- Sunrise Senior Living (Fort Belvoir, VA)
- **When you join Sunrise Senior Living, you will be able to use your unique skills to empower residents to live longer, healthier, and happier lives. Not only will ... meaningful ways to serve, grow, and shine together.** **Sunrise Senior Living was again certified as a Great Place...Care model. + Assists with case management of both Medicare and non- Medicare guests/residents as needed. +… more
- Centene Corporation (Jefferson City, MO)
- …periodic reports and, as necessary, findings and conclusions for Human Resources, Internal Audit , Legal, the senior management team and the Board Compliance ... state regulators, including the OIG and the Centers for Medicare and Medicaid Services ("CMS"). + Oversees the management...as necessary, findings and conclusions for Human Resources, Internal Audit , Legal, the senior management team and… more
- Baylor Scott & White Health (Phoenix, AZ)
- …and senior medical staff including denials from all payers, Medicare /Medicaid audit activities and key contract enforcement activities. + Collaborates ... hospital and professional clinical and coding denials, as well as Recovery Audit Contractors (RAC) denials. This role will be responsible for developing and… more
- Centene Corporation (Springfield, IL)
- …and service delivery areas. + Oversee the accurate and timely submission of all CMS Medicare SNP requirements. + Serve as senior leadership and single point of ... audit processes. + Managing all facets of the audit and communications. + Serve as senior ...pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible… more
- CommonSpirit Health Mountain Region (Burlington, CO)
- …Access Hospital and Rural Health Clinic conditions of participation and reimbursement , EMTALA, Medicare fraud and abuse, Stark/Antitrust legislation, and ... Finance Officer is primarily responsible for serving as the senior financial leader for Kit Carson County Memorial Hospital,...+ Contractual allowances and bad debt allowances + Annual audit preparation and support + Banking relations + Cost… more
- MyFlorida (Jacksonville, FL)
- …reports). Responsible for and participate in the preparation of the Medicaid Cost Reimbursement Report, the Medicare Cost Report, the Core Contract, the Spending ... but is not limited to, financial statement analysis (ie budget reports, audit statements, and/or any applicable accounting data). Must establish and maintain an… more
- OhioHealth (Marion, OH)
- …other key stakeholders. Assist in analysis and coordination of amendments, reimbursement , and contractual language changes. Interacts closley with executive team and ... templates, forms, guidelines, procedures, executive and associate user guides, audit materials/checklists, etc. for cross-campus physician contract compliance use.… 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
- Presbyterian Homes and Services (Roseville, MN)
- …+ Skilled Nursing billing experience highly preferred. + Detailed knowledge of Medicare , Medicaid and third party reimbursement policies required. + Proficient ... the appropriate payer. + Bill all Skilled Nursing charges timely and correctly. Audit all assigned accounts to assure appropriate charges for all services delivered.… more
- CaroMont Health (Gastonia, NC)
- …and Access. + Experience working in reimbursement in a hospital, Medicare Administrative Contractor (MAC), and/or a professional audit or consulting firm ... opportunities for improvement. The analyst collaborates with department leaders and senior management to deliver accurate and timely statistical and productivity… more