• Medicare Collections Representative

    UCLA Health (Los Angeles, CA)
    Description As a Medicare Collections Representative, you will manage a designated portfolio of inpatient and outpatient claims, ensuring effective and efficient ... + Initiating and maintaining communication with third-party payers to resolve reimbursement discrepancies. + Diligently following up on claims to ensure timely… more
    UCLA Health (07/10/25)
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  • Quality Manager

    Eastern Connecticut Health Network (Vernon, CT)
    …Principles. + Knowledge of Agency Policy and Procedures. + In-depth knowledge of Medicare criteria. + Knowledge of reimbursement criteria. + Knowledge of and ... week, otherwise prorated based on hours worked. + Tuition reimbursement to help you continue your education and career...with state regulations and assists in progressive appeals in Medicare Claims appeals as well as documentation requests for… more
    Eastern Connecticut Health Network (09/05/25)
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  • Healthcare Data Analyst

    Zelis (Plano, TX)
    …analysis, and reporting. + Understand claim payment methodologies such as Medicare , Medicaid, and Commercial Reimbursement . + Create visualizations and ... experience in healthcare data analysis. + 1+ years in claim reimbursement methodologies ( Medicare , Medicaid, Commercial) + Experience with Tableau is a bonus but… more
    Zelis (08/28/25)
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  • Medicare Sales & Customer Services Manager

    Erickson Living (Fairfax, VA)
    …values + Medical, dental and vision packages, including an annual reimbursement for qualified wellness expenses, personal health coaching and telemedicine options ... communities and expand on our existing ones! + Education assistance, certification reimbursement and access to over 6,000 courses through our online learning… more
    Erickson Living (08/28/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (AR)
    …Demonstrates extensive knowledge of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group ... clinical documentation to ensure that clinical coding is accurate for proper reimbursement and that coding compliance is complete. Provides feedback on coding work… more
    Banner Health (09/06/25)
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  • Physician Contract Administration

    AdventHealth (Maitland, FL)
    …contracts. * Performs necessary research to obtain and maintain non-contracted payer reimbursement including Medicare , Medicaid, Tricare and other govt payers. * ... current on regulatory updates and rate changes that affect Medicare , Medicaid and TriCare reimbursement for contract...changes that affect Medicare , Medicaid and TriCare reimbursement for contract loading and analysis purposes. * Obtains,… more
    AdventHealth (08/26/25)
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  • Budget Analyst

    City of New York (New York, NY)
    …Benefits Program, Management Benefits Fund, Employee Assistance Program, Work Well NYC, Medicare Part B Reimbursement and Pre-Tax Benefits & Citywide Programs ... with city agencies and non-Mayoral entities to ensure OLR receives the appropriate reimbursement for programs administered by OLR on their behalf. - Ensure that the… more
    City of New York (09/12/25)
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  • Operations Specialist

    City of New York (New York, NY)
    …-Retiree health benefits enrollment/change applications -Inquiries regarding payments under the Medicare Part B Reimbursement Program, which also includes the ... Income Related Monthly Adjustment Amount (IRMAA) reimbursement -Health coverage for the domestic partners of both active employees and retirees -The resolution of… more
    City of New York (08/26/25)
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  • Collection Specialist / Medical - Remote

    BrightSpring Health Services (Littleton, CO)
    …in medical collections with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement ; home infusion experience a plus + ... Short & Long-Term Disability*Flexible Schedules & Paid Time Off*Tuition Reimbursement *Employee Discount Program & DailyPay*401k *Pet Insurance Responsibilities As… more
    BrightSpring Health Services (08/09/25)
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  • Occupational Therapist

    Pine Acres Rehabilitation & Care Center (Oskaloosa, IA)
    …supervisor and clinical needs. + Demonstrates consistent knowledge and application of Medicare and other reimbursement regulations. + Evaluate patients based ... plan of care and patient related activities per state practice act and reimbursement regulations. + Demonstrate a positive attitude and team building approach with… more
    Pine Acres Rehabilitation & Care Center (08/08/25)
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