- Covenant Health Inc. (Knoxville, TN)
- …specific errors. Interpersonal Skills, Personal Traits, Abilities and Interests: Ability to review and disseminate information from Medicare and other Payers to ... rheumatology, sleep medicine and urology. Position Summary: Demonstrates knowledge of Medicare and payer billing guidelines and policies. Demonstrates ability to… more
- Hartford HealthCare (Farmington, CT)
- …Must have a working knowledge of the healthcare industry that includes Medicare Cost Reporting and State OHS reporting, reopenings/appeals, healthcare surveys and ... in the preparation supporting workpapers and filing of annual Medicare Cost Reports ensuring strict compliance with all ...member to complete project assignments 6. Performs a detailed review of the team's work to ensure quality and… more
- Texas Health Resources (Arlington, TX)
- …+ Manges outside consulting relationships including but not limited to the review and preparation on of Medicare /Medicaid cost reports, regulation appeals, ... other programs. + Oversees or supports departments and entities with various Medicare and Medicaid Supplemental Payment and incentive programs including but not… more
- Amazon (Seattle, WA)
- …responsible primarily for several critical workstreams which include analysis of Medicare Advantage and Accountable Care Organization data, design and implement an ... compared to plan expectations. Key job responsibilities -Analysis of Medicare Advantage and Accountable Care Organization data primarily -Medical economics… more
- Molina Healthcare (Spokane, WA)
- …with the standards and requirements established by the Centers for Medicare and Medicaid **Knowledge/Skills/Abilities** * Leads, organizes, and directs the ... to members or authorized representatives in accordance with Centers for Medicare and Medicaid standards/requirements. * Provides direct oversight, monitoring and… more
- Beth Israel Lahey Health (Charlestown, MA)
- …deep knowledge of both government and commercial payment systems; and, (4) Provide Medicare , Medicaid, and payment system expertise in support of BILH provider and ... VP and AVP, the Director will develop long- and short- term Medicare , Medicaid, and other government reimbursement revenue strategies, oversee preparation and… more
- Centene Corporation (Tallahassee, FL)
- …workplace flexibility. **Position Purpose:** Responsible for development and production of Medicare regulatory required materials to ensure compliance with State and ... regulations and alignment with administrative policies. Position supports CNC Medicare Solutions portfolio nationwide with pre-sale and member enrollment materials.… more
- State of Colorado (Denver, CO)
- …Regulatory Agencies, Office of the Inspector General (OIG), the Centers for Medicare and Medicaid (CMS), US Attorney's Office, United States Department of Justice, ... of Investigation (FBI). + Primary liaison on all provider review cases. + Primary liaison with the Department's fiscal...(10) years of relevant experience in overseeing Medicaid or Medicare fraud, waste, and abuse (FWA) operations that includes… more
- ZOLL Medical Corporation (Broomfield, CO)
- …information systems to collect additional patient and payer demographic information.7) Performs ' Medicare as a Secondary Payor (MSP)' review , coordination of ... appropriate for claims submission and financial reporting.5) Perform in-depth sponsor review investigations to identify, collect, and confirm third party liability… more
- Carnival Cruise Line (Miami, FL)
- …settlements to Medicare before settlement payments are processed. + **SeaEvent Review :** Review of newly downloaded SeaEvent reports to determine if any ... proactive measures are necessary based on the completed report as time permits. + **Other:** Prepares and attends small claims hearings. Assists with handling personal property claims, including lost and damaged luggage and personal effects, as time permits.… more
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