- OhioHealth (Columbus, OH)
- …Manager with updates. CGS audits and auditors Working with our legal vendor for Medicare Appeals . Working with OHA and CBSA facilities on wage index ... Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position… more
- State of Colorado (Denver, CO)
- Board Certified Behavior Analyst - (Clinical Behavioral Specialist II) - Wheat Ridge Regional Center Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5191145) Apply Board Certified Behavior Analyst - (Clinical Behavioral Specialist II) - Wheat Ridge… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Senior (Sr.) Accountng and Reporting Analyst position is responsible for identifying and compiling information to effectively report costs ... reimbursement from various government programs. The Sr. Accounting and Reporting Analyst utilizes strong data analytic skills to identify issues and researches… more
- HCA Healthcare (Nashville, TN)
- …integrity. We care like family! Jump-start your career as a Benefits Operations Analyst today with HCA Healthcare. **Benefits** HCA Healthcare offers a total rewards ... location._** Come join our team as a Benefits Operations Analyst - Retirement Plans. We care for our community! Just...place comply with all regulations (Summary of Material Modification, Medicare Part D notices, privacy notices, etc.) + Manage… more
- Dignity Health (Bakersfield, CA)
- …knowledge of DHPR and CMS rules for Claim. Submission, Claim Payment, Eligibility, Appeals for Commercial, MediCare and MediCal lines of business. + Bachelor's ... **Job Summary and Responsibilities** The Provider Data Analyst is responsible for the maintenance of the...teams as needed when questions arise. The Provider Data Analyst partners with Configuration Claims and Enrollment to ensure… more
- Molina Healthcare (Racine, WI)
- …and contractual guidelines. + Partner with provider relations, Health plans and appeals teams to address recurring dispute trends and recommend systemic solutions. + ... improvement. **Skills & Competencies** + Proven experience handling provider disputes, appeals , and overpayment recoveries in a managed care or payer environment.… more
- State of Colorado (Pueblo, CO)
- …for 10 staff members, including direct supervision of 3 individual units: Medicare /Other Insurance, Medicaid/Self- pay, and Audit, including 3 professional staff, 6 ... as they pertain to patient benefits and revenue for the Hospitals, Medicare , Medicaid, and Fiduciary Duties. + Interprets, analyzes, and keeps apprised of… more
- State of Colorado (Pueblo, CO)
- …Physician's orders, Court order, Environment of Care manual, Centers for Medicare and Medicaid Services, Safety Data Sheets, Colorado State Personnel Procedure ... name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure… more
- State of Colorado (Pueblo, CO)
- …on Hospital Accreditation Standards, Environment of Care Manual, Centers for Medicare and Medicaid Services, Safety Data Sheets (SDS), Colorado State Personnel ... security personnel.) + CBI & FBI fingerprint check, Colorado Court Database check, Medicare Fraud Database, TRAILS Database check. + This position will also provide… more
- State of Colorado (Pueblo, CO)
- …on Hospital Accreditation Standards, Environment of Care Manual, Centers for Medicare and Medicaid Services, Safety Data Sheets, Colorado State Personnel Procedure ... security personnel.) + CBI & FBI fingerprint check, Colorado Court Database check, Medicare Fraud Database, TRAILS Database check. + This position will also provide… more