- Zelis (Plano, TX)
- …the personal interests that shape who you are. Position Overview The Sr. Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory ... or a related field + Five+ years of experience in Medicaid billing, reimbursement , claim payment or cost reporting. + Experience with Medicare /Medicare… more
- Pulaski County Special School District (Little Rock, AR)
- …+ Two years in a supervisory role preferred + Extensive knowledge of Arkansas Medicaid Reimbursement REPORTS TO: Director of Special Education JOB GOAL: Assist ... provide direct therapy services and provide leadership/management of all Medicaid reimbursement programs. PERFORMANCE RESPONSIBILITIES: + Planning, developing… more
- UTMB Health (Galveston, TX)
- …degree in accounting, business, or related field. and ten (10) years Medicare and Medicaid reimbursement experience, with at least six years of reimbursement ... rates. + Provides oversight, direction, and analyses of Medicare and Medicaid reimbursement including, but not limited to, cost report preparation, audits,… more
- Humana (Denver, CO)
- …The Senior Business Intelligence Engineer will develop and maintain expertise in Medicaid reimbursement methodologies rooted in complex grouping concepts (EAPG, ... Business Intelligence Engineer will be responsible for: + Researching state-specific Medicaid reimbursement methodologies for hospitals and facilities +… more
- UTMB Health (Galveston, TX)
- …in annual wage index reviews. + Maintains current knowledge of Medicare and Medicaid reimbursement and cost reporting laws, regulations, and manual instructions. ... Reimbursement Analyst (Medicare/ Medicaid ), Partial Remote/Local - Government Reimbursement **Galveston, Texas, United States** Business, Managerial & Finance… more
- General Dynamics Information Technology (NC)
- …areas of Accounting or Financial Services. Provider in-depth understanding of Medicaid reimbursement policies, claim processing, billing codes, and provider ... **Experience:** 2 + years of related experience **Job Description:** The ** Medicaid Provider Financial Support Specialist** serves as a key liaison between… more
- Commonwealth Care Alliance (Boston, MA)
- …responsible for the end-to-end review, analysis, and resolution of complex reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr. ... Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare, and commercial payment methodologies and supports audit, compliance, and provider… more
- Methodist Health System (Dallas, TX)
- …financial records. 5. Assist CBO and other department managers to resolve Medicare/ Medicaid reimbursement , billing, and compliance issues as they arise. ... to file cost report in compliance with instructions. Develop understanding of reimbursement principles for both Medicare and Medicaid from both retrospective… more
- Northwell Health (New Hyde Park, NY)
- …of two (2) years experience in financial planning and assessment, with regard to Medicaid and third party reimbursement sources. + Ability to evaluate, research ... **Req Number** 150946 Job Description Assists patient/family in completing Medicaid application. Assesses patient's eligibility for Medicaid . Verifies patient's… more
- Commonwealth Care Alliance (Boston, MA)
- …necessary on all new CPT and HCPCS codes for coding logic, related Medicare/ Medicaid policies to make recommend reimbursement determinations. + Analyze, measure, ... operations, health care reimbursement , public health care programs and reimbursement methodologies ( Medicaid and Medicare) + Medical Coding, Compliance,… more
- RWJBarnabas Health (Oceanport, NJ)
- …as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment strategies across all ... 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 the Vice… more
- Intermountain Health (Juneau, AK)
- …Medicare, Medicaid , and/or governmental reporting + Experience with Medicare and Medicaid reimbursement world and cost reports. + Experience with Health ... settlements, and files appeals and exception requests to appropriately maximize reimbursement . Interacts with Medicare Administrative Contractor, State Medicaid ,… more
- Wipfli LLP (Spokane, WA)
- …This role involves working closely with hospitals and RHCs to optimize Medicare and Medicaid reimbursement as well as manage the RHC enrollment process with ... Medicaid payors. Responsibilities + Preparation of Medicare and Medicaid cost reports + Assist in various reimbursement... Medicaid cost reports + Assist in various reimbursement preparations such as DSH audits, WRAP reports, OSHPD… more
- Genesis Healthcare (Albuquerque, NM)
- …long term care clinical nursing experience is required. *Experience with Medicare/ Medicaid reimbursement , MDS completion, clinical resource utilization and/or ... MDS Nurse -- RN manages the overall process and tracking of all Medicare/ Medicaid case-mix documents to ensure appropriate reimbursement for all services… more
- Genesis Healthcare (Clovis, NM)
- …of long-term care clinical nursing experience is required. *Experience with Medicare/ Medicaid reimbursement , MDS completion, clinical resource utilization and/or ... the MDS, as required by federal and state regulations. *Manage all Medicare/ Medicaid case-mix documents at the nursing center to assure appropriate reimbursement… more
- HonorHealth (AZ)
- … Reimbursement Manager will be responsible for overseeing and maximizing reimbursement from government payors, including state Medicaid (AHCCCS) ... CMS final rules. Compiles public data from Medicare and Medicaid websites to model reimbursement effect of programs. Analyzes data and makes recommendations to… more
- City of New York (New York, NY)
- …access doctors, medication and other health care services at little or no cost. Medicaid Reimbursement Unit under the general direction of the -Director and/or ... and judgement, performs specialized administrative work supervising the functions of the Medicaid Reimbursement units who processes invoices for payment of… more
- Texas Health Resources (Arlington, TX)
- …safety-net services through various supplemental payment programs. The VP Government Reimbursement Medicaid Payments has the following duties and ... with the fiscal intermediary. + Sets annual Medicare and Medicaid reimbursement rates for budget and extended forecasting. Estimates and communicates… more
- Pearson (Lincoln, NE)
- …individual in this role will assist in developing, implementing, and overseeing Medicaid reimbursement processes for all applicable Pearson Virtual Schools' ... addressing customer concerns related to vendors._ **Core Tasks and Responsibilities** + Medicaid Reimbursement Framework Support o Assist in establishing a… more
- Ultimate Care Inc (Brooklyn, NY)
- …+ Documentation: Maintain complete and accurate records, including required documentation for Medicaid reimbursement . + Remittance Advice: Review Medicaid ... correct reimbursement and identify any issues. + Medicaid Compliance: Stay updated on Medicaid billing...a home health care setting + Strong knowledge of Medicaid regulations and reimbursement processes + Proficiency… more