• Medicaid Provider Hospital…

    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 ... Qualifications** + Experience with Ohio Medicaid hospital reimbursement methodologies + Experience researching and resolving provider reimbursement… more
    Humana (04/30/25)
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  • Financial Analyst I / Finance Reimbursement

    Hartford HealthCare (Farmington, CT)
    …Federal Medicare and State Medicaid programs, including changes affecting hospital reimbursement of Medicare bad debt, graduate medical education, ... other common practices across the system. *_Position Summary:_* The Reimbursement Financial Analyst is responsible for preparation, filing and...disproportionate share hospital adjustment, and uncompensated care payments 5. Work as… more
    Hartford HealthCare (04/04/25)
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  • Provider Contracting Executive

    Humana (Hartford, CT)
    …The Provider Contracting Executive initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... organization that provides health insurance. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to… more
    Humana (05/07/25)
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  • Field Reimbursement Manager (New Haven)

    Endo International (New Haven, 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
    Endo International (04/30/25)
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  • Mgr IV / Finance Reimbursement

    Hartford HealthCare (Norwich, CT)
    …Responsible for managing, supervising and performing tasks related to Governmental Reimbursement issues for the healthcare system. Must have a working knowledge ... reporting. Additionally, this position collaborates with leadership in the reimbursement regulatory, operational, and financial impacts of proposed operational… more
    Hartford HealthCare (02/11/25)
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  • Medical Staff Coordinator - Medical Staff Office

    Hartford HealthCare (Meriden, CT)
    …Hartford HealthCare, we offer: * /Newly Revised/ Competitive Hourly Rates * Tuition Reimbursement after just 6 months of employment and up to 40% reimbursement ... and standards by The Joint Commission (TJC), Center for Medicare and Medicaid (CMS), and Connecticut Department of Public Health (DPH). *Job Responsibilities: *… more
    Hartford HealthCare (04/22/25)
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  • Coder I, Ancillary (Remote)

    Trinity Health (Hartford, CT)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** Analyzes physician/ provider documentation contained in Outpatient health records to perform ... modifiers. Utilizes coding guidelines established by: + The Centers for Medicare/ Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding and Reporting,… more
    Trinity Health (05/08/25)
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  • Inpatient DRG Quality Auditor

    Humana (Hartford, CT)
    …to quality review the inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education. **Use your skills to… more
    Humana (05/03/25)
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  • MDS - Nurse Assessment Coordinator (RN)

    National Health Care Associates (Bethel, 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 (05/09/25)
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  • MDS Director (RN)

    National Health Care Associates (Fairfield, 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 (04/16/25)
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