- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Compliance Audit Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... that purpose. Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for...of Public Social Services (DPSS), Centers for Medicare and Medicaid Services(CMS), LACC - CalHers, and National Committee for… more
- Prime Healthcare (Ontario, CA)
- …various government reports and support their audits. The Corporate Senior Government Reimbursement Specialist is responsible for preparing and understanding the ... complexity of a cost report. The Corporate Senior Government Reimbursement Specialist fully understands how one section...+ Experience in preparing and completing entire Medicare and Medicaid cost reports for a multi-state hospital system and… more
- Prime Healthcare (Ontario, CA)
- …of various government reports and support their audits. The Corporate Government Reimbursement Specialist will assist in preparing and understanding main ... sections of cost report. The Corporate Government Reimbursement Specialist should understand how one section...+ Experience in preparing and completing entire Medicare and Medicaid cost reports, preferably for a multi-state hospital system… more
- WMCHealth (Kingston, NY)
- Financial Reimbursement Specialist Company: HealthAlliance Hospital City/State: Kingston, NY Category: Finance/Info Systems Department: Accounting Union: No ... link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/26725) Internal Applicant link Job Details: The Financial Reimbursement Specialist is responsible for certain aspects… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist III/IV Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4539404) Apply Medical Billing Specialist III/IV Salary ... is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare, and general insurance … more
- NHS Management, LLC (Athens, AL)
- …experience along the way. We are in search of a qualified Finanical Specialist Assistant: To perform the successful and timely completion of assigned business and ... with internal controls and state and federal regulations. + Ability to audit resident accounts, assess accuracy and collectability of accounts receivable balances,… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist I/II Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4658466) Apply Medical Billing Specialist I/II Salary ... is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare, and general insurance … more
- Burrell Behavioral Health (Kirksville, MO)
- …financial records? Join our team at Preferred Family Healthcare as a Billing Specialist ! In this role, you'll oversee the in-house database, ensure accuracy of ... with various departments to streamline billing processes. As a Billing Specialist , you'll be responsible for maintaining accurate billing records, reconciling… more
- The New Jewish Home (Bronx, NY)
- …skilled nursing home billing is required + Must Understand Medicare, Managed Care, Medicaid (NY) billing and reimbursement + Prior experience working with ... Bronx is seeking a full time Managed Care Billing Specialist to join our team. The Managed Care ...discrepancies, monitor and track performance of recoveries, meet goals, audit claim payments, and identify other issues affecting AR.… more
- R1 RCM (Boise, ID)
- …operating costs and enhancing the patient experience. As our Revenue Integrity specialist , you will be responsible for key operational functions to include charge ... will provide day-to-day charge review/reporting, denial support, appeals coordination, and reimbursement analysis. To thrive in this role, you must have demonstrated… more
- Trinity Health (Chelsea, MI)
- …payment arrangements. Obtains medical authorization or referral forms, if appropriate. Audit authorizations for accuracy and determine if delay/deny policy needs to ... diagnosis, procedure, date, and physician signature to minimize risk to hospital reimbursement . Accurately uses the patient search feature to find the correct… more
- Trinity Health (Chelsea, MI)
- …payment arrangements. Obtains medical authorization or referral forms, if appropriate. Audit authorizations for accuracy and determine if delay/deny policy needs to ... diagnosis, procedure, date, and physician signature to minimize risk to hospital reimbursement . Accurately uses the patient search feature to find the correct… more
- SSM Health (MO)
- …Intelligence ( **CSBI** ) - Healthcare Financial Management Association (HRMA), Certified Specialist Payment and Reimbursement ( **CSPR** ) - Healthcare ... Ensures extensive knowledge Medicare IPPS, and OPPS and state regulated payors ( Medicaid ) within the regulatory coordinators is maintained to cascade knowledge to… more
- Hackensack Meridian Health (Hackensack, NJ)
- …documentation to support coding and billing regulations to insure appropriate reimbursement and to support public reporting and various initiatives as directed ... + Reviews Diagnosis Related Group (DRG) assignment for selected Medicare/ Medicaid inpatients, Hospital-acquired condition (HAC), Patient Safety Indicators (PSI) and… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …must be in contact with: Medical Directors, departmental management in Provider Reimbursement , Provider Audit , Medical Management, IT, BCBSLA Network physicians, ... all positions. **Position Purpose:** This position serves as the medical coding system specialist on CPT, HCPCS, ICD-10-CM, and CDT coding for internal and external… more
- Banner Health (AZ)
- …gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue ... with many areas such as Billing, Coding, CDM Services Expected reimbursement . The Senior Cardiology and Interventional Radiology Certified Coder's main job… more
- Mohawk Valley Health System (Utica, NY)
- …guidance and advisory services to physicians, case managers and clinical documentation specialist regarding correct level of care and reimbursement . Apply ... along with values- based care, pay-for-performance programs (all payer types) and reimbursement models in decision making and reviews. + Provide peer-to-peer payor… more
- Trinity Health (Livonia, MI)
- …responsibilities will include providing advice and counsel related to Medicare and Medicaid enrollment and reimbursement , Stark and Anti-Kickback, fraud and ... strategies and priorities of the organization. Serves as an experienced high-level specialist with responsibility for one or more important aspects of the… more