- National Health Care Associates (Seymour, 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 (Naugatuck, 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
- Stony Brook University (Stony Brook, NY)
- … Provide self-pay patients with information on qualifications for Medicaid or financial assistance. Engages financial counselors as appropriate. + Collect ... high standard of excellence. **The Patient Access Representative assigned to an offsite hospital outpatient** location is a key member of the Patient Access Services… more
- Stony Brook University (East Setauket, NY)
- …and Outpatient billing requirements (UB-04/837i) and/or CMS Medicare and New York Medicaid reimbursement methodologies. + Knowledge of third party payer ... **Position Summary** At Stony Brook Medicine, a **Revenue Specialist** will provide operational support within the hospital 's Patient Accounting Department.… more
- 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 ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
- Humana (Hartford, CT)
- …part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the ... of the team as it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible… more
- Humana (Hartford, CT)
- …executing upon said strategy. Communicates contract terms, payment structures, and reimbursement rates to providers. Analyzes financial impact of contracts and ... responsibility for developing contracting methodologies and foster relationships with large hospital systems. Maintains metrics and health quality based goals to… more
- Trinity Health (Waterbury, CT)
- …Access or Patient Accounting for hospital registration and / or hospital reimbursement servicesObtain National certification in HFMA CRCR and/or NAHAM CHAA ... liability on patient accounts and works with patients or their representatives to provide financial assistance or secure payment. **What you will do** + Counsel… more
- Catholic Health Services (Smithtown, NY)
- …for improvement or appeal. + Regulatory Compliance: Stay up-to-date on current reimbursement regulations and guidelines (eg, Medicare, Medicaid ) and ensure ... Siena Nursing and Rehabilitation and St. Catherine of Siena Hospital are proud members of Catholic Health and have...to offer care to those in need and to provide a spirit of mutual respect while upholding our… more
- Stony Brook University (East Setauket, NY)
- …Care payment variances and denials. + Expert knowledge of Medicare and NY Medicaid Inpatient and Outpatient reimbursement methodologies. + Expert knowledge of ... Specialist** will act as an operational leader in the Hospital 's Business Office to analyze, track, and pursue the...volumes and staffing are aligned. + Audits staff work; provide education on best practice. + Supervises junior staff.… more
- Nuvance Health (Danbury, CT)
- …not limited to, collecting and analyzing revenue and usage claim data for the hospital , physicians and provider groups in preparation for regular changes to ... daily reviews/analysis of charging errors, working with all Nuvance Health hospital and physician departments. Investigates, analyzes and recommends actions and… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …for more details. HIGHLIGHTS + FACILITY: Connecticut Valley Hospital ( CVH (http://portal.ct.gov/DMHAS/CVH/Agency-Files/CVH About-CVH) ) + LOCATION: 1000 ... part of a comprehensive team of caring professionals + Provide support to a division that is passionate about...serve. CVH opened in 1868 as the State's public hospital for the treatment of persons with mental illness.… more
- Hartford HealthCare (Farmington, CT)
- …of accounts receivables engagements with small balance, out of state Medicaid and credit vendors as needed.** *_Requirements and Specifications:_* **Education** . ... Ability Requirements** ** . Epic experience and working knowledge of Resolute Hospital and Professional billing modules preferred . Excellent analytical and problem… more
- Hartford HealthCare (Farmington, CT)
- …accounts receivables engagements with small balance, out of state Medicaid and credit vendors as needed. *_Requirements and Specifications:_* *Education* ... and Ability Requirements** * . Epic experience and working knowledge of Resolute Hospital and Professional billing modules preferred . Knowledge of state and federal… more
