- Prime Healthcare (Ontario, CA)
- …to join our corporate team! Responsibilities The Assistant General Counsel - Hospital Operations must be a transactional/regulatory attorney with experience in the ... both the corporate and local levels across the health system. This attorney will provide daily counsel on a range of operational issues. This attorney will prepare a… more
- Avera (Sioux Falls, SD)
- …denials required. Knowledge of payer requirements, regulatory guideline, and hospital reimbursement methodologies. Experience standardizing revenue cycle ... Shift:** Day Shift (United States of America) Avera Heart Hospital , isn't just a place to work, it's a...double 5-star rating from the Centers for Medicare and Medicaid (CMS). Be apart of something great! **Position Highlights**… more
- Glens Falls Hospital (Glens Falls, NY)
- …team is looking to help you broaden your career horizons at Glens Falls Hospital ! Come join our team of medical billing experts as the Accounts Receivable ... for a hybrid work environment ** *The Glens Falls Hospital Impact* *Mission* Our Mission is to improve the...Utilize all available tools to pursue accurate and timely reimbursement including internal tools, as well as payer meetings,… more
- Down East Community Hospital (Machias, ME)
- …medical education activities. . FNP/PA shall accept all forms of third-party reimbursement , including but not limited to Medicaid , Medicare, commercial health ... shall be a member in good standing of the Hospital Medical Staff and shall meet all requirements of...insurance, and applicable negotiated managed care reimbursement , and shall provide reasonable amounts of… more
- Bon Secours Mercy Health (Lorain, OH)
- …eligibility for care; understand and communicates Center for Medicare & Medicaid Services (CMS) medical necessity and admission criteria. Establishes rapport with ... hospital staff and physicians; serves as consultant/resource person for...(ELOS) appropriately (using insurance and industry guidelines). Qualified to provide thorough and detail-oriented assessment of patient needs and… more
- Grace Hospital (Morganton, NC)
- …sponsorship agencies. Assist patients with Financial Assistance applications when denied by Medicaid or their combined hospital patient account balances are ... our people are our greatest asset and strive to provide an environment where they can thrive. You'll love...working with us because: + We are a teaching hospital + We work together to ensure our patients… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …Demonstrate a working knowledge of Medical Necessity and regulatory standards (Medicare, Medicaid and Manage Care) + Training: Provide staff in-service training ... ABOUT US: Formerly Aurora Santa Rosa Hospital , SRBHH was opened in 2016 and is...both inpatient and outpatient services. Proactively monitor and optimize reimbursement for external reviewers/third party payers. The Utilization Review… more
- Genesis Healthcare (Clayton, NM)
- …long term care clinical nursing experience is required. *Experience with Medicare/ Medicaid reimbursement , MDS completion, clinical resource utilization and/or ... of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in...RN manages the overall process and tracking of all Medicare/ Medicaid case-mix documents to ensure appropriate reimbursement … more
- Genesis Healthcare (Baltimore, MD)
- …of long-term care clinical nursing experience is required. *Experience with Medicare/ Medicaid reimbursement , MDS completion, clinical resource utilization and/or ... of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in...as required by federal and state regulations. *Manage all Medicare/ Medicaid case-mix documents at the nursing center to assure… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …both Teva portfolio and competitor. + Provide expertise to all brands on Medicaid and Federal pricing, ASP, and Reimbursement . + Attend various Pricing and ... with. **The opportunity** The primary role of the Sr, Manager, Pricing & Reimbursement is to coordinate pricing activities and provide the related pricing… more