- WMCHealth (Valhalla, NY)
- Financial Reimbursement Specialist - On Site Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Finance/Info Systems Department: Revenue ... external agencies. + Gathers data in preparation of Annual Medicare & Medicaid Cost Reports. + Aid in the...3 year occupational mix data. Responsible for research and compliance with cost reporting requirements. + Performs other duties… more
- University of Virginia (Charlottesville, VA)
- …in the general position description, success as an Advanced Wound Care Specialist APP will require the following: * Conduct comprehensive assessments and evaluations ... and interventions to ensure and improve quality care * Maintains compliance and regulatory documentation for the purposes of administration and reimbursement… more
- HonorHealth (AZ)
- …Learn more at HonorHealth.com. Responsibilities Job SummaryThe Utilization Review RN Specialist reviews and monitors utilization of health care services with the ... Responsible for coordinating and conducting medical necessity reviews for all Medicare , AHCCCS, Self-pay, and all other payers, upon admission and concurrently… more
- Hawaii Pacific Health (Lihue, HI)
- …work to improve the overall quality of medical record documentation to ensure compliance with Medicare and Medicaid (CMS) guidelines and to expedite ... reimbursement. You will use both clinical and coding knowledge to obtain documentation through extensive interaction with physicians, nursing, other patient caregivers, Case Management and Health Information Management staff. You will also ensure that the… more
- NTT DATA North America (Lincoln, NE)
- …to clarify missing or incomplete information -Maintain current knowledge of CMS compliance requirements as they pertain to Medicare Advantage enrollment and ... as part of an overall sourcing strategy. NTT DATA currently seeks an **Enrollment Specialist ** to join our team for a position in **Lincoln, NE** . **Role… more
- Trinity Health (Columbus, OH)
- …, a college of nursing (https://www.mccn.edu/) , a Medicare Advantage plan (https://www.medigold.com/) , and extensive outreach and ... own in Columbus. Learn more at www.experiencecolumbus.com ! The Peer Review Specialist provides leadership and coordination for the provider peer review processes… more
- WellSpan Health (Mount Gretna, PA)
- …and self-help strategies. + Completes yearly annual safety education modules in compliance with WellSpan Philhaven policy. + Performs and participates in outcome ... + Professional office work experience. Preferred **Licenses:** + Certified Peer Specialist Upon Hire Required **Driver's License Statement:** Must possess a valid… more
- Beth Israel Lahey Health (Burlington, MA)
- …line with payer expectations, contributing to favorable revenue cycle. The Operational Specialist position will have an impact on provider, patient, and staff ... insurance authorizations as needed. . Identifies potential payment issues with Medicare and other payers and communicates and/or resolves issues as appropriate… more
- Advanced Orthopedics and Sports Medicine Institute (Freehold, NJ)
- Accounts Receivable Billing specialist Location(s) 301 Professional View Dr Freehold, NJ Type Full-Time Salary Range $20.00 - $26.00 per hour Summary Full time ( on ... Receivable (AR) (Insurance & Patient collection), denial appeals, charge modifications, adjustments, Medicare accounts, etc. Phone must be turn on daily and ready to… more
- Trinity Health (Howell, MI)
- …hire and ongoing as new systems and processes are created. Maintains compliance with HIPAA and other regulatory requirements throughout all activities. Protects the ... and skills competencies such as the Certified Revenue Cycle Specialist Professional (CRCSP) through the American Association of Healthcare Administrative… more