- Corewell Health (Grand Rapids, MI)
- …internal departments. Serves as a mentor/trainer to other team members.The Senior Appeals Analyst makes decisions on moderately complex issues regarding ... 5 years of relevant experience Grievance & or Appeal Analyst or related experience Preferred + Bachelor's Degree or...Ave NE - Grand Rapids Department Name Grievance And Appeals Medicare - PH Managed Benefits Employment… more
- OhioHealth (Columbus, OH)
- …Manager with updates. CGS audits and auditors Working with our legal vendor for Medicare Appeals . Working with OHA and CBSA facilities on wage index ... Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position… more
- State of Colorado (Denver, CO)
- Board Certified Behavior Analyst - (Clinical Behavioral Specialist II) - Wheat Ridge Regional Center Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5191145) Apply Board Certified Behavior Analyst - (Clinical Behavioral Specialist II) - Wheat Ridge… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Senior (Sr.) Accountng and Reporting Analyst position is responsible for identifying and compiling information to effectively report costs ... reimbursement from various government programs. The Sr. Accounting and Reporting Analyst utilizes strong data analytic skills to identify issues and researches… more
- HCA Healthcare (Nashville, TN)
- …integrity. We care like family! Jump-start your career as a Benefits Operations Analyst today with HCA Healthcare. **Benefits** HCA Healthcare offers a total rewards ... location._** Come join our team as a Benefits Operations Analyst - Retirement Plans. We care for our community! Just...place comply with all regulations (Summary of Material Modification, Medicare Part D notices, privacy notices, etc.) + Manage… more
- Molina Healthcare (Racine, WI)
- …and contractual guidelines. + Partner with provider relations, Health plans and appeals teams to address recurring dispute trends and recommend systemic solutions. + ... improvement. **Skills & Competencies** + Proven experience handling provider disputes, appeals , and overpayment recoveries in a managed care or payer environment.… more
- State of Colorado (Pueblo, CO)
- …for 10 staff members, including direct supervision of 3 individual units: Medicare /Other Insurance, Medicaid/Self- pay, and Audit, including 3 professional staff, 6 ... as they pertain to patient benefits and revenue for the Hospitals, Medicare , Medicaid, and Fiduciary Duties. + Interprets, analyzes, and keeps apprised of… more
- State of Colorado (Pueblo, CO)
- …Physician's orders, Court order, Environment of Care manual, Centers for Medicare and Medicaid Services, Safety Data Sheets, Colorado State Personnel Procedure ... name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure… more
- State of Colorado (Pueblo, CO)
- …on Hospital Accreditation Standards, Environment of Care Manual, Centers for Medicare and Medicaid Services, Safety Data Sheets (SDS), Colorado State Personnel ... security personnel.) + CBI & FBI fingerprint check, Colorado Court Database check, Medicare Fraud Database, TRAILS Database check. + This position will also provide… more
- State of Colorado (Pueblo, CO)
- …on Hospital Accreditation Standards, Environment of Care Manual, Centers for Medicare and Medicaid Services, Safety Data Sheets, Colorado State Personnel Procedure ... security personnel.) + CBI & FBI fingerprint check, Colorado Court Database check, Medicare Fraud Database, TRAILS Database check. + This position will also provide… more
- State of Colorado (Grand Junction, CO)
- …name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... of state service experience. Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of the online job… more
- State of Colorado (Grand Junction, CO)
- …name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... of state service experience. Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of the online job… more
- State of Colorado (Denver, CO)
- …Scope of Work for Sub-distributing Agencies and coordinates with Contract Analyst on the annual distribution of Federal Administrative funds using performance ... will not be accepted. Minimum Qualification Screening Process: A Human Resources Analyst will review the work experience/job duties sections of the online job… more
- City and County of San Francisco (San Francisco, CA)
- …meet all of the following criteria: + Be eligible to participate in Medicare , Medicaid, and/or other federal healthcare programs + Possess a National Provider ... + Possess a valid third-party billable provider certification (such as Medicare , Medi-Cal, and/or private insurance) OR have submitted a completed billable… more
- State of Colorado (Pueblo, CO)
- …security personnel. + CBI & FBI fingerprint check, Colorado Court Database check, Medicare Fraud Database, TRAILS Database check. + This position will also provide ... of state service experience. Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of the online job… more
- State of Colorado (Garfield County, CO)
- …and minimum requirements. Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of the online ... name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure… more
- State of Colorado (Garfield County, CO)
- …include : + CBI & FBI fingerprint check, Colorado Court Database check, Medicare Fraud Database, TRAILS Database check. + This position will also provide direct ... of state service experience. Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of the online job… more
- State of Colorado (Aurora, CO)
- …name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... & Competencies: Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of...if your application is eliminated. You will find the appeals process, the official appeal form, and how to… more
- State of Colorado (Garfield County, CO)
- …and minimum requirements. Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of the online ... name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure… more
- State of Colorado (Garfield County, CO)
- …and minimum requirements. Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of the online ... name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure… more