- Somatus (Fairfax, VA)
- …country living with chronic kidney disease to experience more days out of the hospital and healthier at home. It takes a village of passionate and tenacious ... of 3 weeks' Vacation (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being… more
- Somatus (Mclean, VA)
- …country living with chronic kidney disease to experience more days out of the hospital and healthier at home. It takes a village of passionate and tenacious ... finance, partnering with leaders across MedEcon, Analytics, Clinical Performance, and Provider Finance. Your work will fuel smarter decisions, sharper execution, and… more
- Humana (Richmond, VA)
- …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
- University of Virginia (Charlottesville, VA)
- …provides comprehensive clinical and organizational direction and leadership to the healthcare provider team in the care of patients. * Performs comprehensive history ... compliance and regulatory documentation for the purposes of administration and reimbursement * Provides expertise in the measurement, development, evaluation and… more
- Genesis Healthcare (Bluefield, VA)
- …long term care clinical nursing experience is required. *Experience with Medicare/ Medicaid reimbursement , MDS completion, clinical resource utilization and/or ... of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in...RN manages the overall process and tracking of all Medicare/ Medicaid case-mix documents to ensure appropriate reimbursement … more
- Childrens Hospital of The King's Daughters (Norfolk, VA)
- …Ensures comprehensive assessment and recommended treatment plan is submitted for reimbursement to third party insurance payer sources based on established ... Health Service Line. + Conducts chart audits in accordance with DMAS and Medicaid regulations, when needed. + Generates program systems and processes to improve… more
- Option Care Health (Richmond, VA)
- **Extraordinary Careers. Endless Possibilities.** **With the nation's largest home infusion provider , there is no limit to the growth of your career.** Option Care ... the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team...and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a… more
- Humana (Richmond, VA)
- …- 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
- Somatus (Falls Church, VA)
- …country living with chronic kidney disease to experience more days out of the hospital and healthier at home. It takes a village of passionate and tenacious ... of 3 weeks' Vacation (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being… more
- University of Virginia (Charlottesville, VA)
- …to include- financial assistance application assessment and approval, HPE Medicaid application, pre service estimates, pre service insurance eligibility review, ... plans to include debt to income assessment, drug co pay assistance and provide a resource for onsite billing questions, international patient billing review and… more
- Gentiva (Fairfax, VA)
- …hospice agency promptly if unable to complete F2F visits as scheduled. + May provide F2F coverage for multiple provider numbers with approval. **About You** ... physicians, interdisciplinary group (IDG) members, patients, caregivers, and families. + Provide clinical recommendations to the IDG based on F2F assessment… more
- Oracle (Richmond, VA)
- …focus more on patient care by reducing administrative burden of clinical and reimbursement tasks such as charting, documentation, and coding by applying power of ... opportunities to prevent future denials, and ensure maximum appropriate reimbursement . This role is critical for financial recovery and...on experience preparing appeals for claim denials in the hospital and ambulatory setting + 3+ years hands on… more
- TEKsystems (Richmond, VA)
- …for serving as the customer's primary point of contact providing operational and reimbursement support to complex programs. + The focus of the Program Specialist is ... prior authorization, inbound call, administrative support, customer service, Medicare, Medicaid Additional Skills & Qualifications * Call Center Experience: (High… more
- Fresenius Medical Center (Martinsville, VA)
- …* Rated Newsweek's Most Loved Workplaces. * Paid Dialysis Training * Tuition reimbursement * Competitive Pay & Benefits - Eligible for healthcare benefits 30 days ... blood flow (QB) and dialysate flow (QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor… more
- Humana (Richmond, VA)
- …for services rendered is complete, compliant and accurate to support optimal reimbursement . The Nurse Auditor 2 work assignments are varied and frequently require ... in the state they reside. + Minimum of 2 consecutive years acute inpatient hospital care experience in critical, intensive care setting within the last 5 years (Not… more
