- Humana (Hartford, CT)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
- Endo International (Hartford, CT)
- …everyone we serve live their best life. **Job Description Summary** The Field Reimbursement Manager (FRM) is a critical front-line member of the Endo Access and ... Reimbursement team who represents Endo's interest with Xiaflex, Testopel,...Endo Pharmaceuticals and Patient Access is patients and assisting provider offices to help their patients get access to… more
- J&J Family of Companies (Stamford, CT)
- …. Account Management and/or Reimbursement experience working in the hospital and/or provider office setting, building strong customer relationship. . ... to payer approval processes and business acumen. . Understanding of Medicare, Medicaid , and private payer initiatives affecting reimbursement of pharmaceutical… more
- Trinity Health (Waterbury, CT)
- …Access or Patient Accounting for hospital registration and / or hospital reimbursement servicesObtain National certification in HFMA CRCR and/or NAHAM CHAA ... liability on patient accounts and works with patients or their representatives to provide financial assistance or secure payment. **What you will do** + Counsel… more
- National Health Care Associates (Bloomfield, CT)
- …leadership skills are required. 3. Must have thorough knowledge of Medicare, Medicaid , Pending, Applied Income, and Managed Care reimbursement regulations. 4. ... including management or supervisory responsibilities + Thorough knowledge of Medicare, Medicaid , Pending, Applied Income, and Managed Care reimbursement … more
- Humana (Hartford, CT)
- …first** The Dental Recontracting Professional initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... 2 - 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts and/or working with insurance in a… more
- Cardinal Health (Hartford, CT)
- …audit methodology, principles and techniques; CMS manuals; professional and/or hospital services reimbursement and repayment; confidentiality standards. + ... organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including: detection and correction of documentation,… more
- CVS Health (Hartford, CT)
- …payment policy. The Wheelchair DME consultant provides subject matter expertise to provide clinical support and business direction in these areas. Knowledge of Aetna ... clinical and coding policy and experience with appeals, claim review, reimbursement issues, and coding is preferable, but a willingness to learn is essential.… more
- National Health Care Associates (Wethersfield, CT)
- …personalized resident care plans and ensures the capture of clinical reimbursement for services provided. **Key Responsibilities:** + Determine Patient Driven ... prospective residents by assessing their nursing needs and determining appropriate clinical reimbursement levels + Complete and assure the accuracy of the MDS… more
- National Health Care Associates (Ridgefield, CT)
- …healthcare or long-term care industry + Strong understanding of billing and reimbursement processes, including Medicare, Medicaid , and third-party payers + ... * Work SWOTs both on and off site to provide insight to the facility regarding their AR *...40 premier providers of short-term rehabilitation, skilled nursing, and post- hospital care including several named "Best Of" by US… more