- UTMB Health (Galveston, TX)
- …Bachelor's degree in accounting, business, or related field. and ten (10) years Medicare and Medicaid reimbursement experience, with at least six ... net revenue budget rates. + Provides oversight, direction, and analyses of Medicare and Medicaid reimbursement including, but not limited to, cost report… more
- UTMB Health (Galveston, TX)
- …Care. + Assists in annual wage index reviews. + Maintains current knowledge of Medicare and Medicaid reimbursement and cost reporting laws, regulations, and ... Reimbursement Analyst ( Medicare / Medicaid ), Partial Remote/Local - Government Reimbursement **Galveston, Texas, United States** Business, Managerial &… more
- Commonwealth Care Alliance (Boston, MA)
- …disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare , and commercial payment methodologies and supports audit, ... accurate, compliant, and timely reimbursements within the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims… more
- Methodist Health System (Dallas, TX)
- …the financial records. 5. Assist CBO and other department managers to resolve Medicare / Medicaid reimbursement , billing, and compliance issues as they arise. ... instructions. Develop understanding of reimbursement principles for both Medicare and Medicaid from both retrospective reimbursement and prospective … more
- Commonwealth Care Alliance (Boston, MA)
- …as necessary on all new CPT and HCPCS codes for coding logic, related Medicare / Medicaid policies to make recommend reimbursement determinations. + Analyze, ... health care reimbursement , public health care programs and reimbursement methodologies ( Medicaid and Medicare ) + Medical Coding, Compliance, Payment… more
- RWJBarnabas Health (Oceanport, NJ)
- …Director will serve as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment ... Director, Corporate Reimbursement (Hybrid/Remote) - Oceanport, NJReq #:0000180233 Category:Professional /...This includes planning, preparing and reviewing of the annual Medicare / Medicaid cost reports filings. In partnership with… more
- Genesis Healthcare (Albuquerque, NM)
- …of long term care clinical nursing experience is required. *Experience with Medicare / Medicaid reimbursement , MDS completion, clinical resource utilization ... -- RN manages the overall process and tracking of all Medicare / Medicaid case-mix documents to ensure appropriate reimbursement for all services provided… more
- Genesis Healthcare (Clovis, NM)
- …of long-term care clinical nursing experience is required. *Experience with Medicare / Medicaid reimbursement , MDS completion, clinical resource utilization ... transmitting the MDS, as required by federal and state regulations. *Manage all Medicare / Medicaid case-mix documents at the nursing center to assure appropriate … more
- Intermountain Health (Juneau, AK)
- …in Medicare , Medicaid , and/or governmental reporting + Experience with Medicare and Medicaid reimbursement world and cost reports. + Experience ... and exception requests to appropriately maximize reimbursement . Interacts with Medicare Administrative Contractor, State Medicaid , and hospital personnel as… more
- Wipfli LLP (Spokane, WA)
- …consultative projects. This role involves working closely with hospitals and RHCs to optimize Medicare and Medicaid reimbursement as well as manage the RHC ... enrollment process with Medicare and Medicaid payors. Responsibilities + Preparation...payors. Responsibilities + Preparation of Medicare and Medicaid cost reports + Assist in various reimbursement… more
- Deschutes County (Bend, OR)
- …leading a team and problem-solving personnel issues. + Healthcare billing systems, Medicaid / Medicare reimbursement , and private insurance payment policies. + ... to those who have experience with insurance payment practices and policies, ie, Medicaid , Medicare , and/or private commercial insurance. Do you have this… more
- New York State Civil Service (Montrose, NY)
- …operating budgets, cash flow projections, capital outlay and fixed assets schedules, and Medicaid & Medicare reimbursement activities for the facility.* ... Qualifications: This challenging opportunity requires competence in: i) preparing Medicare and Medicaid cost reports for healthcare facilities;… more
- Texas Health Resources (Arlington, TX)
- …and represents System hospitals in negotiations with the fiscal intermediary. + Sets annual Medicare and Medicaid reimbursement rates for budget and extended ... + Responsible for providing financial consulting and representation on various Medicare / Medicaid regulations. + Leads resolution of reimbursement issues for … more
- Peoples Health Centers Family of Companies (St. Louis, MO)
- …compliance with contractual provisions and accuracy in billing. 10. Remain current on Medicaid and Medicare reimbursement policies and procedures and consult ... as Medifax, copier, and ten key calculators. 9. Knowledge of billing and reimbursement of Medicaid , Medicare and other insurance. 10. Ability to use manuals… more
- Prime Healthcare (Redding, CA)
- …Responsibilities The Senior Medicare - Medicaid Biller/Collector ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare - Medicaid . This includes maintaining the deficiency lists used to… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Senior Medicare - Medicaid Biller/Collector ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare - Medicaid . This includes maintaining the deficiency lists used to… more
- WellSense (Boston, MA)
- …Experience with Behavioral Health providers preferred** + Experience with Commercial, Medicare and Medicaid reimbursement methodologies + Understanding ... health insurance company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25 years… more
- Truman Medical Centers (Kansas City, MO)
- …service standards. + **Know your stuff** : Stay sharp on third-party billing, Medicare / Medicaid reimbursement , financial assistance programs, and all the ... billing or insurance claims. + **Solid experience** in commercial insurance, Medicare , and Medicaid reimbursement (the more you know, the better!). +… more
- Methodist Health System (Dallas, TX)
- …and state laws relating to healthcare, including but not limited to Medicare / Medicaid reimbursement , HIPAA, AKS, self-referral prohibitions, and fraud ... limited to, state specific health care laws and regulations, Medicare / Medicaid rules, fraud and abuse including Stark...care contracting and negotiations, provider credentialing, and billing and reimbursement issues. + The AGC is the Office of… more
- Guidehouse (San Antonio, TX)
- …TX office._** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare / Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 & ... Flexible Spending Accounts + Short-Term & Long-Term Disability + Tuition Reimbursement , Personal Development & Learning Opportunities + Skills Development &… more
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