- Trinity Health (Livonia, MI)
- … Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement . Utilizes encoder software applications, which includes all ... HACs and PSIs or other indicators that could impact quality data and hospital reimbursement . Codes Inpatient health records utilizing encoder software and… more
- Community Health Systems (Springdale, AR)
- …ACO Scorecard data and CMS performance metrics. + Tracks discharge patterns for Medicare patients, collaborating with hospital and post-acute care teams to ... + Maintains current knowledge of ACOs and value-based care programs impacting Medicare patients, providing expertise to assist with reimbursement strategies and… more
- AdventHealth (Hinsdale, IL)
- …and weekend requirement; Holiday rotation **Location:** UChicago Medicine AdventHealth Hinsdale Hospital , 120 N Oak Street, Hinsdale, IL **The role you'll ... or Manager and is responsible for patient evaluations of post- hospital needs; development of a transition of care plans...remove barriers to timely and efficient care delivery and reimbursement . The Social Work Care Manager provides education to… more
- AdventHealth (Bolingbrook, IL)
- …**Schedule:** PRN days; 8:30am-5pm **Location:** UChicago Medicine AdventHealth Bolingbrook Hospital , 500 Remington Blvd, Bolingbrook, IL **The role you'll ... or Manager and is responsible for patient evaluations of post- hospital needs; development of a transition of care plans...remove barriers to timely and efficient care delivery and reimbursement . The Social Work Care Manager provides education to… more
- Medical Mutual of Ohio (OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Collaborates with ... through direct contact with key provider partners in assigned region, including hospital systems. Conducts need assessment and develops a strategic action plan on… more
- Houston Methodist (Houston, TX)
- …and knowledge of electronic health record software (EPIC preferred) + Knowledge of Medicare , Medicaid and managed care reimbursement methodologies + Ability to ... with the patient or patient guardian/representative. Ensures all Centers for Medicare & Medicaid Services (CMS) regulatory items are completed properly, including… more
- Carle Health (Urbana, IL)
- …require assessment, reasoning and resolution regarding financial requirements to assure appropriate reimbursement for both the patient and the hospital . Performs ... prior authorizations for patients admission/surgeries to ensure reimbursement for services and participates in denials management activities. Interprets and applies … more
- AdventHealth (Maitland, FL)
- …specific rates in the contract management systems for Florida and multi-state hospital providers, with a concentration on Medicare , state specific Medicaid, ... review and interpretation of Insurance Provider Manuals, payment methodologies, and reimbursement rates. Maintains a strong working knowledge of federal government… more
- Stony Brook University (East Setauket, NY)
- …+ Experience with Inpatient and Outpatient billing requirements (UB-04/837i) and/or CMS Medicare and New York Medicaid reimbursement methodologies. + Knowledge ... a **Revenue Specialist** will provide operational support within the hospital 's Patient Accounting Department. The position will support day-to-day business… more
- Mount Sinai Health System (New York, NY)
- …- our goal is to keep entire communities healthy and out of the hospital . Mount Sinai Health Partners (MSHP) is the team driving this transformation within Mount ... implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as… more