- UTMB Health (Galveston, TX)
- Reimbursement Analyst ( Medicare / Medicaid ), Partial Remote/Local - Government Reimbursement **Galveston, Texas, United States** Business, Managerial & ... may be considered for this position. **Job Summary:** The Reimbursement Analyst provides support to the Government...annual wage index reviews. + Maintains current knowledge of Medicare and Medicaid reimbursement and… more
- Humana (Denver, CO)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior ... The Senior Business Intelligence Engineer will develop and maintain expertise in Medicaid reimbursement methodologies rooted in complex grouping concepts (EAPG,… more
- Zelis (Plano, TX)
- …and the personal interests that shape who you are. Position Overview The Sr. Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis ... a related field + Five+ years of experience in Medicaid billing, reimbursement , claim payment or cost...or cost reporting. + Experience with Medicare / Medicare Advantage or commercial billing and reimbursement … more
- Methodist Health System (Dallas, TX)
- …the financial records. 5. Assist CBO and other department managers to resolve Medicare / Medicaid reimbursement , billing, and compliance issues as they arise. ... Shift :** **Job Description :** Your Job: The SR REIMBURSEMENT ( MEDICARE ) ANALYST will assist the...Develop understanding of reimbursement principles for both Medicare and Medicaid from both retrospective … more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Position Summary:** The Senior Reimbursement Analyst is responsible for providing cost report preparation cost report appeals audit ... of Dignity Health. The position maintains current knowledge of Medicare Medicaid and other State and Federal... and other State and Federal regulations. The Sr. Reimbursement Analyst interacts with customers and ensures… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** The **Senior Reimbursement Analyst i** s responsible for providing cost report preparation, cost report appeals, audit preparation and other ... of Dignity Health. The position maintains current knowledge of Medicare , Medicaid and other State and Federal... and other State and Federal regulations. The Sr. Reimbursement Analyst interacts with customers and ensures… more
- Tidelands Health (Pawleys Island, SC)
- …least 5 years of progressive healthcare experience working as a Reimbursement Analyst in a hospital, a Medicare Administrative Contractor (MAC), and/or a ... and help people live better lives through better health!** ** Reimbursement Analyst ** Are you passionate about quality...and accurate reporting of all regulatory financial information to Medicare & Medicaid . This position requires the… more
- BayCare Health System (Clearwater, FL)
- …all levels of management. + This position is responsible for government payer reimbursement related to Medicare , Medicaid and TRICARE/CHAMPUS, specifically ... dignity, respect, responsibility and clinical excellence. **Responsibilities:** + The Senior Reimbursement Analyst will work independently within their area of… more
- Hartford HealthCare (Farmington, CT)
- …of current laws and regulations of the Federal Medicare and State Medicaid programs, including changes affecting hospital reimbursement of Medicare bad ... programs and other common practices across the system. *_Position Summary:_* The Reimbursement Financial Analyst is responsible for preparation, filing and… more
- Intermountain Health (Jackson, MS)
- …and exception requests to appropriately maximize reimbursement . Interacts with Medicare Administrative Contractor, State Medicaid , and hospital personnel as ... and hospital finance staff as needed. + Prepares monthly Medicare and Medicaid settlement and policy reserve...verified. + Two years' experience in Medicare , Medicaid , and/or governmental reporting + Experience with reimbursement… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Reimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate 42nd Street-Full-Time Days- Hybrid** The Reimbursement ... for existing and new services. Assures that updated fee schedules for Medicare , Medicaid , commercial and managed care carriers are correctly entered in the… more
- Trinity Health (Livonia, MI)
- …ensure reimbursement practices adhere to federal, state and other third-party reimbursement regulations. Prepares Annual Medicare , Medicaid , Blue Cross ... the potential financial impact on the member organizations of major changes in Medicare and Medicaid policies. Assists in related advocacy efforts regarding such… more
- Rush University Medical Center (Chicago, IL)
- …and related journal entries * Prepare, compile and analyze data related to Medicare , Medicaid , and Tricare cost reports, governmental audits, other related items ... disability, veteran status, and other legally protected characteristics. **Position** Financial Analyst - Reimbursement **Location** US:IL:Chicago **Req ID**… more
- Houston Methodist (Houston, TX)
- …**GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Seeks out opportunities to grow knowledge of Medicare reimbursement , tax regulations and the budget system. Shares ... service focus and application of positive language principles + Working knowledge of Medicare reimbursement , tax and/or FEMA rules preferred + Strong knowledge… more
- Deschutes County (Bend, OR)
- …leading a team and problem-solving personnel issues. + Healthcare billing systems, Medicaid / Medicare reimbursement , and private insurance payment policies. + ... Management Analyst , Billing - Health Services (Part Time) Print...have experience with insurance payment practices and policies, ie, Medicaid , Medicare , and/or private commercial insurance. Do… more
- Mohawk Valley Health System (Utica, NY)
- …order to promote financial stability within the organization. Experience in billing Medicare , Medicaid , Commercial Insurance, HMOs, and Worker's Comp/No Fault is ... Billing Accounts Receivable Analyst - Full Time - Days Department: BILLINGS...billing/corporate customer service experience. + Knowledge of billing for Medicare , Medicaid , Commercial Insurance, HMOs, and Worker's… more
- LA Care Health Plan (Los Angeles, CA)
- …those used by National Committee for Quality Assurance (NCQA), HEDIS, Centers for Medicare and Medicaid Services (CMS), and State. Must demonstrate advanced SQL ... Clinical Data Analyst III (HEDIS, Tableau, SQL) Job Category: Clinical...benefits including + Paid Time Off (PTO) + Tuition Reimbursement + Retirement Plans + Medical, Dental and Vision… more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves ... and Medicare Contracts with Mount Sinai. The Senior Contracting Analyst has responsibilities that include: analyzing medical and pharmacy trends, researching all… more
- LA Care Health Plan (Los Angeles, CA)
- …to streamline operational processes. Must have Managed Care experience. Preferred: Medicaid , Medicare experience. Skills Required: Thorough knowledge of ... Technical Project Analyst II Job Category: Claims Department: Claims Data...benefits including + Paid Time Off (PTO) + Tuition Reimbursement + Retirement Plans + Medical, Dental and Vision… more
- Premier Health (Dayton, OH)
- …trends by payer. The DMCA is knowledgeable of third party payer contracts, Medicare and Medicaid guidelines, and other regulations which impact the utilization ... ADMIN Full-Time / DAY SHIFT The Denials Management Clinical Analyst (DMCA) is a registered professional nurse with knowledge...in care delivery and their impact on third party reimbursement . The DMCA has clinical expertise either as generalist… more