- Trinity Health (Fort Lauderdale, FL)
- …abstracts data and ensure charges/coding are in alignment within AMA and Medicare coding guidelines. Ensure medical documentation and coding compliance with Federal, ... Payment Classification (APC), and Outpatient Prospective Payment System (OPPS) reimbursement structures and pre-bill edits including Outpatient Coding Edits… more
- Sanford Health (Hillsboro, ND)
- …of state legal regulations for advanced practice provider practices, including reimbursement of services. Keep abreast of regulatory processes and payer systems ... such as Medicare , Medicaid, managed care, and private sources, as applicable. Demonstrate extensive advanced knowledge of medical principles, practices and… more
- CVS Health (Austin, TX)
- …and the review and analysis of reports as part of negotiation and reimbursement modeling activities. * Provides Subject Matter Expert support for questions related ... * Highly organized and self-driven. **Preferred Qualifications** * Knowledge of Medicare and commercial programs and related subject matter. **Education** Bachelor's… more
- City of New York (New York, NY)
- …- Design, test, and implement the process to evaluate claims for skimming reimbursement in a batch, data-driven manner, with 100% accuracy and timeliness, saving the ... spending. This work includes identifying Medicaid clients who should apply for Medicare , identifying Medicaid clients who should be part of buy-in program, and… more
- Trinity Health (Grand Haven, MI)
- …employer match + Generous paid time off + 7 paid holidays + Tuition reimbursement up to $5,250/year + Comprehensive onboarding and orientation ** ** ** ** **About ... nursing, therapy (physical, occupational, speech) and medical social work. We are Medicare -certified and accredited by The Joint Commission. Learn more about us at… more
- Trinity Health (Columbus, OH)
- …, a college of nursing (https://www.mccn.edu/) , a Medicare Advantage plan (https://www.medigold.com/) , and extensive outreach and ... programs + Employee recognition incentive program + Tuition/professional development reimbursement + Relocation assistance (geographic restrictions apply) + Discounted… more
- The Cigna Group (Bloomfield, CT)
- …marketing, sales, and business acumen experience a plus. + Fluency in Spanish (Cigna Medicare ) or other languages If you will be working at home occasionally or ... health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement , a minimum of 18 days of paid time off per year and paid… more
- Novant Health (Charlotte, NC)
- …with team members within the department as well as finance and reimbursement departments, clinical areas, business leaders, consultants, and executive level staff to ... + Three year Current experience with value-based programs, to include managed Medicare , preferred. + Three years Experience in behavioral health field desired,… more
- SIMEDHealth (Gainesville, FL)
- …with clinical and administrative leaders to resolve credentialing, insurance, and reimbursement issues. + Maintain compliance with Medicare , Medicaid, and ... commercial insurance regulations. + Create policies, training materials, and reports to support efficient AR operations. + Analyze billing and collections data to identify trends, areas for improvement, and potential risks. + Prepare clear, data-driven reports… more
- Trinity Health (Grove City, OH)
- …, a college of nursing (https://www.mccn.edu) , a Medicare Advantage plan (https://www.medigold.com) , and extensive outreach and ... programs + Employee recognition incentive program + Tuition/professional development reimbursement + Relocation assistance (geographic restrictions apply) + Discounted… more