- AdventHealth (Maitland, FL)
- …supervision, provides necessary research, review and interpretation of Insurance Provider Manuals, payment methodologies, and reimbursement rates. Maintains ... hospital revenue cycle/patient financial services or healthcare insurance / provider relations related background Required Microsoft Office Strong analytical and… more
- Beth Israel Lahey Health (Westwood, MA)
- …difference in people's lives.** Under the direction of the Manager, Provider Enrollment completes enrollment and health plan recredentialing applications. Maintains ... resource to providers, practice staff, BIDCO staff and health plan provider representatives concerning health care plan participation and status. Demonstrates… more
- University of Rochester (Brighton, NY)
- …Law, the False Claims Act, Civil Monetary Penalties, and + Medicare and Medicaid billing regulations (including CMS, Medicare Advantage and New York State ... Medicaid ). + Manage disputes, risks and projects related to...to the Office of Integrity and Compliance on relevant reimbursement and billing issues and requirements (including CMS, Medicare… more
- UCHealth (Fort Collins, CO)
- …course of practice. + Eligible to provide services reimbursable services and maintain provider status with Medicare and Medicaid . + Eligible to provide ... of the Rockies in Loveland, CO, and UCHealth Greeley Hospital in Greeley, CO. Additionally, you may be asked...to provide services reimbursable services and maintain provider status with Medicare and Medicaid . +… more
- Guidehouse (St. Paul, MN)
- …and third party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. **This position is 100% ... for charge reconciliation audits + Escalate departments noncompliant with policy and provide action plan when needed + Responsible for the daily resolution of… more
- University of Rochester (Rochester, NY)
- …and from Strong Hospital . Differentiate appropriate FAO to cover the costs, provide private insurance info to third party and send requests to SMH Accounts ... the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE Provide day-to-day information and direction to the Program Administrator,… more
- SSM Health (WI)
- …requested to support filings. + Assists with compilation of data for annual Medicaid disproportionate share hospital surveys and audits. + Compile and submit ... a calling.** WI-REMOTE **Worker Type:** Regular **Job Highlights:** **Government Reimbursement Financial Analyst Senior** + Provides all government reimbursement… more
- Sanford Health (Gillette, WY)
- …care. Maintain current knowledge of state legal regulations for advanced practice provider practices, including reimbursement of services. Keep abreast of ... weekend call when surgeon is on call for local hospital services. * Local hospital call coverage...patients. Works in collaboration with providers and independently to provide care. Formulates a plan for treatment of the… more
- AmeriHealth Caritas (Newtown Square, PA)
- …cultivates market opportunities, implementing strategic initiatives to drive growth for Medicaid and other AmeriHealth Caritas products. Reporting to the Director ... to appropriate state and local government officials, C-level executives at hospital and health systems, ACOs, FQHCs, community behavioral health systems, public… more
- Huron Consulting Group (Chicago, IL)
- … Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement . Organizational business needs may require this coder to ... HACs and PSIs or other indicators that could impact quality data and hospital reimbursement . * Codes Inpatient health records utilizing encoder software and… more