of Medicare, Medicaid and Blue Cross cost report, complying with regulations. Analyzes third party cost report changes from prior...Position Summary: Responsible for assisting in the compiling of complex reimbursement data to support management...
or operational analytics preferred Knowledge of Medicare and NYS Medicaid claims processing rules and coding experience with DRG...) for healthcare and dependent care Generous tuition reimbursement for qualifying degrees Opportunities for professional growth...
are required Demonstrated knowledge of pricing methodologies, including but not limited to Medicare and Medicaid, DRG, SNF, RBRVS, APC... methodologies including, but not limited to, Medicare and Medicaid methodologies, Medicaid, DRG, APC, Outliers, RBRVS, Fee Schedules...
of business (commercial, Medicaid, and Medicare) and programs, and conduct network analysis to establish access and compliance... and reimbursement issues to providers, Professional Reimbursement and HMSA leadership Prepare cases for Operations Management Committee...
, or a closely related field 2. Three (3) years of experience working with Medicare and/or Medicaid Data 3. Knowledge of Medicare... industry. 2. Three (3) years of experience working with claims data to evaluate reimbursement changes, payment discrepancies...
, including low-income Medicare-Medicaid beneficiaries Healthcare quality, outcomes, and disparities among older people with HIV... projects. Our research team uses Medicare and other large national claims datasets to evaluate the effectiveness...
, you cannot be listed as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists... accomplished through the development of Prior Property Approvals (PPAs) which authorize reimbursement of allowable property costs...
, Senior Health Care Fiscal Analyst, Resource and Reimbursement Agent 1, or Resource and Reimbursement Agent 2. Only the... eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend...
medical claims or healthcare service reimbursements from Medicare, Medi-Cal (Medicaid), insurance, third-party payors... of Medicare, Medi-Cal, health insurance plans and other state and federal regulations concerning reimbursement; Ability to plan...
(in those pertaining to managed care contracting, NCQA, The Joint Commission, Medicare, Medicaid, Washington Office of the Insurance.... Communicates with provider, claims and provider relations personnel and Business Analyst to resolve pending claims. Determines...
, TRICARE purchased care system, Medicare, Medicaid, Veterans Administration (VA), Public Health Department, and Regional..., and Health Savings Account available, and more! Annual CME Stipend and License/Certification Reimbursement! Matching 401K...
, Senior Auditor, Senior Budgeting Analyst, Senior Health Care Fiscal Analyst, Resource and Reimbursement Agent 1, or Resource... for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining...
evaluation of medical necessity and/or compliance with clinical requirements related to reimbursement. The Clinical Analyst... of Medicare and Medicaid program rules and regulations and experience applying rules and regulations in order to defend medical...
to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the... and appropriate reimbursement requirements. Consults with medical providers to clarify missing or inadequate record information...
and health systems, and is connected to over 5K commercial and Medicaid/Medicare payers. We are deeply committed to living out...ABOUT THIS POSITION Waystar is seeking a smart, technical and creative Enterprise Rules & Edits Analyst seeking...
strategies related to the overall plan results of for a specific product line (i.e. Commercial, Medicare, Medicaid). Highly... statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. Inclusion and Diversity...
strategies related to the overall plan results of for a specific product line (i.e. Commercial, Medicare, Medicaid). Highly... statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. Inclusion and Diversity...
and appropriately within owning role to leadership. Extensive experience with Medicare, Medicaid, and reimbursement rules...Facility: VIRTUAL-GA Overview The Data Quality Supervisor oversees the day-to-day coding audit/analyst workqueues...
receivable which includes Medicaid and Medicare Part A & B, HMO's preferred. Experience with Medicaid Applications perferred...We are in search of a qualified Financial Analyst/Business Office Manager to join our team of dedicated professionals...
receivable which includes Medicaid and Medicare Part A & B, HMO's preferred. Experience with Medicaid Applications perferred...We are in search of a qualified Financial Analyst/Business Office Manager to join our team of dedicated professionals...