• Audit & Reimbursement III

    Elevance Health (Houston, TX)
    ** Audit & Reimbursement III - Medicare Cost Report Audit ** **_Locations:_** _This is a virtual United States based position._ **National Government ... Services to transform federal health programs. The ** Audit and Reimbursement III ** will support our Medicare Administrative Contract (MAC) with the… more
    Elevance Health (01/30/25)
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  • Audit & Reimbursement III

    Elevance Health (Indianapolis, IN)
    …and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement III ** will support our Medicare Administrative Contract (MAC) ... ** Audit & Reimbursement III **...** Audit & Reimbursement III ** _Location: This is a... cost report and Medicare Part A reimbursement . They will participate in contractual Audit more
    Elevance Health (02/06/25)
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  • Audit and Reimbursement III

    Elevance Health (Gilbert, MN)
    ** Audit & Reimbursement III ** **Location** :...a BA/BS degree and a minimum of 5 years of audit / reimbursement or related Medicare experience; or ... This is a virtual position; must be US based. The ** Audit & Reimbursement III ** is responsible for completing limited and full desk reviews on teaching,… more
    Elevance Health (02/04/25)
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  • Medical Billing Specialist III /IV

    Ventura County (Ventura, CA)
    …is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general ... and timely payment; + Reviews bulletins to identify new programs that may affect reimbursement for Medi-Cal and/or Medicare and prepares reports; + Serves as… more
    Ventura County (11/28/24)
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  • Accountant III ( Regional Center) - Hybrid

    State of Colorado (Denver, CO)
    Accountant III ( Regional Center) - Hybrid Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4819445) Apply  Accountant III ( Regional ... The offices within the Department of Human Services for Medicare and Medicaid funded programs. We accomplish this through...programs. We accomplish this through reporting financial information for reimbursement . This unit uses vast sets of data to… more
    State of Colorado (02/08/25)
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  • Financial Compliance Auditor III Claims

    LA Care Health Plan (Los Angeles, CA)
    Financial Compliance Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full ... achieve that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for various tasks within the...for various tasks within the Financial Compliance Unit, including audit of claims processed by medical groups and health… more
    LA Care Health Plan (01/04/25)
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  • Revenue Financial Analyst III

    LA Care Health Plan (Los Angeles, CA)
    Revenue Financial Analyst III Job Category: Accounting/Finance Department: Medical Payment System & Services Location: Los Angeles, CA, US, 90017 Position Type: Full ... net required to achieve that purpose. Job Summary The Revenue Financial Analyst III is responsible for the daily management of financial activity of the Revenue… more
    LA Care Health Plan (02/05/25)
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  • Health Care Financial Analyst / Emergency…

    The County of Los Angeles (Los Angeles, CA)
    …for permanent appointment to Health Care Financial Analyst. DEFINITION: Prepares reimbursement claims for health and/or mental health care provided under Federal, ... of program and financial reports. Essential Job Functions + Analyzes reimbursement requirements for Federal, State, and/or Special Programs to determine if… more
    The County of Los Angeles (02/07/25)
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  • Sr Utilization Review Spec FT Humc

    Hackensack Meridian Health (Hackensack, NJ)
    …clinical denials by: I. Peer-to Peer (P2P) Concurrent appealsii. Written Concurrent appeals iii . Recovery Audit Contractors & levels of appeal iv. Root cause ... Center. These include but are not limited to utilization review, hospital reimbursement , clinical compliance, case management, and transitions of care, as outlined… more
    Hackensack Meridian Health (02/01/25)
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  • Executive Director, Data Analytics & Verification

    City of New York (New York, NY)
    …of Homeless Services (DHS). DSS-AO maintains the operation of the Office of Audit Services (OAS) and Office of Quality Assurance (OQA), Office of Accountability ... Data Analytics & Verification is recruiting for (1) Administrative Staff Analyst NM III to function as an Executive Director, Data Analytics & Verification who will:… more
    City of New York (12/27/24)
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