- Elevance Health (Mason, OH)
- ** Audit & Reimbursement III - Medicare Cost Report Audit ** **_Location:_** _This role enables associates to work virtually full-time, with the ... Services to transform federal health programs. The ** Audit and Reimbursement III ** will support our Medicare Administrative Contract (MAC) with the… more
- Ventura County (Ventura, CA)
- …is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general ... and timely payment; + Reviews bulletins to identify new programs that may affect reimbursement for Medi-Cal and/or Medicare and prepares reports; + Serves as… more
- LA Care Health Plan (Los Angeles, CA)
- …annual (DMHC) filing submissions. Serves as primary contact and liaison for Centers for Medicare and Medicaid Services (CMS) claim audit section of LA Care ... Specialty Health Plans Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full… more
- Bassett Healthcare (Cooperstown, NY)
- …the best quality of life possible. What you'll do The Medical Office Assistant III serves as the first point of contact for patients within the Bassett Healthcare ... and is entered or scanned into the system accurately as monitored by system audit + Accurate confirmation of attending PCP and Billing PCP, when appropriate. +… more
- The County of Los Angeles (Los Angeles, CA)
- …and procedures concerning administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum ... review methods as necessary. + Oversees audits and the implementation of audit recommendations for programs managed. + Represents managed programs in meetings with… more
- Medical Mutual of Ohio (OH)
- …Set (HEDIS) lifecycle processes for all lines of business (Commercial, Marketplace, Medicare Advantage, and Medicaid), including HEDIS audit submission, Consumer ... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Supports corporate and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Association, the Food and Drug Administration (FDA), and Centers for Medicare and Medicaid Services (CMS). Provides routine interaction and coordination with ... accurate and up-to-date knowledge of all Government Programs regulations (Medicaid, Medicare , Federal Employee Program, New York State Department of Financial… more
- The County of Los Angeles (Los Angeles, CA)
- …procedures concerning program administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum ... and review methods as necessary. Oversees audits and the implementation of audit recommendations for programs managed. Represents managed programs in meetings with… more
- The County of Los Angeles (Los Angeles, CA)
- …for permanent appointment to Health Care Financial Analyst. DEFINITION: Prepares reimbursement claims for health and/or mental health care provided under Federal, ... of program and financial reports. Essential Job Functions + Analyzes reimbursement requirements for Federal, State, and/or Special Programs to determine if… more
- City of New York (New York, NY)
- …of Homeless Services (DHS). DSS-AO maintains the operation of the Office of Audit Services (OAS) and Office of Quality Assurance (OQA), Office of Accountability ... Data Analytics & Verification is recruiting for (1) Administrative Staff Analyst NM III to function as an Executive Director, Data Analytics & Verification who will:… more