- Elevance Health (Atlanta, GA)
- ** Audit & Reimbursement Senior ** _Location:_ This role enables associates to work virtually full-time, with the exception of required in-person training ... and Medicaid Services to transform federal health programs._ The ** Audit and Reimbursement Senior ** will...report reopenings. + Manage caseload of Medicare cost report Appeals + Position papers + Jurisdictional Reviews + PRRB… more
- Trinity Health (Columbus, OH)
- …a wide variety of professional roles including information technology, financial analysis, audit , provider relations and more. **Position Purpose:** The Appeals ... and Grievance Coordinator is responsible for the processing and resolution of appeals , grievances and disputes from members and providers **What You Will Do:** +… more
- Rochester Regional Health (Rochester, NY)
- …to maximize reimbursement . Identifies appeal able items which could enhance reimbursement . Prepares and submits appeals . + Accurately prepares and submits on ... findings. Makes recommendations as to whether the third party audit findings are in compliance with reimbursement ...party audit findings are in compliance with reimbursement regulations. + Accurately calculate and record hospital inpatient… more
- Independent Health (Buffalo, NY)
- …correlating coding complexity. They will aid in training other team members, evaluating appeals , and share audit trends across the team. Expertise and ... tips across the team. The Clinical & Coding Specialist- Senior will support the leadership in Hospital Audit...to prepare quantitative and qualitative studies at conclusion of audit . Ability to recalculate reimbursement following conclusion… more
- Movn Health (CA)
- Role Summary Movn Health is seeking a highly experienced Senior Medical Biller & A/R Specialist to take full ownership of claims processing and accounts receivable ... recovery. This is a hands-on, senior -level role focused on accelerating cash flow, reducing outstanding...with a proven track record in A/R recovery, claim appeals , and payer follow-ups. Experience in startup environments and… more
- Trinity Health (Des Moines, IA)
- …identifies and manages all financial and compliance risk associated with the reimbursement function, keeping senior leadership apprised of identified risk and ... reimbursement function (for acute and professional services), notifying senior leadership of identified risks and tracking and monitoring...party audits and takes a lead role in resolving audit issues and developing appeals . Directs the… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Position Summary:** The Senior Reimbursement Analyst is responsible for providing cost report preparation cost report appeals audit ... also assists in the improvement of internal business processes and meeting future reimbursement service needs. The Senior Reimbursement Analyst carries out… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** The ** Senior Reimbursement Analyst i** s responsible for providing cost report preparation, cost report appeals , audit preparation ... also assists in the improvement of internal business processes and meeting future reimbursement service needs. The Senior Reimbursement Analyst carries out… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency People With Developmental Disabilities, Office for Title Senior Attorney Occupational Category Legal Salary Grade 25 Bargaining Unit PS&T - ... and conditions. * Review and analyze issues raised in bid protests and appeals of agency level bid protest determinations. Prepare bid protest determinations. *… more
- Cardinal Health (Charleston, WV)
- …go. **Accountabilities** The Case Manager supports patient access to therapy through Reimbursement Support Services in accordance with the program business rules and ... for every interaction using the appropriate database for the inquiry + Must self- audit intake activities to ensure accuracy and efficiency for the program + Make… more
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