- Commonwealth Care Alliance (Boston, MA)
- …Experience (nice to have):** + Prior experience working with MassHealth and Medicare Advantage reimbursement rules is strongly preferred. **Required Knowledge, ... accurate, compliant, and timely reimbursements within the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims… more
- R1 RCM (Salt Lake City, UT)
- …AI, intelligent automation, and workflow orchestration. We are seeking to expand our Medicare reimbursement team by adding a senior analyst. Working as a ... accuracy of the data **Qualifications:** + 2+ years' experience working with Medicare Reimbursement + Medicare Disproportionate Share experience a plus +… more
- UTMB Health (Galveston, TX)
- …on various committees and task force groups. + Maintains current knowledge of Medicare reimbursement and cost reporting regulations, keeping abreast of recent ... + Responsible for technical aspects, calculations and analyses of multiple areas of Medicare and Medicaid reimbursement components including, but not limited to,… more
- Insight Global (Orlando, FL)
- Job Description Must-Haves: * Highschool Diploma/GED * 5+ years Backend Reimbursement experience * Cost reporting experience for Medicare /Medicaid Appeals * ... and Requirements Must-Haves: * Highschool Diploma/GED * 5+ years Backend Reimbursement experience * Cost reporting experience for Medicare /Medicaid Appeals… more
- R1 RCM (Detroit, MI)
- …revenue. To thrive in this role, you will utilize your expertise in Medicare reimbursement , specifically Medicare Bad Debt, Disproportionate Share (DSH), ... clients **Requirements:** + 10+ years of experience selling services surrounding Medicare reimbursement , combined with a strong/effective presence with hospital… more
- CareFirst (Baltimore, MD)
- …in DC Medicaid reimbursement . + Knowledge of Maryland Mediciad and Medicare reimbursement . + Excellent verbal and written communication skills. + Excellent ... fee schedules for plans that utilize the DC Medicaid reimbursement schedules and methodologies. This position may request to...may request to extend that knowledge across other Commercial, Medicare and Medicaid plans as needed. This may also… more
- CareFirst (Baltimore, MD)
- …in DC Medicaid reimbursement . + Knowledge of Maryland Medicaid and Medicare reimbursement . + Excellent verbal and written communication skills. + Excellent ... fee schedules for plans that utilize the DC Medicaid reimbursement schedules and methodologies. This position may request to...may request to extend that knowledge across other Commercial, Medicare and Medicaid plans as needed. This may also… more
- Good Samaritan (WI)
- …minimum data set (MDS) documentation to assure appropriate levels of Medicare and/or Medicaid reimbursement . Works with executive leadership, administrators, ... training materials for MDS training sessions. Assures that facilities follow Medicare /Medicaid regulatory guidelines related to reimbursement and MDS submission… more
- Care Initiatives (West Des Moines, IA)
- …in long term care and skilled nursing. + Extensive knowledge of MDS/RAI, Medicare reimbursement , PDPM systems, compliance and Medicaid Clinical Reimbursement ... Care Initiatives is seeking a Director of Clinical Reimbursement . As the largest single operator of quality...and monitor integrity of: + Overall RAI process + Medicare , Medicaid, VA and Managed Care program requirements +… more
- AdventHealth (Altamonte Springs, FL)
- …impacts of proposed operational decisions; and serves as subject matter resource for Medicare and Medicaid reimbursement matters. The Director is responsible for ... to the team:** + Serve as AHS subject matter resource for Medicare and Medicaid reimbursement matters + Maintain a strong working knowledge of current laws and… more