- Elevance Health (Columbus, OH)
- …+ FL, TAMPA + IA, W DES MOINES + VA, ROANOKE **Description** ** Audit & Reimbursement Senior - Medicare Cost Report Audit ** _This is a virtual ... Services to transform federal health programs. The Audit and Reimbursement Senior will support our Medicare Administrative Contract (MAC) with the… more
- Elevance Health (Columbus, OH)
- …and Medicaid Services to transform federal health programs._ The Audit and Reimbursement Senior will support our Medicare Administrative Contract (MAC) ... + IA, W DES MOINES + VA, ROANOKE **Description** ** Audit & Reimbursement Senior ** **Location:**...Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare… 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
- 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
- Fairview Health Services (Minneapolis, MN)
- **Overview** We at Fairview Health Services are seeking a driven Senior Financial Analyst to work in the Solid Organ Transplant specialty and be based on the ... match; visit fairview.org/Benefits/noncontract for more information about our benefits. The Senior Financial Analyst will serve as the Solid Organ Transplant primary… more
- Medical Mutual of Ohio (OH)
- …any oversight process questions. . Performs other duties as assigned. ** Senior Medicare Pharmacy Coordinator** Working under limited supervision, administers ... mail pharmacy. . Intermediate Microsoft Office skills (Excel, Word, Power Point). ** Senior Medicare Pharmacy Coordinator** . Associate Degree in Business… 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 ... leadership, affiliated hospitals, payers, outside agencies and government entities. The reimbursement analyst will maintain current knowledge of Medicare ,… more
- Sharp HealthCare (San Diego, CA)
- …and employer business practices. **What You Will Do** Conducts oversight and audit of pharmacy department and PBM activities to ensure compliance with department ... Validates accuracy, completeness and timeliness for all commercial and Medicare pharmacy processes. Processes prior authorization review including intake, review,… more
- Sanford Health (Fargo, ND)
- …$27.50 - $44.00 **Department Details** Hybrid, remote work **Job Summary** The Senior Reimbursement Analyst provides critical analytical and reimbursement ... and procedures for reimbursement functions including estimating, modeling and reimbursement functions, which includes Medicare , Medicaid or other third party… more
- Robert Half Finance & Accounting (East Lansing, MI)
- …exceptional analytical skills, and a deep understanding of regulatory compliance related to Medicare and Medicaid reimbursement . The Senior Accountant will ... Description Our client is seeking an experienced and detail-oriented Senior Accountant with expertise in Medicare and Medicaid cost reporting to join their… more
- ManpowerGroup (Allentown, PA)
- Senior Internal Auditor Allentown, PA Pay Rate $60 - $70/HR Jefferson Wells is working with a leading provider of healthcare services dedicated to delivering quality ... our client's organization, we are seeking a highly skilled Senior Healthcare Auditor to join our team for a...billing specialists, compliance officers, and legal counsel to address audit findings and implement corrective measures. + Develop and… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …payment policy work. + Support with physician fee schedules + Develop /manage audit criteria for payment policy reimbursement opportunities when hard coding is ... to blue. What We Need Reporting to the Associate Director of Professional Reimbursement Strategy, the Payment Policy and Network Coding Sr. Manager is responsible… 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 ... preparation, cost report appeals, audit preparation and other duties...the improvement of internal business processes and meeting future reimbursement service needs. The Senior Reimbursement… more
- Centene Corporation (Columbus, OH)
- …Responsible for the development and implementation of the health plan's compliance audit work plan. Completes Prospective and retrospective audits on a monthly, ... + Identify regulatory oversight deficiencies, process gaps and communicate audit observations, analyzes findings to provide recommendations on process improvements… more
- Brookdale Senior Living (Brentwood, TN)
- …with us for at least a year. Responsibilities The Director of Clinical Reimbursement is responsible for the oversight of Medicare /Medicaid/Managed Care ... Overview Brookdale seeks experienced Director of Clinical Reimbursement to support our SNF Portfolio. This opportunity...to CMS and PDPM. + Oversees reporting systems to audit facility MDSs and determine modifications needed as appropriate,… more
- The Cigna Group (UT)
- …addition to base salary._** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in an operational ... to assigned providers and internal matrix partners of Cigna Medicare 's programs specific to CMS Risk Adjustment and HCC...and efficient. + Review and act on any assigned audit educational opportunities timely and provide primary care or… more
- Access Dubuque (Dubuque, IA)
- …TH Ad 0 TH Comments **Similar Jobs** Finance Associate McCoy Construction & Forestry Audit Associate Eide Bailly Audit Senior Associate Eide Bailly ... Healthcare Reimbursement Associate **Eide Bailly** 1 Positions ID: 2024-6973...care field, including hospitals and nursing homes. + Prepare Medicare and/or Medicaid cost reports utilizing specialized software to… more
- Walmart (Bentonville, AR)
- …feet if ** + You have experience in project management, payer research including Medicare Part B and state Medicaid's. + You possess strong collaboration skills and ... savings dashboard); partnering with other teams (for example, analytics, senior coordinators, case managers, medical providers, defense counsel, regulatory… more