- Cleveland Clinic (Cleveland, OH)
- …team, patient financial services, clinical research billing office, IRB and research compliance related to Medicare coverage analysis issues and determinations. ... the most respected healthcare organizations in the world. As a Research Medicare Coverage Analysis Specialist, you will be responsible for determining qualifying… more
- Prime Healthcare (Redding, CA)
- …in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for Medicare -Medicaid. This includes maintaining the ... family. For more information, visit www.shastaregional.com. Responsibilities The Senior Medicare -Medicaid Biller/Collector is responsible for both billing and collections,… more
- Always Best Care Senior Services (Honolulu, HI)
- …to join our team. The ideal candidate will have a strong understanding of Medicare compliance requirements for Home Health and will help ensure our operations ... Qualifications: * Prior experience in a Home Health administrative role, preferably with Medicare compliance knowledge. * Strong familiarity with Medicare … more
- Ankura (NC)
- …A strong working knowledge of laws, regulations and industry trends impacting compliance ( Medicare , Medicaid, ACA, government programs) and operations at health ... is seeking an experienced Managing Director for our payer government programs compliance & operations consulting services. This exciting position will focus on… more
- Always Best Care Senior Services (Honolulu, HI)
- …care services. We are looking for a Home Health Administrator with expertise in Medicare compliance , billing, and coding to ensure our agency operates smoothly ... a difference, we'd love to meet you! Key Responsibilities * Ensure compliance with Medicare guidelines for Home Health services. * Prepare, submit, and track … more
- Humana (Boise, ID)
- …requirements development. + Creating and executing comprehensive test plans + Ongoing Medicare Pricer maintenance, quality assurance, and compliance + Determine ... community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Sharp HealthCare (San Diego, CA)
- …of CPT, ICD-10 and HCPCS codes is required. + Thorough understanding of Medicare , insurance documentation, and compliance and coding requirements. + Expert ... standards by clinical providers as established by SHC Corporate Compliance in accordance to the CMS and local MAC... in accordance to the CMS and local MAC ( Medicare Administrative Contractor) requirements. **Required Qualifications** + 3 Years… more
- Insight Global (San Francisco, CA)
- …to go over the patients care plan and medications, followed by strict documentation for Medicare compliance . He or she will have weekly check ins with the ... is a plus Experience working in neurological care, geriatric, PCM/CCM - Medicare programs Background knowledge in Medicare compliance Telehealth experience more
- Rush University Medical Center (Chicago, IL)
- …allegations. 2. Perform targeted reviews of documentation and billing to ensure compliance with Medicare Teaching Physician guidelines and conditions of payment. ... Rush Medical Center Hospital: Rush University Medical Center Department: RUSH Corporate Compliance **Work Type:** Full Time (Total FTE between 0.9 and 1.0)… more
- Carle Health (Peoria, IL)
- …and answering incoming calls from the nursing facilities Responsible for maintaining Medicare regulatory compliance with the delivery of the "Important Message" ... medications or placement. Responsible for supporting federal and state regulatory compliance through the distribution and documentation for the Important message for… more