- Ensemble Health Partners, Inc. (Fairborn, OH)
- …CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between ... on-site at Mercy - Dayton Springfield Emergency Center in Fairborn, OH The Senior Patient Access Specialist is responsible for performing admitting duties for all… more
- Tampa General Hospital (TGH) (Tampa, FL)
- …not include that in an academic medical center/system. Prior experience with Medicare and FL Medicaid value-based reimbursement models. Extensive and complete ... Under the general supervision of the Senior Vice President of Payor and Government Affairs,...types of hospital reimbursement systems Knowledge of reimbursement issues and ability to defend external audit… more
- County of Los Angeles, CA (Los Angeles, CA)
- …procedures concerning program administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum ... and review methods as necessary. Oversees audits and the implementation of audit recommendations for programs managed. Represents managed programs in meetings with… 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
- Centene Corporation (Austin, TX)
- …and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements of an effective ... and actual CMS and other regulatory audits and coordinates with Internal Audit , Regulatory Compliance and/or Market based Regulatory Affairs on responses to agency… more
- MetroLink (Los Angeles, CA)
- …purchase orders. + Prepare required reports, correspondence, and other items for review by senior staff. + Attend various meetings as needed. + Serve as a liaison ... amendments. + Conduct closeout actions upon contract completion such as final audit , payment, release of committed funds etc., under Management supervision and… more
