- R1 RCM (Chicago, IL)
- …hospital billing, resolution, and revenue cycle management. **Key Responsibilities:** + Review outpatient hospital facility, clinic, and physician documentation, ... which transform and solve challenges across health systems, hospitals and physician practices. Headquartered in Chicago, R1(R) is a publicly-traded organization with… more
- Robert Half Finance & Accounting (Eatontown, NJ)
- …Surveys. + Manage and optimize the data collection and reporting process for the Medicare , Medicaid and NJ SHARE cost reports ( Physician Time Studies, Contracted ... a hybrid schedule, has an opportunity for a Director Medicare /Medicaid Reimbursement. + The Director will have advanced level... federal regulations. + Responsible for the completion and review of the annual New Jersey Acute Care Hospital… more
- RWJBarnabas Health (Oceanport, NJ)
- Inpatient Coding Quality Officer III - ( Medicare )Req #:0000183242 Category:Coder Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services ... 07757 Job Title: Inpatient Coding Quality Officer III - ( Medicare ) Location: Barnabas Health Corp Department: HIM - Coding...a team with other Quality Officers to ensure SMART review goals are met for all RWJBarnabas facilities. +… more
- Humana (Concord, NH)
- …group practice management + Utilization management experience in a medical management review organization, such as Medicare Advantage and managed Medicaid + ... other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and will understand how… more
- HCA Healthcare (Nashville, TN)
- …you find this opportunity compelling, we encourage you to apply for our Medicare Specialist opening. We promptly review all applications. Highly qualified ... individual is recognized. Submit your application for the opportunity below: Medicare SpecialistParallon **Benefits** Parallon, offers a total rewards package that… more
- Humana (St. Paul, MN)
- …and Managed Medicaid. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …fully remote with the ocassional time onsite as needed.** The Sr. Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, Informed ... insurance and which should be billed to the study sponsor. The Medicare Coverage Analyst determines whether proposed clinical research studies are a Qualifying… more
- Houston Methodist (Katy, TX)
- …HB Epic AR management experience + Strong working knowledge of Facility Medicare (Part A) guidelines. + Problem solving thought leader with proven execution ... competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees,… more
- Molina Healthcare (Madison, WI)
- …from government and accreditation regulators. + Directs the team in providing physician leadership and expertise in the performance of prior authorization, inpatient ... concurrent review , discharge planning, case management and interdisciplinary care team...License without restrictions (free of sanctions from Medicaid or Medicare ) **PREFERRED EDUCATION:** Master's in Business Administration, Public Health,… more
- Sutter Health (Sacramento, CA)
- …Sutter Health! **Organization:** SHSO-Sutter Health System Office-Valley **Position Overview:** The Physician Advisor (PA) is a key member of the hospital's ... care services. The PA will develop expertise on matters regarding physician practice patterns, over- and under-utilization of resources, medical necessity,… more