- Covenant Health Inc. (Knoxville, TN)
- …verbal and written communication skills required. Communication with CBO Operation Managers and Director of Revenue Cycle regarding changes in Medicare and other ... and other carrier billing guidelines updates. Communicates to Director or Revenue cycle and/or CBO Operations Manager so...process refund requests. + Attends all payer meetings concerning Medicare and other payor compliance . + Performs… more
- Gentiva (Castle Rock, CO)
- …ensuring compliance with state, federal, and accreditation standards (CMS, Medicare , Joint Commission, etc.) + Provide clinical oversight and ensure timely and ... health, or healthcare operations leadership + Strong understanding of hospice regulations, compliance , and Medicare conditions of participation + Proven ability… more
- Gentiva (Independence, OH)
- …ensuring compliance with state, federal, and accreditation standards (CMS, Medicare , Joint Commission, etc.) + Provide leadership and operational oversight to ... health, or healthcare operations leadership + Strong understanding of hospice regulations, compliance , and Medicare conditions of participation + Proven ability… more
- Tufts Medicine (Lowell, MA)
- …hospice fees, costs and reimbursement sources. Escalates to referral management director and/or referral manager, in circumstances of potential admission where ... indicatean appropriate hospice referral. Presents the advantage of the hospice Medicare /Medicaid benefits to referral sources. + Thoroughly understands the … more
- Option Care Health (Hayward, CA)
- …is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as the alternate ... administrator and or alternate director of nursing. **Job Description:** **Job Responsibilities** **(listed... of Nursing of the Home Health Agency for Medicare certified home health agencies in the absence of… more
- Fallon Health (Worcester, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Senior Director of Risk Adjustment is responsible for the execution and oversight of risk… more
- Fallon Health (Worcester, MA)
- …also responsible for presentation of the member appeal to the Plan Medical Director , Center for Medicare /Medicaid Services, contracted reviewer, and the Plan ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)-… more
- State of Colorado (Denver, CO)
- …responsible for all applicable financial and medical benefits (eg Medicaid, Medicare , Social Security Insurance (SSI), Social Security Disability Insurance (SSDI), ... to ensure accurate and timely information is stored and shared in compliance with the Health Insurance Portability and Accountability Act (HIPAA). + Identifies,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …programs + And more **Description** **Overview:** This position reports to the Director , Reimbursements and Net Patient Service Revenue (NPSR), and oversees analysis ... reporting associated with the governmental reimbursements and required cost reporting compliance . + Responsible for preparing cost reports, monitoring compliance … more
- Option Care Health (Tampa, FL)
- …of patient care is maintained. The Nurse Manager is responsible for assisting the Director of Operations and/or Area Director of Nursing in meeting operational ... spent providing clinical patient care activities. Per state regulation requirements, the Director of Nursing title will be used. **Job Description:** **Job… more