- Elevance Health (Las Vegas, NV)
- ** Audit & Reimbursement Senior - Appeals ** **_Location:_** _This role enables associates to work virtually full-time, with the exception of required ... and Medicaid Services to transform federal health programs._ The ** Audit and Reimbursement Senior ** will...report reopenings. + Manage caseload of Medicare cost report Appeals + Position papers + Jurisdictional Reviews + PRRB… more
- Beth Israel Lahey Health (Charlestown, MA)
- …in a high-profile team tasked with handling all commercial and government clinical appeals and audit processes. The Clinical Analyst will perform high-level ... gather information that would support submitted charges. Prepare clinical appeals relevant to the audits in order to prove...to denial initiatives. Provides support for projects in which senior managers are involved. * Assist in the tracking… more
- The Cigna Group (Bloomfield, CT)
- …as required, to develop and promote shared goals. The Quality Review and Audit Senior Analyst position recognizes experience in Risk Adjustment Data Validation ... Risk Adjustment (RA) programs, including the Risk Adjustment Data Validation (RADV) audit and the Supplement Diagnosis program. Responsible for liaising with the… more
- Guthrie (Sayre, PA)
- … Manager is responsible for the oversight and management of all payer denials, appeals , and audit processes within the health system. This role ensures timely ... or insurance with responsibility and management of billing and reimbursement . Essential Functions Denials & Appeals Management...reports to track denial rates, appeal success rates, and audit recoveries + Provide monthly summaries to senior… more
- Independent Health (Buffalo, NY)
- …correlating coding complexity. They will aid in training other team members, evaluating appeals , and share audit trends across the team. Expertise and ... tips across the team. The Clinical & Coding Specialist- Senior will support the leadership in Hospital Audit...to prepare quantitative and qualitative studies at conclusion of audit . Ability to recalculate reimbursement following conclusion… more
- Access Dubuque (Dubuque, IA)
- …tax resolution services. + Assist in management and delivery of client IRS, audit , Appeals , collection and penalty abatement projects, including review and ... and IRS filings. + Contact and work with IRS audit , collection and Appeals staff regarding client...Teller Service Associate (Penn) Dupaco Community Credit Union Tax Senior Associate Eide Bailly Healthcare Reimbursement Associate… more
- Stanford Health Care (Palo Alto, CA)
- …of all legitimate reimbursement opportunities. + Oversee Medicare and Medi-Cal audit processes, addressing inquiries and pursuing appeals or litigation when ... Health Care job.** **A Brief Overview** The Director of Reimbursement is a key leadership role within the Controller's...shaping the financial integrity of the organization. As a senior member of the team, this individual actively contributes… more
- Bristol Myers Squibb (Tampa, FL)
- …ad-hoc inquiries, as well as ensuring the timely completion of audit requests and providing necessary information for compliance, audits, contract management, ... designed; supports the implementation and adherence to SOX controls and compliance, audit activities as needed, ensures compliance for all plan documents and… more
- State of Minnesota (St. Paul, MN)
- …Cost Allocation Plan (CAP) amendments, new federal revenue claims, report filings, and audit appeals involving Title IV-E funds. + Northstar Care for Children ... **Working Title: Grant Accountant / Accounting Officer Senior ** **Job Class: Accounting Officer Senior **...by policy divisions for possible IV-E administrative or training reimbursement for statewide human service activity. + Assist with… more
- Akumin (Atlanta, GA)
- We are seeking an experienced, strategic, and results-driven Senior Director of Billing and Collections to lead our end-to-end billing operations. This senior ... aging AR and improving DSO. + Implement proactive denial management and appeals processes. + Oversee timely and accurate cash application and reconciliation… more
- Walmart (Bentonville, AR)
- …Support the development of and drive strategies to address crafting and executing audit plans, negotiation strategies, managing appeals , and at times supporting ... to collaborate, will aid and support the development of audit strategies; execution plans, and then aid in the...company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement , and more. You will also receive PTO and/or… more
- Ascension Health (Austin, TX)
- …disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community _Benefit options and ... Responsible for reviewing, investigating and resolving health-care claim payment appeals and communicating resolution/determination in accordance with the standards… more
- Valvoline (Cleveland, OH)
- …on strategy to optimize for an efficient tax structure. iii. Communicate effectively with senior management and the Audit Committee of the Board of Directors on ... maintain compliance and optimize the organization's tax profile. + Communicate effectively with senior management and the Audit Committee of the Board of… more
- CHS (Clearwater, FL)
- …One core service, claims administration, is where submissions for payment/ reimbursement /sharing from medical providers and covered individuals are reviewed, subject ... as transparency in reporting results, trends and issues to Senior Management and clients. * Management of relationships with...Examiner queues waiting to be adjudicated, and in either audit or needing approval status. * Developing and implementing… more
- Baylor Scott & White Health (Phoenix, AZ)
- …hospital and professional clinical and coding denials, as well as Recovery Audit Contractors (RAC) denials. This role will be responsible for developing and ... to improve appeal success rates, ensure regulatory compliance and optimize reimbursement outcomes. Will lead external resources through vendor or contractor… more
- Blue KC (Kansas City, MO)
- …time off** **Professional development courses, mentorship opportunities, and tuition reimbursement program** **Paid parental leave and adoption leave with adoption ... to peers and clinical standards, etc. In conjunction with the Manager and/or Senior Investigator, evaluate FWA risks and prioritize for further review, based upon… more
- Toyota (Plano, TX)
- …in a large to medium-sized corporate tax department. + Public accounting audit /tax experience and public accounting tax senior manager level experience, ... and Finance Division is looking for a highly motivated and qualified Senior Manager - International Tax Planning. The primary responsibility of this "Director… more