• Senior Contracting Compliance Analyst…

    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
    Mount Sinai Health System (07/09/25)
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  • Payor Relations Specialist

    Emory Healthcare/Emory University (Atlanta, GA)
    …benefits that start day 1 + Student Loan Repayment Assistance & Reimbursement Programs + Family-focused benefits + Wellness incentives + Ongoing mentorship, ... and prior authorization of referrals scheduled for admission to the Rehabilitation Hospital . They provide mentoring and guidance for the team as needed. They… more
    Emory Healthcare/Emory University (09/20/25)
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  • Manager, Provider Contracting

    Humana (Tallahassee, FL)
    …arena + Proven contract preparation skills, with an in-depth knowledge of Medicare and other reimbursement methodologies + Excellent written and verbal ... The Manager, Provider Contracting initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements. The Manager, Provider… more
    Humana (09/20/25)
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  • MDS Coordinator

    WMCHealth (Warwick, NY)
    …and appropriateness of placement + Assesses resident's potential eligibility for Medicare coverage. Initiates Medicare Certification and recertification for ... discipline as needed. + Maintain current working knowledge of Medicare criteria, serving as a resource for nursing staff...for potential risks and/or changes that may affect Medicaid reimbursement + Works closely with the interdisciplinary team. +… more
    WMCHealth (09/12/25)
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  • Vascular Surgeon

    PeaceHealth (Vancouver, WA)
    …Center in Vancouver, Washington--a suburb of Portland, Oregon. This is a hospital -based practice with fully equipped operating rooms, AIC certified outpatient and ... authors, performers, and speakers. + No Washington State personal income tax. ** Hospital Highlights:** + PeaceHealth Southwest Medical Center is a 450-bed … more
    PeaceHealth (09/25/25)
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  • Revenue Cycle Analyst

    Stony Brook University (East Setauket, NY)
    …role. + Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare and New York Medicaid reimbursement methodologies. + Knowledge of ... will provide operational support and analytical and reporting services throughout the hospital 's Business Office. This position will work closely with subject matter… more
    Stony Brook University (08/13/25)
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  • Patient Access Rep

    UnityPoint Health (Marshalltown, IA)
    …as Needed + Job ID: 171471 Overview Patient Access Associate Marshalltown Hospital Full-Time; Primarily 9a-5:30p, Rotating Weekends and Holidays, Varied Shifts as ... four-legged family members. + Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow… more
    UnityPoint Health (09/23/25)
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  • Patient Access Representative

    UCLA Health (Santa Monica, CA)
    …professional with: * Knowledge of State and Federal programs to ensure reimbursement from Medicare , Medi-Cal, CCS programs, out-of-state Medicaid, or other ... with public assistance programs (ie Medi-Cal, CCS) + Implementation of Medicare requirements, interaction with physicians/office personnel as well as other … more
    UCLA Health (09/12/25)
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  • Clinical Appeals Specialist

    Dana-Farber Cancer Institute (Brookline, MA)
    …DFCI's mission, the specialist serves as an informed clinical resource to support hospital billing compliance, post payment audit and other hospital functions ... database used for reporting and denial trending. + Communicate with Hospital Billing Compliance Department to identify opportunities to improve and/or clarify… more
    Dana-Farber Cancer Institute (09/05/25)
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  • Utilization Review Nurse Supervisor I

    The County of Los Angeles (Los Angeles, CA)
    …representative to orient new staff to Federal laws and regulations pertaining to Medicare and Medi-Cal reimbursement . + Analyzes cases for referral to the ... technical resource person to subordinate staff concerning Federal regulations pertaining to Medicare and Medi-Cal reimbursement , aspects of medical treatment for… more
    The County of Los Angeles (08/18/25)
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