- Elevance Health (Columbus, OH)
- …a check, or ask you for payment as part of consideration for employment. ** Audit & Reimbursement Sr - Medicare Cost Report Audit ** + Job Family: AFA > ... MOINES + VA, ROANOKE **Description** ** Audit & Reimbursement Senior - Medicare Cost Report...benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all… more
- Elevance Health (Columbus, OH)
- …check, or ask you for payment as part of consideration for employment. ** Audit & Reimbursement Senior - Medicare Cost Report Audit ** + Job Family: ... MOINES + VA, ROANOKE **Description** ** Audit & Reimbursement Senior -** ** Medicare Cost...benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all… more
- Elevance Health (Columbus, OH)
- …and Medicaid Services to transform federal health programs._ The Audit and Reimbursement Senior will support our Medicare Administrative Contract (MAC) ... you for payment as part of consideration for employment. ** Audit & Reimbursement Sr ** +...Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare… more
- CommonSpirit Health (Phoenix, AZ)
- …happen both inside our hospitals and out in the community. **Responsibilities** The ** Senior Reimbursement Analyst i** s responsible for providing cost report ... , Medicaid and other State and Federal regulations. The Sr . Reimbursement Analyst interacts with customers and...the improvement of internal business processes and meeting future reimbursement service needs. The Senior Reimbursement… more
- UC Health (Cincinnati, OH)
- …well as system and facility finance leaders, including Chief Financial Officers. The Sr Reimbursement Specialist will report directly to the Director, System ... for bad debt reporting, disproportionate share reporting and cost report documentation. The Sr Reimbursement Specialist will serve as one of the subject matter… more
- AdventHealth (Altamonte Springs, FL)
- …**Job Location** : Hybrid; Altamonte Springs, FL **The role you'll contribute:** The Senior Reimbursement Analyst is responsible for preparing and filing the ... third party balances of AdventHealth + Review the reasonableness of hospital interim reimbursement rates and special payments received from Medicare and Medicaid… more
- Idaho Division of Human Resources (Boise, ID)
- Financial Specialist Sr . - Medicaid Reimbursement Analyst Posting Begin Date: 2024/04/23 Posting End Date: 2024/05/23 Category: Business Sub Category: Accounting ... of Health and Welfare, Division of Medicaid, is currently seeking aMedicaid Reimbursement Analyst(Financial Specialist Senior ) with experience in Medicaid or… more
- Kaleida Health (Buffalo, NY)
- …internal equity, and any applicable collective bargaining agreement.* **Grade:** 10 **Position:** Sr Reimbursement Analyst **Union Code:** 00 - Non Union ... tools and other required submissions under the review and direction of Director, Reimbursement . Also responsible for completion of Medicare , NYS and other audits… more
- Johns Hopkins University (Baltimore, MD)
- …and Professional Fee Services Compliance Program. Prepares reports for the Sr . Director, Director, and clinical departments regarding the status or results ... office coders. + Verifies and corrects as necessary, the audit work completed by the Compliance Auditors or other... work completed by the Compliance Auditors or other Sr . Auditors/Trainers. + Analyzes documentation or coding patterns by… more
- Fairview Health Services (Minneapolis, MN)
- …of the Medicare Cost Report (MCR). **Responsibilities Job Description** The Sr Financial Analyst maintains current knowledge of the Medicare Cost Report ... **Overview** We at Fairview Health Services are seeking a driven Senior Financial Analyst to work in the Solid Organ Transplant specialty and be based on the… more
- PruittHealth (Norcross, GA)
- **JOB PURPOSE:** Supports the delivery of all Medicare billing services by final/higher level auditing, correcting, and submitting claims. Ensures that billing ... services are timely, accurate, and allow for appropriate reimbursement . Conducts all claims-related follow up on payment delays,...standards, are familiar with the rules and regulations of Medicare billing and are skilled at problem solving and… more
- Omnicell, Inc. (Grapevine, TX)
- …Pharmacy Networks; oversight of the Pharmacy Licensing team; and pharmacy PBM audit support teams. This position works collaboratively with the Sales, Operations, ... networks as possible to ensure prescription retention. + Negotiates to keep reimbursement rates reasonable. + Works closely with the Corporate Controller regarding… more
- Medical Mutual of Ohio (OH)
- …any oversight process questions. . Performs other duties as assigned. ** Senior Medicare Pharmacy Coordinator** Working under limited supervision, administers ... mail pharmacy. . Intermediate Microsoft Office skills (Excel, Word, Power Point). ** Senior Medicare Pharmacy Coordinator** . Associate Degree in Business… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …staff, Benefits Administration staff, Provider Audit , Network Administration and/or Medicare Advantage staff, and entry level Reimbursement Analyst by ... Medicare Advantage must have working knowledge of Medicare enrollment guidelines and reimbursement . **Licenses and...well as coordinating projects and time frames with less senior reimbursement staff. + Accountable for complying… more
- AdventHealth (Altamonte Springs, FL)
- …Hybrid **Job Location** : Altamonte Springs, FL **The role you'll contribute:** The Senior Reimbursement Analyst is responsible for preparing and filing the ... third party balances of AdventHealth . Review the reasonableness of hospital interim reimbursement rates and special payments received from Medicare and Medicaid… more
- University of Michigan (Ann Arbor, MI)
- Reimbursement Analyst Senior Apply Now **How to Apply** A cover letter is required for consideration for this position, and it should be attached as the first ... analyst to provide support for cost report preparation, cost report appeals, audit preparation, revenue recognition , ad-hoc reporting, and other duties related… more
- Sharp HealthCare (San Diego, CA)
- …and employer business practices. **What You Will Do** Conducts oversight and audit of pharmacy department and PBM activities to ensure compliance with department ... Validates accuracy, completeness and timeliness for all commercial and Medicare pharmacy processes. Processes prior authorization review including intake, review,… more
- Sanford Health (Fargo, ND)
- …$27.50 - $44.00 **Department Details** Hybrid, remote work **Job Summary** The Senior Reimbursement Analyst provides critical analytical and reimbursement ... and procedures for reimbursement functions including estimating, modeling and reimbursement functions, which includes Medicare , Medicaid or other third party… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- … Reimbursement Strategy, the Payment Policy and Network Coding Sr . Manager is responsible for leading the research development, proposal, implementation, ... payment policy work. + Support with physician fee schedules + Develop /manage audit criteria for payment policy reimbursement opportunities when hard coding is… more
- CommonSpirit Health (Phoenix, AZ)
- …can happen both inside our hospitals and out in the community. **Responsibilities** The Senior Coder ( Sr . Coder) acts as a lead coder for their designated ... train staff on department policies, procedures, systems and correct coding requirements. The Sr . Coder additionally will audit Coders, fill in for out-of-office… more