• 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
    Upward (07/02/25)
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  • 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
    Upward (06/26/25)
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  • 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
    Upward (07/05/25)
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  • 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
    Upward (07/11/25)
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  • 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
    Upward (06/27/25)
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  • 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
    Upward (07/23/25)
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  • 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
    Upward (06/30/25)
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  • 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
    Upward (07/20/25)
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  • 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
    Upward (07/19/25)
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  • 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
    Upward (07/19/25)
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  • Castle Hills Rehabilitation and Care Center (San Antonio, TX)
    …our patients to establish short term and long term care planning, ensure appropriate reimbursement by Medicare , Medicaid , and other insurance plans, follow ... up to make sure patient care is appropriate and patient goals are being met, and work with our facility team to create continous improvement of the services we provide. Must have Texas MDS experience! We are part of a small but growing healthcare organization… more
    Upward (07/25/25)
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  • DHR Health (Edinburg, TX)
    …criteria and review processes highly desirable. Knowledge and understanding of Medicare and Medicaid guidelines and regulations pertaining to utilization ... team the patients at risk of losing insurance coverage or HINN notification of Medicare and Medicaid patients. Maintains a proactive role to ensure appropriate… more
    Upward (07/07/25)
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  • 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
    Upward (07/01/25)
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  • CBIZ, Inc. (Tallahassee, FL)
    …Perform final review of audit fieldwork Perform various assignments relating to Medicaid reimbursement Coordinate staffing on projects to meet strict deadlines ... and consulting services to government-sponsored health and human services programs (primarily state Medicaid agencies, and the federal Center for Medicare & … more
    Upward (07/13/25)
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  • MJHS (New York, NY)
    …affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding ... Online RN to BSN and MSN degree programs! Tuition Reimbursement for all full and part-time staff Dependent Tuition...Responsibilities: Process all requests for services in accordance with Medicare and NYS Medicaid Guidelines as well… more
    Upward (07/06/25)
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  • Apple Rehab (Mystic, CT)
    …years experience in long-term care billing and collections; working knowledge of State Medicaid and Medicare law and third party insurance. Patience, tact and ... members to plan for coverage in advance of payer change; oversees the Medicaid application process to ensure responsible party is providing timely information to the… more
    Upward (07/16/25)
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  • 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
    Upward (07/20/25)
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  • 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
    HireLifeScience (07/23/25)
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  • 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
    Upward (07/26/25)
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  • Presbyterian Medical Services (Alamogordo, NM)
    …hospital, if applicable. *DEA license and New Mexico Controlled Substance Registration (CSR). * Medicare PIN and UPIN numbers. * Medicaid number. *Have or be able ... Board of Medical Examiners. *DEA license *New Mexico Controlled Substance Registration (CSR) * Medicare PIN and UPIN numbers * Medicaid Number *Have or be able… more
    Upward (07/03/25)
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