- CVS Health (Hartford, CT)
- …**Position Summary** The Senior Analyst , Business Consultant supports the Medicare Appeals Training Team by coordinating training Key Responsibilities: ... field. - 3.5 years of experience in healthcare operations, training coordination, or Medicare appeals . - Familiarity with CMS regulations and Medicare … more
- Henry Ford Health System (Troy, MI)
- … Advantage, Medicare -Medicaid Program (MMP), and Medicaid lines of business. Analyst must identify trending issues on an ongoing basis and provide root/cause ... prompt and thorough investigation of medical and pharmacy member appeals and grievances for Health Alliance Plan's (HAP's): Commercial,...analysis when required. The Analyst will work with HAP's medical directors, nurses, pharmacists,… more
- OhioHealth (Columbus, OH)
- …Manager with updates. CGS audits and auditors Working with our legal vendor for Medicare Appeals . Working with OHA and CBSA facilities on wage index ... Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position… more
- HCA Healthcare (Nashville, TN)
- …integrity. We care like family! Jump-start your career as a Benefits Operations Analyst today with HCA Healthcare. **Benefits** HCA Healthcare offers a total rewards ... location._** Come join our team as a Benefits Operations Analyst - Retirement Plans. We care for our community! Just...place comply with all regulations (Summary of Material Modification, Medicare Part D notices, privacy notices, etc.) + Manage… more
- TEKsystems (Tampa, FL)
- …facilitation. -Claims Research & Resolution: Investigate discrepancies, and resolve appeals -Excel Reporting: Create and maintain reports, pivot tables, and ... of the Revenue Cycle + Experience working as a Medical Claims Analyst + Experience and knowledge in Medical Billing, Claims Processing, Refunds/Reimbursement,… more
- Molina Healthcare (UT)
- …and contractual guidelines. + Partner with provider relations, Health plans and appeals teams to address recurring dispute trends and recommend systemic solutions. + ... improvement. **Skills & Competencies** + Proven experience handling provider disputes, appeals , and overpayment recoveries in a managed care or payer environment.… more
- State of Colorado (Pueblo, CO)
- …is rendered according to the State Board of Nursing (SBON), Centers for Medicare Services (CMS), The Joint Commission (TJC), Colorado Department of Public Health and ... on Hospital Accreditation Standards, Environment of Care Manual, Centers for Medicare and Medicaid Services, Safety Data Sheets, Colorado State Personnel Procedure… more
- State of Colorado (Denver, CO)
- …Momentum referrals, obtaining identification, securing a payee, applying for Medicaid/ Medicare , and submitting referrals to potential discharge locations. + Must ... checks include + CBI & FBI fingerprint check, Colorado Court Database check, Medicare Fraud Database, TRAILS Database check. + This position will also provide direct… more
- State of Colorado (Pueblo, CO)
- …on Hospital Accreditation Standards, Environment of Care Manual, Centers for Medicare and Medicaid Services, Safety Data Sheets, Colorado State Personnel Procedure ... security personnel.) + CBI & FBI fingerprint check, Colorado Court Database check, Medicare Fraud Database, TRAILS Database check. + This position will also provide… more
- State of Colorado (Pueblo, CO)
- …on Hospital Accreditation Standards, Environment of Care Manual, Centers for Medicare and Medicaid Services, Safety Data Sheets, Colorado State Personnel Procedure ... security personnel.) + CBI & FBI fingerprint check, Colorado Court Database check, Medicare Fraud Database, TRAILS Database check. + This position will also provide… more
- City and County of San Francisco (San Francisco, CA)
- …meet all of the following criteria: + Be eligible to participate in Medicare , Medicaid, and/or other federal healthcare programs + Possess a National Provider ... + Possess a valid third-party billable provider certification (such as Medicare , Medi-Cal, and/or private insurance) OR have submitted a completed billable… more
- State of Colorado (Pueblo, CO)
- …+ Standard Background check: CBI name check, ICON Colorado court database, Medicare fraud database, Reference checks + This position requires State of Colorado ... of state service experience. Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of the online job… more
- State of Colorado (Jefferson County, CO)
- …name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... of state service experience. Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of the online job… more
- State of Colorado (Pueblo, CO)
- …name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... and minimum requirements. Minimum Qualification Screening Process: A Human Resources Analyst will review the work experience/job duties sections of the online… more
- State of Colorado (Pueblo, CO)
- …name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... requirements. Minimum Qualification Screening Process + A Human Resources Analyst will review the work experience/job duties sections of...if your application is eliminated. You will find the appeals process, the official appeal form, and how to… more
- State of Colorado (Aurora, CO)
- …name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... & Competencies: Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of...if your application is eliminated. You will find the appeals process, the official appeal form, and how to… more
- State of Colorado (Garfield County, CO)
- …include : + CBI & FBI fingerprint check, Colorado Court Database check, Medicare Fraud Database, TRAILS Database check. + This position will also provide direct ... of state service experience. Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of the online job… more
- State of Colorado (Denver, CO)
- …Background check: + CBI & FBI fingerprint check, Colorado Court Database check, Medicare Fraud Database, TRAILS Database check. + This position will also provide ... of state service experience. Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of the online job… more
- State of Colorado (Jefferson County, CO)
- …name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... of state service experience. Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of the online job… more
- State of Colorado (Denver, CO)
- …CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks (Skill Survey), Professional License verification ... of state service experience. Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties sections of the online job… more