- Elevance Health (Columbus, OH)
- ** Audit & Reimbursement Senior - Medicare Cost Report Audit ** **_Location: This is a virtual position, the ideal candidate will live within 50 miles ... Medicaid Services to transform federal health programs. The ** Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC)… more
- Elevance Health (Columbus, OH)
- ** Audit & Reimbursement Senior -** ** Medicare Cost Report Audit ** **Locations:** This is a virtual position, the ideal candidate will live within 50 ... programs. The ** Audit and Reimbursement Senior ** , will support our Medicare Administrative...benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all… 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 ... , Medicaid and other State and Federal regulations. The Sr . Reimbursement Analyst interacts with customers and...the improvement of internal business processes and meeting future reimbursement service needs. The Senior Reimbursement… more
- UC Health (Cincinnati, OH)
- …well as system and facility finance leaders, including Chief Financial Officers. The Sr Reimbursement Specialist will report directly to the Director, System ... for bad debt reporting, disproportionate share reporting and cost report documentation. The Sr Reimbursement Specialist will serve as one of the subject matter… 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
- Kaleida Health (Buffalo, NY)
- …internal equity, and any applicable collective bargaining agreement.* **Grade:** 10 **Position:** Sr Reimbursement Analyst **Union Code:** 00 - Non Union ... tools and other required submissions under the review and direction of Director, Reimbursement . Also responsible for completion of Medicare , NYS and other audits… more
- Johns Hopkins University (Baltimore, MD)
- …and Professional Fee Services Compliance Program. Prepares reports for the Sr . Director, Director, and clinical departments regarding the status or results ... office coders. + Verifies and corrects as necessary, the audit work completed by the Compliance Auditors or other... work completed by the Compliance Auditors or other Sr . Auditors/Trainers. + Analyzes documentation or coding patterns by… more
- CareOregon (Portland, OR)
- …Mastery of one or more core organizational accounting functions (eg, IBNR, Medicare estimates, Risk Corridors, Regulatory Reporting, Audit , Reporting software) + ... Job Title Sr Accountant Department 3006 - Finance Exemption Status...Oregon or SW Washington. Job Summary This position performs senior level accounting functions for the organization. Primary responsibilities… more
- WellSense (Boston, MA)
- Sr . Provider Relations Consultant- (MA residents)-$5000 sign on bonus WellSense Health Plan is a nonprofit health insurance company serving members across ... Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25...and internal Plan departments such as Provider Enrollment, Claims, Audit , Marketing, Customer Care and Care Management. Our Investment… more
- Abbott (Plano, TX)
- …Our 114,000 colleagues serve people in more than 160 countries. ** Sr . Appeals Specialist, Patient Therapy Access Team** **Position Location: 6600 Pinecrest ... retirement savings plan with high employer contribution + Tuition reimbursement , the Freedom 2 Save (https://www.abbott.com/corpnewsroom/strategy-and-strength/tackling-student-debt-for-our-employees.html) student debt program… more
- Fairview Health Services (Minneapolis, MN)
- …of the Medicare Cost Report (MCR). **Responsibilities Job Description** The Sr Financial Analyst maintains current knowledge of the Medicare Cost Report ... **Overview** We at Fairview Health Services are seeking a driven Senior Financial Analyst to work in the Solid Organ Transplant specialty department! This position… more
- The Cigna Group (Bloomfield, CT)
- **Remote, work from home - United States** **Summary** The Business Analytics Senior Advisor position within the Medicare Growth Analytics Team is an opportunity ... to provide leadership on our analytics strategy, to support our broader Medicare Growth team and provide actionable insights and analytics. This role will work with… 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
- Robert Half Finance & Accounting (Newington, CT)
- …+ Thorough understanding of healthcare accounting principles, including revenue recognition , expense allocation, and healthcare reimbursement methodologies. + ... Description Senior Accountant - Healthcare Reference ID: BR0012987455 Contact...Ensure compliance with all relevant regulatory requirements, including HIPAA, Medicare , and Medicaid regulations. Prepare and submit required reports… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Senior Utilization Review Physician Specialist collaborates with the healthcare team in the management and resolution of activities that assure the ... These include but are not limited to utilization review, hospital reimbursement , clinical compliance, case management, and transitions of care, as outlined… more
- Omnicell, Inc. (Grapevine, TX)
- …Pharmacy Networks; oversight of the Pharmacy Licensing team; and pharmacy PBM audit support teams. This position works collaboratively with the Sales, Operations, ... networks as possible to ensure prescription retention. + Negotiates to keep reimbursement rates reasonable. + Works closely with the Corporate Controller regarding… more
- The Cigna Group (Bloomfield, CT)
- …seasoned professional for the role of Business Analytics Advisor within the Medicare Growth Analytics Team to assist our self-service analytics strategy. Reporting ... to the Growth Analytics Sr . Manager, this role will work with a team...on setting and executing the vision for how our Medicare Growth team can lead Cigna to achieving its… 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 ... analyst to provide support for cost report preparation, cost report appeals, audit preparation, revenue recognition , ad-hoc reporting, and other duties related… more