- Ensemble Health Partners, Inc. (Richmond, VA)
- …CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between ... at Bon Secours - St Mary's Hospital- Richmond The Senior Patient Access Specialist is responsible for performing admitting...that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access… more
- CBIZ, Inc. (Tallahassee, FL)
- …Stauffer LC is a certified public accounting and health and human services reimbursement consulting firm, specializing in audit , accounting, data management and ... of audit fieldwork Perform various assignments relating to Medicaid reimbursement Coordinate staffing on projects to meet strict deadlines Provide high level… more
- SCAN (Long Beach, CA)
- …member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in California, Arizona, Nevada, ... healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented,...the Accounts Payable team to complete internal and external audit deliverables, ad hoc reports and special projects as… more
- Opportunity Home San Antonio (San Antonio, TX)
- …Housing Communities, under the direction of the Director, is a senior management position responsible for performing advanced management and leadership work ... from on-site personnel upon recommendation from the Community Manager. Conducts an audit of annual reviews as needed. -Assures continuing education of staff through… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Center. These include but are not limited to utilization review, hospital reimbursement , clinical compliance, case management, and transitions of care, as outlined ... status based on length of stay, level of care requirements and Medicare regulations, and Major Complications or Comorbidities (MCC) / Complications or Comorbidities… more
- Robert Half Finance & Accounting (Eatontown, NJ)
- …and federal issued reimbursement rates + Investigates and responds to audit reviews/questions/adjustments + Monitor Medicare and Medicaid appeal and cost ... a hybrid schedule, has an opportunity for a Director Medicare /Medicaid Reimbursement . + The Director will have...Analyst(s) in completion of certain projects when assigned by senior management. + Prepares Medicare and Medicaid… more
- Centene Corporation (Raleigh, NC)
- …management of department overseeing compliance with regulations and laws related to Medicare line of business, which includes implementation of elements of an ... process for overseeing compliance with regulations and laws related to Medicare requirements + Provides guidance to various business departments regarding compliance… more
- UCLA Health (Los Angeles, CA)
- …and decision support teams to ensure financial accuracy and policy compliance. The Senior Reimbursement Manager also leads audit response efforts, supports ... Description Description UCLA Health is seeking a Senior Reimbursement Manager to oversee complex...this role, you will: + Prepare and file annual Medicare and Medi-Cal cost reports and lead audit… more
- Prime Healthcare (Ontario, CA)
- …preparation of various government reports and support their audits. The Corporate Senior Government Reimbursement Specialist is responsible for preparing and ... understanding the complexity of a cost report. The Corporate Senior Government Reimbursement Specialist fully understands how...a multi-state hospital system and provide the support at audit + Knowledge of Medicare rules on… more
- Sharp HealthCare (San Diego, CA)
- …validating accuracy, completeness and timeliness for all commercial and Medicare pharmacy processes, processing prior authorization review including intake, review, ... data, writing and editing a variety of communication materials, and interacting with senior level positions both internally and externally. + Experience in a managed… more
- Rochester Regional Health (Rochester, NY)
- … Specialist - Finance Location: Riedman Campus SUMMARY: Provide and maintain Hospital reimbursement expertise as it relates to Medicare , Blue Cross and Medicaid. ... a monthly basis. RESPONSIBILITIES: + Provide and maintain Hospital reimbursement expertise as it relates to Medicare ,...findings. Makes recommendations as to whether the third party audit findings are in compliance with reimbursement … more
- Sutter Health (Sacramento, CA)
- …+ Understanding of hospital-based outpatient charging and coding + Knowledge of Medicare APC and OPPS reimbursement structures + In-depth knowledge of ... at communicating effectively with all levels of the organization, especially senior leadership and department heads. + Demonstrates skilled ability and comfort… more
- RWJBarnabas Health (Oceanport, NJ)
- …will serve as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment strategies ... reports + Monitor and validate State and federal issued reimbursement rates + Investigates and responds to audit...in reimbursement regulations and policies to optimize reimbursement opportunities + Monitor Medicare and Medicaid… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Position Summary:** The Senior Reimbursement Analyst is responsible for providing cost report preparation cost report appeals audit ... also assists in the improvement of internal business processes and meeting future reimbursement service needs. The Senior Reimbursement Analyst carries out… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** The ** Senior Reimbursement Analyst i** s responsible for providing cost report preparation, cost report appeals, audit preparation and ... also assists in the improvement of internal business processes and meeting future reimbursement service needs. The Senior Reimbursement Analyst carries out… more
- Beth Israel Lahey Health (Woburn, MA)
- …at the Beth Israel Deaconess Medical Center (BIDMC), the Revenue Integrity Senior Analyst contributes to Revenue Integrity and Coding oversight at the enterprise, ... compliance with applicable coding and billing guidelines, and optimization of reimbursement . * Support departments with analyzing services for coverage and … more
- Trinity Health (Des Moines, IA)
- …identifies and manages all financial and compliance risk associated with the reimbursement function, keeping senior leadership apprised of identified risk and ... the reimbursement function (for acute and professional services), notifying senior leadership of identified risks and tracking and monitoring progress of risk… more
- Toyota (Plano, TX)
- …Toyota Legal One (TL1), is looking for a passionate and highly motivated ** Senior Manager, Legal Operations.** This role is responsible for the strategic planning ... reside within commutable distance of this location. **What you'll be doing** The Senior Manager of Legal Operations will be responsible for leading TL1's Legal… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** The Senior Coder (Sr. Coder) acts as a lead coder for their designated team. This position will train staff on department policies, procedures, ... and correct coding requirements. The Sr. Coder additionally will audit Coders, fill in for out-of- office Coders, and...NCCI (National Correct Coding Initiative) edits, CMS (Center for Medicare and Medicaid Services,) and the Standards of Coding… more
- CommonSpirit Health (Phoenix, AZ)
- …comprehensive cross training can be provided to ensure proficiency across all areas. The Senior Coder acts as a lead coder for their designated team. This position ... procedures, systems and correct coding requirements. The Sr. Coder additionally will audit Coders, fill in for out-of-office Coders, and make recommendations to… more
