- 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
- UHS (Las Vegas, NV)
- …with at least 1 year managerial/supervisory experience. 1-2 years of hospital revenue cycle experience. 1-2 years Medicare billing/collection experience ... year facility credentialing and regulatory experience. Other: Demonstrated knowledge of Medicare insurance billing relating to patient reimbursement . General… more
- Mount Sinai Hospital (New York, NY)
- …pre-clearance, ensuring a high degree of patient satisfaction and maximum reimbursement to the institution. Responsibilities include but are not limited to: ... appointments, discussing MSMCs self-pay policy for new patients, completing of Medicare as Secondary Payer questionnaire if appropriate, and having patient read… 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
- Tampa General Hospital (TGH) (Tampa, FL)
- … reimbursement models. Extensive and complete knowledge of all types of hospital reimbursement systems Knowledge of reimbursement issues and ability ... Senior Vice President of Payor and Government Affairs, the Vice President of Reimbursement provides financial viability to the hospital , and all related party… more
- UHS (Las Vegas, NV)
- …Responsible for the maintenance and processing of patient accounts and hospital insurance collections. Ensuring timely and accurate payment from Insurance carriers. ... 2 years healthcare/collection experience and or equivalent experience in a hospital setting. Other: Demonstrated knowledge of insurance billing relating to patient… more
- White Plains Hospital (Harrison, NY)
- … Medicare and Medicaid regulations, insurance and managed care reimbursement concepts and overall operational impact. Basic medical terminology. Core Competencies ... staff with immediate supervisor. 10. Adheres to White Plains Hospital infection control standards including, but not limited to,...employee may be exposed to are listed in the hospital 's SDS (Safety Data Sheet) data base and may… more
- ADMA BIOMANUFACTURING LLC (Boca Raton, FL)
- …We currently have an exciting opportunity available for an Market Access Field Reimbursement Manager! The Market Access Field Reimbursement Manager (FRM) (South ... policy, and criteria. This role serves as the key contact for field-based reimbursement and access support-related matters and is responsible for being the local… more
- Parkland Health and Hospital System (Dallas, TX)
- …of an accredited school of Nursing. Experience: Must have 2+ years of hospital or community based patient care nursing, preferably in assigned clinical area. ... to demonstrate a working knowledge of the laws and regulations governing Medicare , Medicaid and community-based funding sources. Must be self-directed and capable of… more
- Specialists Hospital (Shreveport, LA)
- …Insurance Collector's responsibility is to work accounts receivable to maximize reimbursement . Essential Job Functions Works accounts receivable in assigned area to ... maximize reimbursement . Utilizes knowledge of PPO, HMO, and Government guidelines....have 3 years of medical billing and collections experience. Medicare billing experience a plus. Worker's Compensation experience required… more
- Seattle Children's Hospital (Seattle, WA)
- …supervision, provides assistance to mental health therapists, case managers, and other hospital personnel in provision of direct services to patients. Plays a key ... role in assessing patient's post hospital care / continuity of care needs and connecting...group settings. Working knowledge of entitlement programs, including Medicaid, Medicare Social Security Disability, WA State DSHS benefits/programs, etc.… more
- Forrest General Hospital (Hattiesburg, MS)
- …for improvement for the case management department. Acts as a liaison between the hospital and the payer source, ie, Medicare , Medicaid, and private insurance ... that the requirements are met for the Centers for Medicare and Medicaid Services, such as recovery audit contractors,...vs. observation). Supports the utilization review functions of the hospital by working closely with the UM physician advisors,… more
- Northwest Specialty Hospital (Post Falls, ID)
- Northwest Specialty Hospital is seeking a compassionate, patient-oriented Certified Medical Assistant or LPN Specialist to join our team! **$1000 SIGN-ON BONUS ... or LPN Specialist will primarily be in charge of Medicare Wellness visits. This position will conduct Medicare...of CMA or LPN expierence required. About Northwest Specialty Hospital : Northwest Specialty Hospital is widely known… more
- Clarke County Hospital (Osceola, IA)
- …and nursing services experience, this position will lead and educate hospital staff to assure optimum nursing performance. Operations Management Responsible for ... not limited to DNV, Department of Inspections and Appeals Critical Access Hospital Regulations, professional nursing standards of care/practice and Iowa Board of… more
- StaffDNA / Oak Valley Hospital (Oakdale, CA)
- … reimbursement requirements. Identify and communicate issues related to Medicare /Medicaid reimbursement , documenting and ensuring compliance with payment ... Details Client Name StaffDNA / Oak Valley Hospital Job Type Travel Offering Nursing Profession RN Specialty MDS Coordinator Job ID 32367468 Job Title RN - MDS… 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
- West Suburban Medical Center, LLC (Oak Park, IL)
- …clinical and managerial experience in a Subacute care facility with emphasis on Medicare utilization and reimbursement issues. Preference for a person with ... the Oak Park and surrounding areas. Our kind, caring hospital staff have a passion to heal and make...Maintains a current and comprehensive knowledge of MDS and Medicare /Medicaid reimbursement , serving as a resource for… more
- Enterprise Solutions, Inc. (Riverside, CA)
- …Strong knowledge of InterQual and Milliman criteria. Comprehensive understanding of reimbursement structures and payer guidelines ( Medicare , Medi-Cal, Managed ... our leadership team. The ideal candidate will bring a strong background in acute hospital case management and a hands-on leadership style to oversee a dynamic Case… 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
- Memorial Health (Marysville, OH)
- …charge information is in place to expedite clams processing and accurate account reimbursement . Understands Medicare Common Working File (CWF) and how to ... completing coordination of benefit tables accurately reflecting prior payer reimbursement . Ensures compliance and billing requirements for Worker's Compensation (WC)… more
