- Lundbeck (Edmond, OK)
- …dynamics, anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid , Commercial) using Lundbeck resources. Pharmaceutical ... apply comprehensive therapeutic knowledge to uncover and prioritize unique opportunities. Reimbursement - Consistently demonstrate the ability to stay informed on … more
- Lundbeck (Raleigh, NC)
- …dynamics, anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid , Commercial) using Lundbeck resources. Pharmaceutical ... apply comprehensive therapeutic knowledge to uncover and prioritize unique opportunities. Reimbursement - Consistently demonstrate the ability to stay informed on … more
- Novo Nordisk Inc. (WA)
- …Intellectual Property, Supply Chain, Private Health Insurance, Medicare , Medicaid , Reference Pricing, Pricing / Price Increases, Reimbursement , Privacy, ... 401(k) savings plan; flexible spending accounts; employee assistance program; tuition reimbursement program; and voluntary benefits such as group legal, critical… more
- Texas Health Resources (Arlington, TX)
- … and represents System hospitals in negotiations with the fiscal intermediary. Sets annual Medicare and Medicaid reimbursement rates for budget and extended ... Texas. Responsible for providing financial consulting and representation on various Medicare / Medicaid regulations. Leads resolution of reimbursement issues… more
- 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 ... 401(k) savings plan; flexible spending accounts; employee assistance program; tuition reimbursement program; and voluntary benefits such as group legal, critical… more
- Centers Health Care (Bronx, NY)
- …assessments & paperwork requirements Maintain knowledge of regulations governing Medicare / Medicaid /Managed Care reimbursement processes REQUIREMENTS: Strong ... assessment and organizational skills Ability to Multi-task and work under time constraints Proactive approach to intake management demonstrating leadership skills at all times Solid computer skills; working knowledge of MS Office more
- Envision Healthcare (Austin, TX)
- …unique patients in 2022 alone. As an FQHC, CommUnityCare benefits from enhanced Medicare and Medicaid reimbursement , allowing the organization to provide ... high-quality care to all patients-regardless of their ability to pay. In addition, participation in the 340B Program enables CommUnityCare to offer prescription medications at reduced prices, ensuring that essential treatments remain accessible and affordable… more
- Gemma Law Associates (Providence, RI)
- …law, medical billing, or insurance subrogation is strongly preferred *Familiarity with Medicare , Medicaid , and health insurance reimbursement processes ... responsibilities will include identifying, monitoring, and resolving claims related to Medicare , Medicaid , health insurance, MedPay, and PIP. You'll maintain… more
- CAPPS (San Antonio, TX)
- …or full-time investigations; law enforcement; auditing; accounting; compliance monitoring in Medicaid , Medicare , health care insurance, or closely related ... Job Description GENERAL DESCRIPTION The Medicaid Fraud Control Unit of the Office of...to arrange for personal transportation for business-related travel, with reimbursement Ability to work more than 40 hours as… more
- Touchstone Communities (San Antonio, TX)
- …You'll Do: Lead the MDS process to ensure accurate and timely assessments for Medicare , Medicaid , and case management reimbursement . Work closely with ... license (or valid Compact State RN license). Strong understanding of the Medicare , Medicaid , and case management reimbursement system . Experience in Skilled… more
- Tennessee Hospital Association (Brentwood, TN)
- …on hospital reimbursement and methodologies, including, but not limited to, Medicare and Medicaid . 4. Prepares draft letters and position statements for ... waiver proposals, and others. 5. Develops and maintains a working knowledge of Medicare reimbursement systems in order to make strategic recommendations for… more
- Syneos Health Careers (Philadelphia, PA)
- …gap. In this role, you will operate as the subject-matter expert on reimbursement , access, and coverage issues affecting the clients' product. Educate HCPs and their ... staff on matters related to reimbursement , access and coverage to facilitate appropriate patient access....of specialty pharmacy dynamics, buy and bill process and Medicare Parts A, B, C and D, as well… more
- Syneos Health Careers (Pittsburgh, PA)
- …to HCP on how the products are covered under the benefit design (Commercial, Medicare Part D, Medicaid ) Support patient access to the product by providing ... Description The Field Reimbursement Manager (FRM) will operate as the subject-matter...Manager (FRM) will operate as the subject-matter expert on reimbursement , access, and coverage issues affecting the client's products.… more
- Sanctuary Hospice (Cleveland, OH)
- …with all hospice-specific regulations, laws, and policies, including those related to Medicare / Medicaid matters. Under the guidance of senior management, you ... with 15 days of PTO & 10 Holidays Tuition Reimbursement & Certification Assistance to support your professional growth...years of hospice experience required with intimate knowledge of Medicare / Medicaid and Department of Aging and Disability… more
- Vail Health Hospital (Vail, CO)
- …Payer Questionnaire for Medicare beneficiaries in accordance with Centers for Medicare & Medicaid Services (CMS) standards Role Models the Principals of ... 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
- Novir (Milwaukee, WI)
- …Experience with insurance systems and payer platforms (eg, Medicare , Medicaid , commercial insurers). Knowledge of vaccination reimbursement policies and ... of experience working with medical billing software Experience working with HIPAA, Medicare and Medicaid regulations High school diploma or equivalent; associate… more
- WMC Health (Valhalla, NY)
- …accuracy of data on all documents and bills to third party billing companies, Medicare and Medicaid , as well as insurance denial review as appropriate. Ability ... procedures for Facility Billing, Insurance Verifications, Third Party Insurance coverage, Medicaid and Medicare eligibility, Insurance denial review and overturn… more
- The Christ Hospital (Cincinnati, OH)
- …documents comments to reflect actions taken regarding accounts to maximize reimbursement . Maintain knowledge of current HMO/PPO/ Medicaid / Medicare /commercial ... 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 (Edwards, CO)
- …care, or integrated medical and behavioral health settings, required. Eligible for Medicare , Medicaid , and third-party reimbursement , required. License(s): ... wages Parental leave (4 weeks paid) Housing programs Childcare reimbursement Comprehensive Health Benefits: Medical Dental Vision Educational Programs: Tuition… more
- Chimes (Exton, PA)
- …Valid Driver's License and Verification that the employee is not on any Medicaid / Medicare Exclusion list. Note: At the discretion of the Personnel Officer, ... documentation before submission Submit only valid and reasonable program expense reimbursement requests promptly Interface with the Accounting Department, as needed,… more
