- National Health Care Associates (Bloomfield, CT)
- …and leadership skills are required. 3. Must have thorough knowledge of Medicare , Medicaid, Pending, Applied Income, and Managed Care reimbursement regulations. 4. ... by the Regional AR Manager, Administrator and Corp. A/R Director . 6. Document scanning 7. Meet with the Administrator...correct all skilled/Part B payers as needed. Coordinate with Medicare Specialist when claims are ready for Core Submission… more
- BAYADA Home Health Care (Austin, TX)
- …Coding Review Manager provides support to all BAYADA Home Health Care Medicare service offices by monitoring Outcome and Assessment Information Set (OASIS) ... to policies and procedures. As a member of the Medicare Case Management (MCM) office, individuals in this role...productivity maintained at the quarterly target set by the Director of MCM. + Prevent or decrease the occasion… more
- ChenMed (Chicago, IL)
- …runs referral team meeting- Create agenda for meeting. Gather info from Medical Director /Network Director /Referral Manager. + Prepares Referral Team Meeting ... Minutes and send minutes to Operation Director , Market Medical Director , Market Network ...experience/understanding + Understanding of cost as it relates to Medicare parts A, B and D + Proficient in… more
- Gentiva (Independence, OH)
- …ensuring compliance with state, federal, and accreditation standards (CMS, Medicare , Joint Commission, etc.) + Provide leadership and operational oversight ... operations leadership + Strong understanding of hospice regulations, compliance, and Medicare conditions of participation + Proven ability to manage teams, budgets,… more
- ChenMed (Jacksonville, FL)
- …runs referral team meeting- Create agenda for meeting. Gather info from Medical Director /Network Director /Referral Manager. + Prepares Referral Team Meeting ... Minutes and send minutes to Operation Director , Market Medical Director , Market Network ...the communities served by ChenMed, including the complexities of Medicare programs to patients in the healthcare marketplace +… more
- Option Care Health (Queens, NY)
- …is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as the alternate ... administrator and or alternate director of nursing. **Job Description:** **Job Responsibilities** (listed... of Nursing of the Home Health Agency for Medicare certified home health agencies in the absence of… more
- Tufts Medicine (Malden, MA)
- …hospice fees, costs and reimbursement sources. Escalates to referral management director and/or referral manager, in circumstances of potential admission where ... indicatean appropriate hospice referral. Presents the advantage of the hospice Medicare /Medicaid benefits to referral sources. + Thoroughly understands the … more
- Covenant Health Inc. (Knoxville, TN)
- Overview Director of Net Revenue & Reimbursement , Accounting and Finance Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is ... to be named a Forbes "Best Employer" seven times. Position Summary: The Director of Net Revenue & Reimbursement is responsible for leading Covenant Health's… more
- Beth Israel Lahey Health (Wakefield, MA)
- …professional case management practice, and reports to the Post-Acute Program Director . **Job Description:** Essential Duties & Responsibilities including but not ... to review at risk population with providers and the Post-Acute Program Director to prioritize program enrollment, care planning, addressing prognosis and potential… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …nursing judgement, and when necessary, discussions with the provider team and/or Medical Director of UR. + Conducts thorough medical necessity reviews to assist with ... judgement, and when necessary, discussions with the provider team and/or Medical Director of UR. + Performs appropriate and accurate initial, admission (episode day… more