- Calvary Hospital (Bronx, NY)
- …Intake and Outreach Services and maintains an open dialogue with the senior leadership of the hospital and referring partners. Role/Function Continuously monitors ... by Calvary Hospital. Interfaces with managed care organizations to facilitate reimbursement for services provided by the Hospital. Oversees the appeals process… more
- Rochester Regional Health (Rochester, NY)
- …reporting tools highly desired. + May need previously experience in CMS, Medicaid /Medicare billing, and other regulatory processes. EDUCATION: LICENSES / ... requirements of third party payors are maintained. Creates departmental reports for senior management. RESPONSIBILITIES + Oversees the review process of third party… more
- Cleveland Clinic (Mayfield Heights, OH)
- …in working with Joint Commission, HFAP, CMS (Centers for Medicare and Medicaid : Government agency that provides reimbursement for accredited trainees) surveys ... monitor performance and identify where intervention is needed. + Incorporate regulatory and accreditation standards into improvement activities around SQPE. +… more
- UNC Health Care (Hillsborough, NC)
- …needs. Responsibilities include maintaining databases, ensuring compliance with regulatory standards for patient therapeutic diets, and conducting nutrient ... via Business Objects and EPIC for RD productivity, admission screening, malnutrition reimbursement , and other reports to support the clinical nutrition and food… more
- Gentiva (Burlington, NC)
- …setting * Demonstrated ability to apply hospice principles, industry standards, and regulatory compliance (Medicare, Medicaid , JCAHO, ACHC) * Knowledge and ... * Report directly to the Executive Director, Administrator, or Senior Patient Care Manager * Oversee and direct patient...Ensure all care delivery meets federal, state, and local regulatory standards, as well as company policies and procedures… more
- Dignity Health (Bakersfield, CA)
- …claims. This position requires expert knowledge of claims processing, coding, and regulatory compliance. The Claims Examiner III will handle the most challenging ... claims processing, with at least 2 years in a senior or advanced role + Expert knowledge of CPT,...Equivalent work experience will be considered. + Certified Medical Reimbursement Specialist (CMRS), or similar certification is preferred. +… more
- Gentiva (North Charleston, SC)
- …join our team.You will report directly to the Executive Director, Administrator, or Senior Patient Care Manager. You will be responsible for maintaining a high ... procedures and compliance with local, state, and federal regulations and regulatory agencies. + Overseeing and managing rescheduled, declined, missed, and reassigned… more
- CommonSpirit Health (Rancho Cordova, CA)
- …such as Medicaid and Medicare + Working knowledge of various reimbursement methodologies including DRG's, per diems, RVU's + Ability to effectively work within ... letters of agreement and single case agreements at the direction of senior leadership. + Maintains supportive relationships with key departments that support the… more
- Gentiva (Hamilton, NJ)
- …on bonus! You will report directly to the Executive Director, Administrator, or Senior Patient Care Manager. You will be responsible for maintaining a high ... procedures and compliance with local, state, and federal regulations and regulatory agencies. + Overseeing and managing rescheduled, declined, missed, and reassigned… more
- Ventura County (Ventura, CA)
- …Account Plans, Disability Plans, Employee Assistance Program, Life Insurance, Tuition Reimbursement , Benefit Reimbursement Program, and a Wellness Program. ... will drive strategic initiatives, oversee complex program operations, and ensure regulatory compliance while acting as the agency's principal administrator in… more