- Novo Nordisk Inc. (San Mateo, CA)
- …of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage Requirements, Step Therapy, ... 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)
- …Assists management in understanding Medicaid regulatory issues, including reimbursement , Disproportionate Share Hospital (DSH) audits and payments, Tennessee ... the impact of potential changes to regulatory requirements on hospital reimbursement and methodologies, including, but not...to determine and prioritize the impact of many complex reimbursement issues and provide analyses and evaluations… more
- UCare (Minneapolis, MN)
- …The team's goal is to develop, negotiate, implement, oversee and maintain professional, hospital , ancillary and/or care system provider contracts. Your team is ... ABOUT UCARE UCare offers Medicare, Medicaid , Individual and Family health plans - powered...health plan or health care organization with responsibility for provider related functions (network analysis, contracting, reimbursement ,… more
- Mount Sinai Hospital (New York, NY)
- …quality of care and research. We have over 38,000 employees working together to provide billions of dollars in high-quality care each year for millions of patients. ... to keep entire communities healthy and out of the hospital . Mount Sinai Health Partners (MSHP) is the team...to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's… 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 ... TYPE: PRN LOCATION: Zarzamora FACILITY TYPE: 29 bed Small-Format Hospital (14 ER, 8 Inpatient) We are Emerus, the...and like-minded health systems who share our mission: To provide the care patients need, in the neighborhoods they… more
- Seattle Children's Hospital (Seattle, WA)
- …No problem! If you have experience working with adult populations, we will provide training on working with pediatric patients and their families while leveraging ... nurse responds to all Code Blue events in the hospital . As an integral member of the Health Care...of the health care team. May be required to provide supervision and delegation of tasks to Nurse Technicians,… 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
- WMC Health (Valhalla, NY)
- …bad debt, improve cash flow and manage the overall health of the provider 's receivables. This individual will manage the day-to-day activities as they relate to ... data on all documents and bills to third party billing companies, Medicare and Medicaid , as well as insurance denial review as appropriate. Ability to multi-task in… more
- Oswego Health (Oswego, NY)
- …Claims. Initiate service authorizations for services requested from practitioners. Provide information to maximize reimbursement and ensure dissemination ... support activities and designated department and organization competencies. Follow the hospital Charity Care policy and provide information regarding our… more
- NorthShore (Arlington Heights, IL)
- …and/or admission functions across multiple access services areas or sites to provide information to maximize reimbursement and ensures timely and thorough ... of Benefits and other appropriate documents. Obtain and submit National Provider Identification (NPI) for providers not on staff ordering outpatient diagnostic… more
- Vail Health Hospital (Edwards, CO)
- …medical and behavioral health settings, required. Eligible for Medicare, Medicaid , and third-party reimbursement , required. License(s): Current, unrestricted ... 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… more
- Kaiser Permanente (Clackamas, OR)
- …are admitted to the correct level of care for accurate billing and reimbursement , provide quality, cost effective clinical coordination/care management in acute ... and Kaiser Permanente internal resources. Knowledge of Medicare and Medicaid regulations related to eligibility requirements: hospital , nursing facilities,… more
- UC Health (Denver, CO)
- …course of practice. Eligible to provide services reimbursable services and maintain provider status with Medicare and Medicaid . Eligible to provide ... to provide services reimbursable services and maintain provider status with Medicare and Medicaid . Eligible...pre-paid by UCHealth or in the form of tuition reimbursement each calendar year. About UCHealth UCHealth is an… more
- Mental Health Resource Center, Inc. (Jacksonville, FL)
- …however, members of the FACT team also need to use their personal vehicles to provide services and are eligible for reimbursement for mileage. The FACT team ... mental illness in their home environment, a closed office, hospital , nursing home, and/or locked unit. The FACT Case...such as Social Security Income, Social Security Disability Income, Medicaid , food stamps, and housing. In addition, UF Health… more
- Community First Medical Center (Chicago, IL)
- …Short-term Disability | Company Paid Life Insurance | 401(k) | Voluntary Benefits: Hospital Indemnity & Critical Illness | Tuition Reimbursement & Continuing ... This role will provide billing investigation, follow up related to patient/customer...adjudication on all claims submitted to third party carriers, Medicaid , Medicare. Respond to all inquiries according to PFS… more
- Henry Ford Health System (Detroit, MI)
- …interdisciplinary teams. Knowledge of CMS, commercial payer requirements and hospital financial/ reimbursement processes desired. Excellent written/verbal ... their families to enhance comprehensive, integrated, and uninterrupted care in the hospital and to facilitate continuity of care in the community. Demonstrates… more
- Legal Aid Chicago (Chicago, IL)
- …violence and intimate partner violence. This role offers a unique opportunity to provide empathetic legal support in a hospital setting, where unmet legal ... (1) day per week in office and an on-site hospital rotation once every three weeks. Our offices, located...of Human Services including SNAP, TANF, AABD Cash, and Medicaid through administrative and court proceedings Navigating SSI and… more
- Healogics (Ashland, OH)
- …coordinates all aspects of the revenue cycle for Healogics and for the hospital partner, as appropriate. Stays current with reimbursement changes, providing ... more about this role here: Healogics is the largest provider of advanced wound care services in the United...provide excellent customer service to members of other hospital departments. Meets regularly with leadership including hospital… more
- Trinity Health (Silver Spring, MD)
- …- Medical, Dental & Vision, PTO, Free Parking, Metro Access, Tuition Reimbursement , 403(b) Quality of Life: Flexible work schedules Advancement: Career growth ... implementing the financial assistance policy with fairness and accuracy. Responsibilities: Provide HCH financial assistance application with good explanation of how… more
- DHR Health (Edinburg, TX)
- …Coordinator, the RN Case Manager acts as a patient advocate to hospital clients. An autonomous role that coordinates, negotiates, procures services and resources ... Three to five years clinical experience is required, with experience in a Hospital or acute care setting being strongly preferred Experience in use of InterQual… more
