- National Health Care Associates (Ridgefield, CT)
- …healthcare or long-term care industry + Strong understanding of billing and reimbursement processes, including Medicare, Medicaid , and third-party payers + ... * Work SWOTs both on and off site to provide insight to the facility regarding their AR *...40 premier providers of short-term rehabilitation, skilled nursing, and post- hospital care including several named "Best Of" by US… more
- Lake Erie College of Osteopathic Medicine (Defuniak Springs, FL)
- …of Patient Care Services works with the Director of Patient Care Services to provide oversight of dental faculty and fourth year dental students in the clinic. ... with an understanding of dealing with and processing Florida Medicaid and Medicare; + Possess a strong sense of...responsibility for protocols that will aid patients in the reimbursement of insurance claims; + Assist in the recruitment,… more
- Providence (San Pedro, CA)
- …utilization of unit services in accordance with current Center for Medicare/ Medicaid Services (CMS) guidelines and regulations. Under the direction of the ... (with medical coder), IRF-PAI assessment schedule, target LOS and expected reimbursement and cost for all Medicare patients. Providence Little Company of… more
- Novo Nordisk (San Mateo, CA)
- …of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage Requirements, Step Therapy, ... strategies + May develop and utilize relationships with specialists, key hospital decision-makers, and other individuals who make or influence the purchasing,… more
- Henry Ford Health System (Southfield, MI)
- …across all sites in compliance with CMS and state regulations. + Provide strategic oversight of health plan operations, including utilization management, risk ... adjustment, reimbursement strategy, and quality performance. + Drive a culture...multi-site organizations in regulated environments such as Medicare Advantage, Medicaid , or integrated delivery systems. + Strong experience overseeing… more
- Northwell Health (Amityville, NY)
- …that include "withholds" and/or "take backs". + Ensure receipt of Medicare and Medicaid weekly advance RA information. + Process any requests for Petty Cash under ... Cash by preparing a reconciliation of same and submitting to A/P for reimbursement . + Prepare Daily "Schedule of Deposits" report and distribute. + Maintains… more
- Penn State Health (Lancaster, PA)
- …compliments, complaints and grievances as defined by the Centers for Medicare and Medicaid Services (CMS) and as regulated by the Department of Health (DOH), and ... and grow, exposure to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community. **Penn… more
- PeaceHealth (Florence, OR)
- …requests. + Regularly accesses pharmaceutical and community resources to provide patients with needed psychiatric medications. + Provides instruction, training ... 2 years Required: Clinical experience with designated population. + Preferred: Hospital , emergency room, chemical dependency, or community agency experience. +… more
- Trinity Health (Maywood, IL)
- …to providing exceptional care to those we serve at Loyola Medicine. In return, we provide a supportive atmosphere where you can grow your career and make a lasting ... insurers, third party payors, and review entities such as EQ Health for Medicaid to relay clinical information and to certify inpatient care for payment. Records… more
- National Health Care Associates (Wethersfield, CT)
- …healthcare or long-term care industry + Strong understanding of billing and reimbursement processes, including Medicare, Medicaid , and third-party payers + ... * Work SWOTs both on and off site to provide insight to the facility regarding their AR *...40 premier providers of short-term rehabilitation, skilled nursing, and post- hospital care including several named "Best Of" by US… more