- Novo Nordisk Inc. (San Mateo, CA)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... promotion strategies May develop and utilize relationships with specialists, key hospital decision-makers, and other individuals who make or influence the… more
- Tennessee Hospital Association (Brentwood, TN)
- …issues. 3. Analyzes the impact of potential changes to regulatory requirements on hospital reimbursement and methodologies, including, but not limited to, ... waiver proposals, and others. 5. Develops and maintains a working knowledge of Medicare reimbursement systems in order to make strategic recommendations for… more
- The Christ Hospital (Cincinnati, OH)
- …comments to reflect actions taken regarding accounts to maximize reimbursement . Maintain knowledge of current HMO/PPO/Medicaid/ Medicare /commercial insurance ... Quality patient care through proper patient identification and (2) maximal reimbursement for all billable clinical services rendered. (3) Scanning the appropriate… more
- Vail Health Hospital (Vail, CO)
- …healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital . This state-of-the-art facility provides exceptional care to all of our ... plan of care, and other related tasks or requirements by payors, including Medicare , using a variety of computer-based systems. If in a procedure-based department,… more
- Mount Sinai Hospital (New York, NY)
- …- our goal is to keep entire communities healthy and out of the hospital . Mount Sinai Health Partners (MSHP) is the team driving this transformation within Mount ... implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as… more
- Accel Rehabilitation Hospital of Plano (Plano, TX)
- Patient Assessment Coordinator RN, OT, PT or SLP Acute Rehabilitation Hospital of Plano Plano, TX Acute Rehabilitation Hospital of Plano in Plano, TX has ... Instrument (IRF-PAI) within appropriate time frames in accordance with Centers for Medicare and Medicaid Services. Specifically, the PAC oversees all aspects of data… more
- Baptist Neighborhood Hospital (San Antonio, TX)
- …securing, and collecting out-of-pocket responsibility from guarantors to maximize hospital reimbursement . Essential Job Functions Maintain compliance with ... Shift (7am-7pm) JOB TYPE: PRN LOCATION: Zarzamora FACILITY TYPE: 29 bed Small-Format Hospital (14 ER, 8 Inpatient) We are Emerus, the leader in small-format… more
- Seattle Children's Hospital (Seattle, WA)
- …nitric oxide, etc. The NICU charge nurse responds to all Code Blue events in the hospital . As an integral member of the Health Care Team, the RN functions within the ... As per the College of American Pathologists (CAP) and the Centers for Medicare and Medicaid Services (CMS), for nurses performing moderately complex point of care… more
- Iredell Memorial Hospital Incorporated (Statesville, NC)
- …closely with Insurance, Pre-certification, Registration, Nursing, Medical Records, and other hospital personnel to ensure that full reimbursement has been ... Job Type Part-time Description Responsibilities entail the collecting of the hospital 's Commercial, Blue Cross, Workers' Compensation, and all other non Medicare … more
- Optum (San Antonio, TX)
- …Provides support to internal staff, subcontractors and providers with respect to Medicare drug related issues Participates in and contributes to the overall pharmacy ... coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program… more
- Texas Health Resources (Arlington, TX)
- …including but not limited to the review and preparation on of Medicare /Medicaid cost reports, regulation appeals, Disproportionate Share Hospital (DSH), and ... Texas. Responsible for providing financial consulting and representation on various Medicare /Medicaid regulations. Leads resolution of reimbursement issues for … more
- Optum (San Antonio, TX)
- …Provides support to internal staff, subcontractors and providers with respect to Medicare drug related issues Participates in and contributes to the overall pharmacy ... coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program… more
- Rotech Healthcare Inc. (Memphis, TN)
- …this position, you are responsible for working in conjunction with an assigned hospital 's Case Management / Continuing Care staff and personnel to plan, coordinate ... by the company; and all applicable governmental regulations Develops basic reimbursement knowledge, completely documents all information required to ensure … more
- Astrana Health, Inc. (El Monte, CA)
- …calls Pharmacy - Drug/medication pick up and coverage Provide authorization status for Hospital /CM Dept Self-Referral Request for Medicare Return Mail Track ... at all times Specialist termination notifications sent to members Urgent Medicare Authorization Approval - Notification to Medicare members Transportation… more
- Ensemble Health Partners, Inc. (Green Bay, WI)
- …LEVEL CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between ... able to work on-site at HSHS - St. Mary's Hospital in Green Bay, WI We are searching for...distributes patient education documents, such as Important Message from Medicare , Important Message from Tricare, Observation Forms, MOON form,… more
- NorthShore (Arlington Heights, IL)
- …Analyzes and electronically records data and processes transactions into the hospital computer system. Follows HIPAA, payer and other applicable regulations and ... Explains, secures and witnesses all required signatures. Completes the Medicare Secondary Payer (MSP) questionnaire when applicable. Scans insurance cards,… more
- Stamford Health (Stamford, CT)
- …US News & World Report has recognized Stamford Hospital as a High-Performing Hospital . The Centers for Medicare and Medicaid Services (CMS) rated Stamford ... Time Off accruals Tax deferred annuity and (403b) pension plan Tuition reimbursement Free on-site parking and train station shuttle Childcare partnership with… more
- Donalsonville Hospital (Donalsonville, GA)
- …in Donalsonville, Georgia is seeking a Billing Manager to lead their reimbursement and revenue cycle operations. Position Purpose: Responsible for timely and ... claim submission to responsible third party payers. Assures compliance with Medicare , Medi-Cal, Commercial Insurances, Federal and State Laws impacting health care.… more
- Harmon Hospital (Las Vegas, NV)
- …Maintain a working knowledge of both Federal and State regulations and reimbursement . Qualifications & Requirements Must have a high school Diploma or equivalent ... healthcare environment - long term care experience required Must possess knowledge of Medicare and 3rd party billing as well as knowledge of medical terminology (as… more
- NorthShore (Arlington Heights, IL)
- …multiple access services areas or sites to provide information to maximize reimbursement and ensures timely and thorough information to all other providers and ... meet internal, regulatory or payer requirements. When applicable, completes the Medicare Secondary Payer (MSP) questionnaire and discusses potential deferral of… more
