- Elevance Health (Columbus, OH)
- ** Audit & Reimbursement Senior -** ** Medicare Cost Report Audit ** **Locations:** This is a virtual position, the ideal candidate will live within 50 ... and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement Senior ** , will support our Medicare Administrative Contract… more
- Elevance Health (Columbus, OH)
- ** Audit & Reimbursement Senior - Medicare Cost Report Audit ** _This is a virtual position, the ideal candidate will live within 50 miles of one of our ... Services to transform federal health programs. The Audit and Reimbursement Senior will support our Medicare Administrative Contract (MAC) with the… more
- Elevance Health (Columbus, OH)
- …and Medicaid Services to transform federal health programs._ The Audit and Reimbursement Senior will support our Medicare Administrative Contract (MAC) ... ** Audit & Reimbursement Senior **...** Audit & Reimbursement Senior ** **Location:** This is a...Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare… more
- AdventHealth (Altamonte Springs, FL)
- …**Job Location** : Hybrid; Altamonte Springs, FL **The role you'll contribute:** The Senior Reimbursement Analyst is responsible for preparing and filing the ... third party balances of AdventHealth + Review the reasonableness of hospital interim reimbursement rates and special payments received from Medicare and Medicaid… more
- PruittHealth (Norcross, GA)
- **JOB PURPOSE:** Supports the delivery of all Medicare billing services by final/higher level auditing, correcting, and submitting claims. Ensures that billing ... services are timely, accurate, and allow for appropriate reimbursement . Conducts all claims-related follow up on payment delays,...standards, are familiar with the rules and regulations of Medicare billing and are skilled at problem solving and… more
- Fairview Health Services (Minneapolis, MN)
- **Overview** We at Fairview Health Services are seeking a driven Senior Financial Analyst to work in the Solid Organ Transplant specialty department! This position ... whom are non-MN residents are welcome to apply. The Senior Financial Analyst will serve as the Solid Organ...and financial implications of the Transplant components of the Medicare Cost Report (MCR). **Responsibilities Job Description** The Sr… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …staff, Benefits Administration staff, Provider Audit , Network Administration and/or Medicare Advantage staff, and entry level Reimbursement Analyst by ... Medicare Advantage must have working knowledge of Medicare enrollment guidelines and reimbursement . **Licenses and...well as coordinating projects and time frames with less senior reimbursement staff. + Accountable for complying… more
- AdventHealth (Altamonte Springs, FL)
- …Hybrid **Job Location** : Altamonte Springs, FL **The role you'll contribute:** The Senior Reimbursement Analyst is responsible for preparing and filing the ... third party balances of AdventHealth . Review the reasonableness of hospital interim reimbursement rates and special payments received from Medicare and Medicaid… more
- University of Michigan (Ann Arbor, MI)
- Reimbursement Analyst Senior Apply Now **How to Apply** A cover letter is required for consideration for this position, and it should be attached as the first ... leadership, affiliated hospitals, payers, outside agencies and government entities. The reimbursement analyst will maintain current knowledge of Medicare ,… 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
- Robert Half Finance & Accounting (East Lansing, MI)
- …exceptional analytical skills, and a deep understanding of regulatory compliance related to Medicare and Medicaid reimbursement . The Senior Accountant will ... Description Our client is seeking an experienced and detail-oriented Senior Accountant with expertise in Medicare and Medicaid cost reporting to join their… more
- Northwell Health (Westbury, NY)
- …ensuring revenue and receivables reporting is in compliance with GAAP. The Senior Reimbursement Financial Analyst will have 2+ years of knowledge ... payment regulations and contracted payments. Also responsible for providing + Medicare and Medicaid reimbursement support and executing government payment… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …under the direction of the departmental director and working closely with more senior level reimbursement staff. May serve on related committees. + Identifies ... hoc requests such as auditing of contracts, responses to RFI/RFPs, researching Medicare and other industry policies and reimbursement methodologies. Compiles fee… more
- ManpowerGroup (Allentown, PA)
- Senior Internal Auditor Allentown, PA Pay Rate $60 - $70/HR Jefferson Wells is working with a leading provider of healthcare services dedicated to delivering quality ... our client's organization, we are seeking a highly skilled Senior Healthcare Auditor to join our team for a...billing specialists, compliance officers, and legal counsel to address audit findings and implement corrective measures. + Develop and… more
- CommonSpirit Health (Phoenix, AZ)
- …happen both inside our hospitals and out in the community. **Responsibilities** The ** Senior Reimbursement Analyst i** s responsible for providing cost report ... preparation, cost report appeals, audit preparation and other duties...the improvement of internal business processes and meeting future reimbursement service needs. The Senior Reimbursement… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …payment policy work. + Support with physician fee schedules + Develop /manage audit criteria for payment policy reimbursement opportunities when hard coding is ... to blue. What We Need Reporting to the Associate Director of Professional Reimbursement Strategy, the Payment Policy and Network Coding Sr. Manager is responsible… more
- Centene Corporation (Columbus, OH)
- …Responsible for the development and implementation of the health plan's compliance audit work plan. Completes Prospective and retrospective audits on a monthly, ... + Identify regulatory oversight deficiencies, process gaps and communicate audit observations, analyzes findings to provide recommendations on process improvements… more
- Brookdale Senior Living (Brentwood, TN)
- …with us for at least a year. Responsibilities The Director of Clinical Reimbursement is responsible for the oversight of Medicare /Medicaid/Managed Care ... offered include, but are not limited to: + Tuition Reimbursement + Pet Insurance + Adoption Reimbursement ...to CMS and PDPM. + Oversees reporting systems to audit facility MDSs and determine modifications needed as appropriate,… more
- The Cigna Group (Bloomfield, CT)
- …addition to base salary._** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in an operational ... to assigned providers and internal matrix partners of Cigna Medicare 's programs specific to CMS Risk Adjustment and HCC...and efficient. + Review and act on any assigned audit educational opportunities timely and provide primary care or… more
- Banner Health (AZ)
- …collaborating with many areas such as Billing, Coding, CDM Services Expected reimbursement . The Senior Cardiology and Interventional Radiology Certified Coder's ... gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue… more