- Humana (Hartford, CT)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Qualifications** + Experience with Ohio Medicaid hospital reimbursement methodologies + Experience researching and resolving provider reimbursement… more
- Hartford HealthCare (Farmington, CT)
- …Federal Medicare and State Medicaid programs, including changes affecting hospital reimbursement of Medicare bad debt, graduate medical education, ... other common practices across the system. *_Position Summary:_* The Reimbursement Financial Analyst is responsible for preparation, filing and...disproportionate share hospital adjustment, and uncompensated care payments 5. Work as… more
- Humana (Hartford, CT)
- …The Provider Contracting Executive initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... organization that provides health insurance. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to… more
- Endo International (New Haven, CT)
- …everyone we serve live their best life. **Job Description Summary** The Field Reimbursement Manager (FRM) is a critical front-line member of the Endo Access and ... Reimbursement team who represents Endo's interest with Xiaflex, Testopel,...Endo Pharmaceuticals and Patient Access is patients and assisting provider offices to help their patients get access to… more
- Hartford HealthCare (Norwich, CT)
- …Responsible for managing, supervising and performing tasks related to Governmental Reimbursement issues for the healthcare system. Must have a working knowledge ... reporting. Additionally, this position collaborates with leadership in the reimbursement regulatory, operational, and financial impacts of proposed operational… more
- Hartford HealthCare (Meriden, CT)
- …Hartford HealthCare, we offer: * /Newly Revised/ Competitive Hourly Rates * Tuition Reimbursement after just 6 months of employment and up to 40% reimbursement ... and standards by The Joint Commission (TJC), Center for Medicare and Medicaid (CMS), and Connecticut Department of Public Health (DPH). *Job Responsibilities: *… more
- Trinity Health (Hartford, CT)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** Analyzes physician/ provider documentation contained in Outpatient health records to perform ... modifiers. Utilizes coding guidelines established by: + The Centers for Medicare/ Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding and Reporting,… more
- Humana (Hartford, CT)
- …to quality review the inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education. **Use your skills to… more
- National Health Care Associates (Bethel, CT)
- …personalized resident care plans and ensures the capture of clinical reimbursement for services provided. **Key Responsibilities:** + Determine Patient Driven ... prospective residents by assessing their nursing needs and determining appropriate clinical reimbursement levels + Complete and assure the accuracy of the MDS… more
- National Health Care Associates (Fairfield, CT)
- …for developing personalized resident care plans and the capture of clinical reimbursement for services provided. You will ensure the highest level of revenue ... looking for potential risks and/or changes that may affect reimbursement + May train, mentor and/or manage MDS Coordinators,...teams to ensure accurate data collection for assessments + Provide insights and ongoing education to facility staff and… more
- National Health Care Associates (Glastonbury, CT)
- …for developing personalized resident care plans and the capture of clinical reimbursement for services provided. You will ensure the highest level of revenue ... looking for potential risks and/or changes that may affect reimbursement + May train, mentor and/or manage MDS Coordinators,...teams to ensure accurate data collection for assessments + Provide insights and ongoing education to facility staff and… more
- Boehringer Ingelheim (Ridgefield, CT)
- …of Boehringer-Ingelheim or BIPI in the retail, wholesale, long term care, hospital , specialty, and other relevant markets through the optimization analysis while ... protecting the assets of BIPI, as applicable, and to provide support to the Associate Director, Contract Compliance by:...and Manage the 340B dispute process for either State Medicaid Program, Covered Entities and/or PBMs. + Participate in… more
- National Health Care Associates (Bloomfield, CT)
- …including management or supervisory responsibilities + Thorough knowledge of Medicare, Medicaid , Pending, Applied Income, and Managed Care reimbursement ... Your work will ensure regulatory compliance and that resources are optimized to provide the best care for our residents. **Key Responsibilities:** + Efficient and… more
- Hartford HealthCare (Farmington, CT)
- …* Supervises accounts receivables engagements with small balance, out of state Medicaid and credit vendors as needed.** *Education* . Minimum:**Associate's degree in ... and Ability Requirements * . Epic experience and working knowledge of Resolute Hospital and Professional billing modules preferred . Knowledge of state and federal… more