- Elevance Health (Atlanta, GA)
- …and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement III ** will support our Medicare Administrative Contract (MAC) ... ** Audit & Reimbursement III **...** Audit & Reimbursement III ** _Location:_ This role enables... cost report and Medicare Part A reimbursement . They will participate in contractual Audit … more
- Elevance Health (South Portland, ME)
- ** Audit & Reimbursement III ** **Location** :...a BA/BS degree and a minimum of 5 years of audit / reimbursement or related Medicare experience; or ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...and Medicaid Services to transform federal health programs. The ** Audit & Reimbursement III ** is… more
- Elevance Health (Indianapolis, IN)
- …Centers for Medicare and Medicaid Services to transform federal health programs. ** Audit & Reimbursement III ** **Location:** This role enables associates ... and ensures essential face-to-face onboarding and skill development. The ** Audit & Reimbursement III ** will...BA/BS degree and a minimum of 5 years of audit / reimbursement or related Medicare experience;… more
- LA Care Health Plan (Los Angeles, CA)
- …Advisor III Job Category: Administrative, HR, Business Professionals Department: Audit Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... to achieve that purpose. Job Summary The Compliance Advisor III ensures that the Plan's processes and operations are...requirements, including but not limited to, the Centers for Medicare and Medicaid Services (CMS), the California Department of… more
- LA Care Health Plan (Los Angeles, CA)
- Financial Compliance Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full ... achieve that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for various tasks within the...for various tasks within the Financial Compliance Unit, including audit of claims processed by medical groups and health… more
- Bassett Healthcare (Edmeston, NY)
- …the best quality of life possible. What you'll do The Ambulatory Office Assistant III serves as the first point of contact for patients within the Bassett Healthcare ... is entered or scanned into the system accurately as monitored by system audit Accurate confirmation of attending PCP and Billing PCP, when appropriate. Assures… more
- Bassett Healthcare (Cooperstown, NY)
- …the best quality of life possible. What you'll do The Medical Office Assistant III serves as the first point of contact for patients within the Bassett Healthcare ... is entered or scanned into the system accurately as monitored by system audit Accurate confirmation of attending PCP and Billing PCP, when appropriate. Assures… more
- LA Care Health Plan (Los Angeles, CA)
- Financial Compliance Auditor III Finance Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full ... achieve that purpose. Job Summary The Financial Compliance Auditor III Finance is a hybrid role and is responsible...(DMHC), Department of Health Care Services (DHCS), Centers for Medicare and Medicaid Services (CMS), and other federal and… more
- SAIC (VA)
- …medical coding, reimbursement guidelines, and healthcare fraud; commercial reimbursement guidelines and policies; coding audit principles and concepts, ... **Description** SAIC is looking for a Full-Time **Remote** Medical Coder III to provide remote medical coding support to government Medical Treatment Facilities… more
- LA Care Health Plan (Los Angeles, CA)
- …safety net required to achieve that purpose. Job Summary The Specialty Plans Auditor III is responsible for planning audits and audit work programs that address ... of LA Care deficient delegates. Participates in Centers for Medicare and Medicaid Services (CMS) claim audit ...benefits including + Paid Time Off (PTO) + Tuition Reimbursement + Retirement Plans + Medical, Dental and Vision… more
- Methodist Health System (Dallas, TX)
- …* Experience using HFS software preferred * Working knowledge of Hospital Medicare reimbursement areas of Wage Index, Medical Education, Organ Transplant, ... Shift :** **Job Description :** Your Job: The SR REIMBURSEMENT ( MEDICARE ) ANALYST will assist the Manager of...Care and take a post test. Level's II and III have additional requirements for assessment and documentation. Incorporates… more
- The County of Los Angeles (Los Angeles, CA)
- …and procedures concerning administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum ... review methods as necessary. + Oversees audits and the implementation of audit recommendations for programs managed. + Represents managed programs in meetings with… more
- The County of Los Angeles (Los Angeles, CA)
- …procedures concerning program administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum ... and review methods as necessary. Oversees audits and the implementation of audit recommendations for programs managed. Represents managed programs in meetings with… more
- The County of Los Angeles (Los Angeles, CA)
- …for permanent appointment to Health Care Financial Analyst. DEFINITION: Prepares reimbursement claims for health and/or mental health care provided under Federal, ... of program and financial reports. Essential Job Functions + Analyzes reimbursement requirements for Federal, State, and/or Special Programs to determine if… more
- Houston Methodist (Houston, TX)
- …or concerns that may require clinical review during the pre-bill, audit , or appeal process. **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Identifies and presents ... or insurance company providing utilization review services + Knowledge of Medicare , Medicaid, and Managed Care requirements + Progressive knowledge of community… more
- Harvard University (Cambridge, MA)
- 68047BRAuto req ID:68047BRJob Code:W1057P HLT Physical Therapist III Department Office Location:USA - MA - Cambridge Business Title:Physical TherapistSub-Unit: ... evaluations and treatments for Harvard students, HUGHP members, and Medicare patients. The physical therapist maintains patient confidentiality and professionalism,… more
- City of New York (New York, NY)
- …of Homeless Services (DHS). DSS-AO maintains the operation of the Office of Audit Services (OAS) and Office of Quality Assurance (OQA), Office of Accountability ... Data Analytics & Verification is recruiting for (1) Administrative Staff Analyst NM III to function as an Executive Director, Data Analytics & Verification who will:… more
- Dartmouth Health (Lebanon, NH)
- …Technician, Certified Technician I, Certified Technician II, or Certified Technician III depending on qualifications and experience and are encouraged to advance ... 20% night, and 15% weekend shift differentials when applicable. Tuition Reimbursement :Up to $3,000 per year. Dental Vision \#CPT, #Pharmacy Technician,… more
- University of Virginia (Charlottesville, VA)
- …and executive use. + Monitor regulatory changes provided by the Centers for Medicare and Medicaid Services (CMS) and the Virginia Department of Medical Assistance ... procedures, and applicable regulatory standards and requirements. + Completes chart audit reviews of clinical documentation to determine accuracy of charge capture.… more