- National Health Care Associates (Plantsville, 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 (Stafford Springs, CT)
- …for developing personalized resident care plans and the capture of clinical reimbursement for services provided. You will ensure the highest level of revenue ... looking for potential risks and/or changes that may affect reimbursement + May train, mentor and/or manage MDS Coordinators,...teams to ensure accurate data collection for assessments + Provide insights and ongoing education to facility staff and… more
- National Health Care Associates (Ridgefield, CT)
- …including management or supervisory responsibilities + Thorough knowledge of Medicare, Medicaid , Pending, Applied Income, and Managed Care reimbursement ... Your work will ensure regulatory compliance and that resources are optimized to provide the best care for our residents. **Key Responsibilities:** + Efficient and… more
- 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
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …and exit interviews of care providers; + May supervise and participate in hospital Medicare and Medicaid reimbursement programs including preparation of ... ) - Albert J. Solnit Children's Center, South Campus Hospital (https://portal.ct.gov/dcf/solnit-center/south) - is accepting applications for a Utilization Review… 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
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …fiscal impact of legislation, regulations, policy changes, and legal settlements related to Medicaid and other DSS health programs. + Provide fiscal feedback and ... high volume, we are unable to confirm receipt or provide status updates directly. For recruitment updates, please check...cost analysis work of determining per diem rates of reimbursement for Medicaid supported patients or carries… more
- State of Connecticut, Department of Administrative Services (New Haven, CT)
- …ensure compliance with Joint Commission and CMS standards, and collaborate with provider teams to support reimbursement , accurate documentation, and effective ... , YOU WILL : + Communicate with patients regarding their entitlements (Medicare/ Medicaid , private insurance) and ensure all relevant paperwork is signed +… more
- Humana (Hartford, CT)
- …- 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts. + Proficiency in analyzing, understanding ... part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes dental provider contracts… more
- Hartford HealthCare (Farmington, CT)
- …reason for underpayments, denials and cause of payment delays.Maximizes insurance reimbursement timely with commercial and governmental payers C. Resolves denials ... Prepares research and documentation in preparation for meetings with provider reps that will assist in resolution of payer...for other ad hoc analyses and projects as needed Provide team support during team vacations and unexpected absence… more
