- Bon Secours Mercy Health (Cincinnati, OH)
- …auditing, or coding/billing either from a consulting perspective or as an employee/ manager required. + Demonstrated working knowledge of Medicare and Medicaid, ... clinical and operational excellence. **Summary** Works collaboratively with the Compliance Manager on creating auditing protocols which align with Bon Secours Mercy… more
- Hospice Of San Joaquin (Stockton, CA)
- …PURPOSE/SUMMARY: Hospice Admission Nurse evaluates the appropriateness of patients using Medicare requirements for Hospice benefits. May be required to explain legal ... staff as required. 1. Evaluate patients for appropriateness for Hospice Medicare Benefit. 2. Provide skilled nursing assessment/delivery of direct care. 3.… more
- Signature Healthcare (Indianapolis, IN)
- …collaboration with the Administrator, FAB, and requirements set forth by Medicaid and Medicare . + Evaluate accuracy of billing under Medicaid and Medicare ... Evaluate and address issues of poor performance with the Administrator, Business Office Manager , and other business office personnel. What you Need to make a… more
- UCLA Health (Los Angeles, CA)
- Description As a member of the Medicare Advantage Operations team, Business Data Analyst is instrumental in independently developing the detailed requirements ... Each employee must complete a FlexWork Agreement with their manager which will outline arrangement parameters and aids both...+ Minimum of five (5) years' experience in a Medicare or Managed Care environment managing enrollment, claims or… more
- CenterWell (Savannah, GA)
- …staff + Assisting with PTO Management + Assisting with CME time and reimbursement requests + Assisting with completion of performance reviews + Assisting in ... consumer experiences **Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of three to… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …and understanding of the current trends and developments in healthcare reimbursement and development of specific payer strategies, including investigation of new ... opportunities, regulations, standards and directives regarding governmental/third party agencies ( Medicare & Medicaid) and/or third paLeads assigned negotiations of… more
- Covenant Health Inc. (Knoxville, TN)
- …for accurate submission of insurance claims to payers to ensure timely reimbursement for services provided. Provides support and assistance for the Medical Biller ... the ability to accurately submit claims in all payer categories, ie, Medicare , TennCare, Blue Cross, Commercial, and Managed Care. This position assists the… more
- Stanford Health Care (Palo Alto, CA)
- …or clinic financial counseling role with knowledge of pre-authorizations and reimbursement regulations pertaining to Medicare , Medi-Cal, and children's health ... service. Clears low risk cases, escalates high-risk cases to coordinator or manager . Contacts patient regarding steps required to clear their appointment for… 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 ... Director of Nursing of the Home Health Agency for Medicare certified home health agencies in the absence of...health agencies in the absence of a director or Manager of Nursing. + Manages daily activities with regards… more
- Sutter Health (Alameda, CA)
- …accreditation requirements, QI outcomes/benchmarking, infection control + Good understanding of reimbursement patterns for Medicare and other payors; + Good ... + excellent benefits!** Under the supervision of the Clinical Manager , the Primary Care Clinician (PCC) is an experienced...staff related to specific expertise as requested by Clinical Manager . The Primary Care Clinician reports directly to the… more