- Genmab (Berkeley Heights, NJ)
- …services and/or healthcare industry.Active knowledge of oncology (IV and oral) product reimbursement , including but not limited to Medicare, Medicaid and ... patients and caregivers as it pertains to access and reimbursement of prescribed medications. The Patient Access Specialist will...and will maintain the highest quality and compliance to provide a positive experience. This position reports to the… more
- Commonwealth Care Alliance (Boston, MA)
- …compliance requirements. + Maintain a solid understanding of Medicare and Medicaid reimbursement methodologies for assigned services. + Conduct on-going ... and health care financing required. + Solid understanding of Medicare and Medicaid reimbursement methodologies and particular expertise in Medicare and … more
- Tidelands Health (Myrtle Beach, SC)
- …3 years (5 years preferred) of progressive healthcare experience working as a Reimbursement Analyst in a hospital , a Medicare Administrative Contractor (MAC), ... and help people live better lives through better health!** ** Reimbursement Analyst** Are you passionate about quality and committed...Tidelands Health team. As our region's largest health care provider , we are also one of our area's largest… more
- Commonwealth Care Alliance (Boston, MA)
- …teams to monitor network performance against internal and regulatory benchmarks. - Ensure provider network compliance with CMS, state Medicaid agency, and NCQA ... 011230 CA- Provider Engagement & Performance Position Summary: The Director...contracting, or population health initiatives. - Prior work with hospital systems, large medical groups, and specialty care networks.… more
- Commonwealth Care Alliance (Boston, MA)
- …and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital , behavioral health, ... Mentoring subject matter expert of the team + Managed Care experience (preferably Medicare/ Medicaid ) + Experience in health plan provider relations + Experience… more
- Tidelands Health (Myrtle Beach, SC)
- …Tidelands and help people live better lives through better health!** **Supervisor Provider Coding Specialist** Are you passionate about quality and committed to ... Tidelands Health team. As our region's largest health care provider , we are also one of our area's largest...and accuracy of the coding team to ensure optimal reimbursement and goal attainment. The coding supervisor performs quality… more
- Somatus (Antioch, TN)
- …country living with chronic kidney disease to experience more days out of the hospital and healthier at home. It takes a village of passionate and tenacious ... of 3 weeks' Vacation (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being… more
- MVP Health Care (Middletown, NY)
- …sales environment, with some experience in the health care industry such as a hospital , medical office, or health insurance company The ability to speak more than ... individuals and seamlessly enrolling them in a variety of plans including Medicaid , Child Health Plus, Essential Plan, Qualified Health Plans (QHPs), HARP,… more
- Independent Living Systems (Miami, FL)
- …knowledge of UB04 / CMS-1500 claim adjudication process, including Medicare and Medicaid reimbursement methodologies (ie Per Diem, PPS, FFS, APG, Capitation, ... working in agile project environments. Responsibilities: Maintain data integrity of provider set-ups and reimbursement configurations, including timely updates… more
- Wipfli LLP (Milwaukee, WI)
- …forecasts as requested. + Demonstrate a thorough understanding of Medicare and Medicaid reimbursement systems. + Ensure client accounting engagements are ... highly experienced and knowledgeable CFO/Controller to join our team and provide specialized accounting and financial management services to our healthcare clients.… more
- Seattle Children's (Seattle, WA)
- …Analyst supports Seattle Children's ability to compliantly collect maximum reimbursement by analyzing and addressing internal and external charge, authorization, ... revenue cycle workflow experience resulting in technical understanding of CMS/ Medicaid regulations and/or commercial payor billing or prior authorization… more
- Somatus (San Diego, CA)
- …country living with chronic kidney disease to experience more days out of the hospital and healthier at home. It takes a village of passionate and tenacious ... of 3 weeks' Vacation (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being… more
- Stony Brook University (East Setauket, NY)
- …and Outpatient billing requirements (UB-04/837i) and/or CMS Medicare and New York Medicaid reimbursement methodologies. + Knowledge of third party payer ... **Position Summary** At Stony Brook Medicine, a **Revenue Specialist** will provide operational support within the hospital 's Patient Accounting Department.… more
- Seattle Children's (Everett, WA)
- …and Standards for Pediatric Nursing Practice, and adheres to Seattle Children's Hospital policies/procedures and guidelines of care. Responsible for the safety of ... the mobile transport team and may be required to provide supervision and delegation to other Registered Nurses, Respiratory...from the start date within the position. Neonatal Resuscitation Provider (NRP). Those without NRP will be required to… more
- Seattle Children's (Great Falls, MT)
- …others, and members of the health care team. May be required to provide supervision and delegation of tasks to Nurse Technicians, Licensed Practical Nurses, ... College of American Pathologists (CAP) and the Centers for Medicare and Medicaid Services (CMS), for RN's performing moderately complex point-of-care testing, a copy… more
- Somatus (Phoenix, AZ)
- …country living with chronic kidney disease to experience more days out of the hospital and healthier at home. It takes a village of passionate and tenacious ... of 3 weeks' Vacation (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being… more
- Seattle Children's (Seattle, WA)
- …others, and members of the health care team. May be required to provide supervision and delegation of tasks to Nurse Technicians, Licensed Practical Nurses, ... the College of American Pathologists (CAP) and the Centers for Medicare and Medicaid Services (CMS), for nurses performing moderately complex point of care testing,… more
- Seattle Children's (Seattle, WA)
- …others, and members of the health care team. May be required to provide supervision and delegation of tasks to Nurse Technicians, Licensed Practical Nurses, ... the College of American Pathologists (CAP) and the Centers for Medicare and Medicaid Services (CMS), for nurses performing moderately complex point of care testing,… more
- Seattle Children's (Seattle, WA)
- This is a Per Diem Day position, to provide care for patients in both inpatient and outpatients. As an integral member of the Health Care Team, the RN functions ... others, and members of the health care team. May be required to provide supervision and delegation of tasks to Nurse Technicians, Licensed Practical Nurses,… more
- National Health Care Associates (Stafford Springs, CT)
- …for developing personalized resident care plans and the capture of clinical reimbursement for services provided. You will ensure the highest level of revenue ... looking for potential risks and/or changes that may affect reimbursement + May train, mentor and/or manage MDS Coordinators,...teams to ensure accurate data collection for assessments + Provide insights and ongoing education to facility staff and… more
