- Mount Sinai Health System (New York, NY)
- …outpatient charges in accordance with established fee schedules and ensures compliance with Medicare and other insurance carrier guidelines. **Qualifications** ... systems to capture all inpatient and outpatient charges. Monitors managed care, commercial and federal contracts to assure the recovery of all inpatient and… more
- Healthfirst (NY)
- …Responsibilities:** + Performs first level review of all marketing materials to ensure compliance with State and Federal guidelines. + Prepares and submits ... been responded to. + Provides support to all internal stakeholders during the annual Medicare Go to Market project in preparation for the Medicare Annual… more
- Houston Methodist (Houston, TX)
- …continued stay and resource use, appropriate level of care and program compliance . Identifies when services no longer meet InterQual/Milliman l criteria, initiates ... if needed, and informs management of the possible need for issuing Medicare Hospital Initiated Notice of Non-coverage. + Applies approved utilization criteria to… more
- Mount Sinai Health System (New York, NY)
- …payment. This position plays a key role in ensuring the financial health and compliance of the organization and bridges the gap between clinical care and medical ... requires a unique blend of clinical expertise and financial acumen to ensure compliance with healthcare regulations and collaborate with staff to resolve issues and… more
- Houston Methodist (Nassau Bay, TX)
- …continued stay and resource use, appropriate level of care and program compliance . Identifies when services no longer meet InterQual/Millman l criteria, initiates ... if needed, and informs management of the possible need for issuing Medicare Hospital Initiated Notice of Non-coverage. + Applies approved utilization criteria to… more
- Covenant Health Inc. (Knoxville, TN)
- …consistency in Policy and Procedures, processes, etc., as applicable. + Ensures continuing compliance with State and Federal regulations as they relate to the ... updates to staff and other departments that need to know. + Ensures continuing compliance with State and Federal regulations as they related to the revenue… more
- Amazon (San Francisco, CA)
- …across Amazon One Medical. This includes developing and refining programs, ensuring compliance with state and federal requirements, and fostering collaboration ... across the organization. You will effectively manage projects that ensure compliance with evidence-based practice, regulatory standards, and our standard work. Key… more
- Great River Health (Mount Pleasant, IA)
- …assists patients with financial assistance applications. Additionally, the Coordinator ensures compliance with the No Surprise Billing Act by coordinating and ... programs. + Coordinate and provide Good Faith Estimates for patients in compliance with the No Surprise Billing Act, ensuring cost transparency and adherence… more
- University of Pennsylvania (Philadelphia, PA)
- …and staff in the compliant fiscal conduct of all projects. + Ensuring financial compliance with institutional, federal and non- federal policy, rules and ... all sponsored projects expenditures including fund projections. Monitor and enforce compliance with sponsor guidelines and meet with Principal Investigators to… more
- The County of Los Angeles (Los Angeles, CA)
- …skilled nursing facilities, and related health facilities to assist them in achieving compliance with State and Federal dietetic and food service regulations, ... evaluators, who survey licensed health facilities throughout Los Angeles County for compliance with State and Federal health laws and regulations, including… more