- Dartmouth Health (Lebanon, NH)
- …payable to capture all cost reportable items for inclusion on the cost report . * Manages End-Stage Renal Disease Quality Reporting System (EQRS) process, ... counsels the patient in the application process for a wide range of Medicare , Medicaid and private insurance carriers. The Transplant Financial Coordinator also has… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** **PMO ... and removal of barriers. Manage communication aspects of project status and track and report major issues. . Assists in managing all stages of the projects assigned… more
- New York State Civil Service (Schenectady, NY)
- …the Medicaid Compliance Unit (MCU) as it relates to ensuring Medicaid and Medicare compliance in Article 16 Clinics and for Independent Practitioner Services for ... Individuals with Developmental Disabilities (IPSIDD). - Research Medicare compliance requirements to develop protocols for reviewing clinical encounters and… more
- University of Rochester (Rochester, NY)
- … Medicare credit balances- - - Review all accounts on the Medicaid and Medicare credit balance report + Request insurance adjustments or retractions + Prepare ... ensuring the visit balances on the accounts receivable are at expected reimbursement based on contractual agreements with payers, and determining and completing the… more
- State of Connecticut, Department of Administrative Services (New Haven, CT)
- …THE OPPORTUNITY TO: + Communicate with patients regarding their entitlements ( Medicare /Medicaid, private insurance) and ensure all relevant paperwork is signed; + ... involving the assessment and review of health care delivery systems or medical cost containment activities and programs related to agency efforts to promote cost… more
- Elara Caring (Muncie, IN)
- …branch locations to meet patient needs. + Ensures compliance of current Medicare , Medicaid, and third-party reimbursement regulations and changes. Identifies and ... to make a difference + Competitive compensation package + Tuition reimbursement for full-time staff and continuing education opportunities for all employees… more
- Elara Caring (Ludington, MI)
- …branch locations to meet patient needs. + Ensures compliance of current Medicare , Medicaid, and third-party reimbursement regulations and changes. Identifies and ... to make a difference + Competitive compensation package + Tuition reimbursement for full-time staff and continuing education opportunities for all employees… more
- Elara Caring (Broken Arrow, OK)
- …to make a difference + Competitive compensation package + Tuition reimbursement for full-time staff and continuing education opportunities for all employees ... at no cost + Opportunities for advancement + Comprehensive insurance plans...and Claims Management team. + Performs claims audits for Medicare and non- Medicare claims through completion of… more
- WelbeHealth (Los Angeles, CA)
- …+ Oversee actuarial modeling, claims analyses, and risk assessments to improve cost -effectiveness and reimbursement accuracy + Work closely with finance, ... planning + Assess and refine risk-adjusted revenue projections for Medicare -Medicaid dual-eligible populations, incorporating CMS and state methodologies + Own… more
- Hackensack Meridian Health (Eatontown, NJ)
- …utilizing on-line or by phone when required. Has current knowledge of Medicare reimbursement criteria and insurance contracts for Hackensack Meridian Health ... including comprehensive Health Benefits, generous Paid Time Off, Travel Reimbursement as well as an investment in your future...open orders on a daily basis. Run Open Order report daily to confirm there are no missing orders.… more