- The Judge Group Inc. (Bridgeport, PA)
- …state reimbursement rules and regulations and optimizes Medicare and Medicaid reimbursement through development of strategic planning and on-going financial ... desk review and audit activity (including wage index reviews or other Medicare/ Medicaid reimbursement activity) for multiple facilities with complex … more
- Novo Nordisk Inc. (WA)
- …Tax, Trade, Intellectual Property, Supply Chain, Private Health Insurance, Medicare, Medicaid , Reference Pricing, Pricing / Price Increases, Reimbursement , ... 401(k) savings plan; flexible spending accounts; employee assistance program; tuition reimbursement program; and voluntary benefits such as group legal, critical… more
- Lundbeck (Waco, TX)
- …apply comprehensive therapeutic knowledge to uncover and prioritize unique opportunities. Reimbursement - Consistently demonstrate the ability to stay informed on ... reimbursement dynamics, anticipate and effectively address payer access issues...anticipate and effectively address payer access issues (IDNs, Medicare, Medicaid , Commercial) using Lundbeck resources. Pharmaceutical Environment/Compliance - Apply… more
- Lundbeck (Fort Wayne, IN)
- …needs and organizational goals. Payer Access -Ability to grasp sophisticated reimbursement and distribution processes in a complex coverage landscape. Anticipates ... and external partners and effectively addresses payer access issues (Medicare, Medicaid , Commercial) using Lundbeck resources. Local Market & Therapeutic Area… more
- Lundbeck (Joliet, IL)
- …apply comprehensive therapeutic knowledge to uncover and prioritize unique opportunities. Reimbursement - Consistently demonstrate the ability to stay informed on ... reimbursement dynamics, anticipate and effectively address payer access issues...anticipate and effectively address payer access issues (IDNs, Medicare, Medicaid , Commercial) using Lundbeck resources. Pharmaceutical Environment/Compliance - Ability… more
- Optum (San Juan, PR)
- …Coverage, Federal and State Statues, Rules and Regulations Knowledge of Medicaid /Medicare Reimbursement methodologies Working knowledge of the healthcare ... and pursue recoveries Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance Use pertinent data and facts to… more
- Novo Nordisk Inc. (San Mateo, CA)
- …of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage Requirements, Step Therapy, ... 401(k) savings plan; flexible spending accounts; employee assistance program; tuition reimbursement program; and voluntary benefits such as group legal, critical… more
- Saviance (Boston, MA)
- …setting. Deep understanding of healthcare finance, including knowledge of Medicare/ Medicaid , healthcare reimbursement , and regulatory requirements. Proven track ... Ensure compliance with all healthcare financial regulations, including Medicare, Medicaid , and private insurance requirements. Develop and implement internal… more
- MedStar Health (Washington, DC)
- …requirements, necessary criteria for admission to various care settings, and Medicare's/ Medicaid 's reimbursement methods for different levels of care. Manages ... a caseload of patients. Identifies essential resources needed to implement the plan of care. Manages own professional growth in the area of managed care, care management, other health care, financial trends, clinical practice and research. Manages patient care… more
- Guidehouse (San Antonio, TX)
- …days from home. Essential Job Functions Account Review Appeals & Denials Medicare/ Medicaid Insurance Follow-up Customer Service Billing UB-04 & CMS 1500 Complete all ... Care Flexible Spending Accounts Short-Term & Long-Term Disability Tuition Reimbursement , Personal Development & Learning Opportunities Skills Development &… more
- Avamere Health Services (Seattle, WA)
- …skilled nursing insurance billing including but not limited to Medicare, Medicaid , private insurance, HMOs, and co-insurances. Stays current with facility contracts ... maintained. 2 years medical billing experience required, SNF preferred, including Medicare, Medicaid , Must have, as a minimum, three (3) years' experience in… more
- Northwest Independent School District (Fort Worth, TX)
- …Services (SHARS) and MAC programs which allows our district to request Medicaid reimbursement for certain health-related services. The Admission, Review, and ... ensure accountability of service provision and to meet standards for reimbursement of services as appropriate. Establish control and administer discipline according… more
- Solaris HealthCare Osceola (Kissimmee, FL)
- …Facility preferred. Excellent knowledge of the Federal Medicare PPS process, and Medicaid reimbursement , as required. Knowledge of the OBRA regulations and ... Assigns, assists, and instructs all staff in the RAI Process, PPS Medicare, Medicaid and clinical computer system in relation to these processes Ensures timely… more
- Corcept Therapeutics (Redwood City, CA)
- …and appeals, is required Familiarity of private payer, Medicare, and Medicaid structure, systems, and reimbursement processes is required Experience ... payer coverage process. This role is responsible for facilitating the medication reimbursement process by supporting all involved in the coverage process, including… more
- Wealthy Group of Companies LLC (Champaign, IL)
- … Medicaid Documentation : Participate in evaluating documentation required for Medicaid reimbursement . Regulatory Compliance : Stay updated on RAI manual ... care is delivered consistently, and that all documentation supports ongoing reimbursement . By collaborating with the interdisciplinary team, families, and residents,… more
- Buckeye Elementary School District (Buckeye, AZ)
- …and parents, demonstrating a cordial and friendly manner. Participate in the Medicaid Reimbursement program which includes maintaining monthly logs on eligible ... students; attending scheduled training. Maintains a high level of ethical behavior and confidentiality. Perform other duties as assigned. PHYSICAL DEMANDS: The physical demands described here are representative of those which must be met by an employee to… more
- Aztec Healthcare (Aztec, NM)
- …preferred. *Excellent knowledge of Case-Mix, the Federal Medicare PPS process, and Medicaid reimbursement , as required. *Thorough understanding of the Quality ... With direction from the Director of Nursing and VP of Clinical Reimbursement , may coordinate information systems operations and education for the clinical… more
- Centers Health Care (Brooklyn, NY)
- …& encourage word-of-mouth referrals Maintain knowledge of regulations governing Medicare/ Medicaid /Managed Care reimbursement processes Communicate special needs ... of new admissions to staff to ensure a smooth transition Provide appointments for facility presentations and on-site tours Obtain and update authorizations REQUIREMENTS: Prior experience as post-acute and long-term care Admissions Coordinator/Intake preferred… more
- UnitedHealth Group (Wichita, KS)
- …coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program ... Word, Excel and Outlook Ability to travel in assigned regions to visit Medicaid members in foster homes and/or other settings, including foster care agencies,… more
- Creative Solutions in Healthcare (Decatur, TX)
- …discipline (PT, OT, or SLP). Monitor and ensure compliance with Medicare, Medicaid , and other reimbursement regulations. Evaluate and counsel team members ... organizational, communication, and team-building skills. Is familiar with Medicare, Medicaid , and alternative payment model guidelines. Can deliver high-quality… more
