• Tennessee Hospital Association (Brentwood, TN)
    …waiver proposals, and others. 5. Develops and maintains a working knowledge of Medicare reimbursement systems in order to make strategic recommendations for ... to support member hospitals, including, but not limited to, Medicare and TennCare reimbursement . This position assists with the development of corporate and… more
    Upward (07/20/25)
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  • Texas Health Resources (Arlington, TX)
    …Texas. Responsible for providing financial consulting and representation on various Medicare /Medicaid regulations. Leads resolution of reimbursement issues for ... represents System hospitals in negotiations with the fiscal intermediary. Sets annual Medicare and Medicaid reimbursement rates for budget and extended… more
    Upward (07/02/25)
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  • UHS (Lewisville, TX)
    …for current and potential client hospitals. Update Excel models for changes to Medicare reimbursement . Research impact of reimbursement changes to company ... upcoming CMS and/or state regulations. Serve as a consulting resource on reimbursement , regulatory and financial modeling factors as new product lines are… more
    Upward (07/03/25)
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  • Morningstar Living (Nazareth, PA)
    …and share information with finance and therapy departments as it pertains to Medicare , HMO reimbursement issues. Responsible for the managed Medicare ... Disability Insurance Company Sponsored Life Insurance Company Sponsored 401(K) Tuition Reimbursement On-Site Fitness Center The primary purpose of the RN Resident… more
    Upward (07/06/25)
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  • Lucence Health Inc (Palo Alto, CA)
    …by exciting announcements, including our partnership with Mayo Clinic and recent Medicare reimbursement . As a foundational member of our revenue operations, ... you'll not only ensure the timely and accurate flow of our billing cycle but also play a pivotal role in building and optimizing the infrastructure that supports our escalating demand. This position offers a unique opportunity to be a self-starter and grow… more
    Upward (07/24/25)
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  • Centene Corporation (Brooklyn, NY)
    …access to health insurance, by providing education and assistance to Medicare individuals. Distribute health education materials and arrange for health screenings. ... prospective enrollees and determine eligibility for participation in the Advantage Medicare product Understand and apply all policies and procedures pertaining to:… more
    Upward (06/30/25)
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  • UF Health (Gainesville, FL)
    …and resolution, insurance verification and benefits determination, identification of reimbursement issues, resolution of credits and issuance of refunds, ... identification of payment variance invoices, follow up and resolution of denied claims. Qualifications Minimum Education and Experience Requirements: High school graduate or equivalent. Six months of healthcare/billing and collections/financial experience… more
    Upward (07/25/25)
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  • Athena Health Care Systems (North Easton, MA)
    …system on a timely basis. Demonstrates consistent knowledge and application of Medicare and other reimbursement regulations. Participates in clinical program ... development and implementation. Demonstrates ability for continuous new learning to remain current in the field. May perform additional duties as requested by supervisor. Participates in quality improvement activities. Specific Requirements: Ability to… more
    Upward (07/23/25)
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  • Beth Israel Lahey Health (Burlington, MA)
    …guidelines, and National and Local Coverage Determinations to conduct prospective reimbursement analysis (or " Medicare Coverage Analysis"). Maintain thorough ... to clinical research. Understands and keeps current with FDA and Medicare regulations applicable to clinical trials. Implements rules, regulations, guidelines and… more
    Upward (07/07/25)
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  • Athena Health Care Systems (Haverhill, MA)
    …system on a timely basis. Demonstrates consistent knowledge and application of Medicare and other reimbursement regulations. Participates in clinical program ... development and implementation. May perform additional duties as requested by supervisor. Participates in quality improvement activities. Responsible for service and operational excellence of all assigned activities to ensure the delivery of quality services… more
    Upward (06/26/25)
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  • Athena Health Care Systems (Worcester, MA)
    …on a timely basis. Demonstrates consistent knowledge and application of Medicare and other reimbursement regulations. Communicates effectively with patients, ... residents, team members, customer and supervisor. Provides appropriate consultation to the facility. Participates in clinical program development and implementation. Participates in the training and orientation of other staff, students and volunteers.… more
    Upward (07/13/25)
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  • Envision Healthcare (Austin, TX)
    …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 for the… more
    Upward (07/11/25)
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  • Athena Health Care Systems (East Providence, RI)
    …on a timely basis. Demonstrates consistent knowledge and application of Medicare and other reimbursement regulations. Communicates effectively with patients, ... residents, team members, customer and supervisor. Provides appropriate consultation to the facility. Participates in clinical program development and implementation. Participates in the training and orientation of other staff, students and volunteers.… more
    Upward (07/07/25)
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  • Avamere Health Services (Seattle, WA)
    …with Electronic Medical Records and computer documentation systems. Knowledge of reimbursement programs, Medicare and Medicaid preferred. Benefits: At Avamere, ... telehealth mental health visits. Continuing Education and Higher Education Reimbursement . Generous employee referral bonus program. Flexible Spending Accounts &… more
    Upward (07/21/25)
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  • Quipt Home Medical Corp (Mesa, AZ)
    …school diploma or equivalent Minimum two years related experience Experience with Medicare and third-party reimbursement preferred Previous large practice or DME ... retro-authorization, appeal, or no action is needed. Maintains working reimbursement knowledge of rehab equipment provided by the organization Researches… more
    Upward (07/21/25)
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  • Touchstone Communities (San Antonio, TX)
    …Do: Lead the MDS process to ensure accurate and timely assessments for Medicare , Medicaid, and case management reimbursement . Work closely with clinical and ... RN 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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  • Solaris HealthCare Celebration (Orlando, FL)
    …with the demands of both patients andemployees Mustmaintain patient and employee confidentiality Knowledgeof Medicare and third party reimbursement , preferred ... That's why our mission is to provide top-quality care that helps our residents move forward and resume their normal way of life. We believe that who we are and what we stand for is evident in our name. At Solaris HealthCare Celebration, we strive to care for… more
    Upward (07/26/25)
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  • Centers Health Care (Bronx, NY)
    …& 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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  • Solaris HealthCare East Orlando (Orlando, FL)
    …with the demands of both patients andemployees Mustmaintain patient and employee confidentiality Knowledgeof Medicare and third party reimbursement , preferred ... That's why our mission is to provide top-quality care that helps our residents move forward and resume their normal way of life. We believe that who we are and what we stand for is evident in our name. At Solaris HealthCare East Orlando, we strive to care for… more
    Upward (07/23/25)
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  • Solaris HealthCare Apopka (Orlando, FL)
    …with the demands of both patients andemployees Mustmaintain patient and employee confidentiality Knowledgeof Medicare and third party reimbursement , preferred ... That's why our mission is to provide top-quality care that helps our residents move forward and resume their normal way of life. We believe that who we are and what we stand for is evident in our name. At Solaris HealthCare Apopka, we strive to care for each… more
    Upward (07/09/25)
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