Contractors & levels of appeal iv. Root cause ... **Overview** The Senior Utilization Review Specialist collaborates with the healthcare...include but are not limited to utilization review, hospital reimbursement , clinical compliance, case management, and transitions of care,… more
- University of Michigan (Ann Arbor, MI)
- …Coder Compliance Specialists (MCCS), The PB Denials Team, and the Appeals and Denial Coordinators. These professionals support coding compliance, training, and ... in laws, regulations and policies that impact coding and reimbursement and assure compliance with coding procedures and work...review process for coding compliance, including a formal review ( audit ) process. Designs and uses audit tools… more
- Zelis (Morristown, NJ)
- …overall claims progression + Complete claims processing after the Clinical Bill Review and Audit analysis is completed. + Assist in appeals process as necessary ... to be applied to Zelis coding and clinical reviews + Translate client reimbursement policies into Zelis coding and clinical concepts + Provide direction to internal… more
- LA Care Health Plan (Los Angeles, CA)
- …setting. Experience in health care auditing and monitoring (preferably in Appeals , Grievances, Quality Improvement, Utilization Management (UM) and so forth) and ... developing audit tools. Demonstrated experience developing and delivering training programs...to state/federal sanctions and fines- communicate required action to senior management/Board of Governor (BoG), Plan Partner staff. 2.… more
- Tufts Medicine (Boston, MA)
- …on performing the following Patient Financial Services duties: Facilitates the reimbursement for clinical services provided to patients. Submits claims to health ... insurers, follows up with health insurers about submitted claims, and performs appeals for non-clinical denials, etc. An organizational related support or service… more
- University of Connecticut Foundation Inc (Storrs, CT)
- …and overall content for campaign communications including event talking points, appeals and invitations, proposals, web content, campaign collateral, and stewardship ... to creative content development. + Effectively collaborate and brainstorm with Foundation senior leadership team, development staff and other key matrix partners to… more