Senior Reimbursement Specialist
2 days ago
At BayCare Health System, we are seeking a highly skilled Senior Reimbursement Analyst to join our team. As a key member of our Revenue Management department, you will play a critical role in ensuring accurate and timely reimbursement from government payers, including Medicare, Medicaid, and TRICARE/CHAMPUS.
Responsibilities- Develop and implement strategies to optimize reimbursement from government payers, ensuring compliance with regulatory requirements and maximizing revenue.
- Prepare and submit annual Medicare Cost Report filings and audits, as well as stay up-to-date on government regulatory changes and CMS/Federal and State proposals to change reimbursement methodologies and payment systems.
- Collaborate with cross-functional teams to ensure accurate and timely reimbursement, including working with the MAC on audits and resolving any issues that may arise.
- Develop leadership skills by participating in or leading projects within the Revenue Management department, contributing to the growth and development of the team.
- Five or more years of progressive, successful experience in healthcare reimbursement, with at least two years direct preparation of the Medicare Cost Report working papers and filing of the reports via HFS software program (or equivalent) as well as working with the MAC on audits.
- Experience in several areas, including Medicare bad debts, DSH (Disproportionate Share), Graduate Medical Education and Interns and Residents Information System (IRIS) software, Allied Health reporting and reimbursement, Waged index and Occupational Mix surveys.
- Ability to multi-task, provide excellent customer service, and work independently while developing leadership skills.
BayCare Health System offers a competitive total reward package, including benefits, paid time off, tuition reimbursement, 401k match and additional yearly contribution, yearly performance appraisals with merit increases, yearly team award bonus, community discounts, and the chance to be part of an amazing team and a great place to work.
Location: Clearwater, FL
Status: Full Time, Exempt: Yes
Shift Hours: 8:00 am - 5:00 pm
Weekend Work: None
On Call: No
How often will this team member be working remotely? Hybrid
Equal Opportunity Employer Veterans/Disabled
-
Senior Fraud Intelligence Specialist
1 day ago
Clearwater, Florida, United States Bank OZK Full timeJob Title: Senior Fraud Intelligence SpecialistBank OZK is seeking a highly skilled Senior Fraud Intelligence Specialist to join our team. As a key member of our Bank Security and Investigations department, you will be responsible for developing and implementing fraud prevention functions and strategies to protect our customers and the bank.Key...
-
Senior Fiber Systems Specialist
3 weeks ago
Clearwater, Florida, United States PRG Technical Full timeAbout the RoleWe are seeking a highly skilled and experienced Senior Fiber Systems Specialist to join our team at PRG Technical. As a key member of our fiber systems installation team, you will be responsible for leading and performing all aspects of fiber systems installation, including pulling, suspension, fireproofing, termination, and testing.Key...
-
Senior Culinary Specialist
2 weeks ago
Clearwater, Florida, United States Compass Group Careers Full timeJob SummaryWe are seeking a highly skilled Senior Cook to join our team at Compass Group Careers. As a Senior Cook, you will be responsible for preparing food to ensure it is nutritious and properly flavored in accordance with applicable federal, state, local and company standards, guidelines and regulations.Key ResponsibilitiesOversee the cooking activities...
-
Senior Culinary Specialist
5 days ago
Clearwater, Florida, United States Compass Group Careers Full timeJob SummaryWe are seeking a highly skilled and experienced Senior Cook to join our team at Compass Group Careers. As a Senior Cook, you will play a crucial role in preparing and serving high-quality food to our clients.Key ResponsibilitiesPrepare and cook a variety of menu items, including entrees, sides, and desserts, following established recipes and...
-
Senior Assembler
4 weeks ago
Clearwater, Florida, United States GE Aviation Full timeJob SummaryGE Aviation is seeking a highly skilled Senior Assembler to join our team in Clearwater, FL. As a Senior Assembler, you will be responsible for assembling and soldering electronic components on circuit boards for military avionics systems.Key ResponsibilitiesAssemble and solder electronic components on circuit boards using established procedures...
-
Senior Mechanical Designer
4 weeks ago
Clearwater, Florida, United States McKim & Creed, Inc. Full timeJob SummaryWe are seeking a highly skilled Senior Mechanical Designer to join our team at McKim & Creed, Inc. As a key member of our design team, you will be responsible for providing technical and design services in support of mechanical design projects.Key ResponsibilitiesDesign and develop HVAC mechanical, plumbing, and fire protection systems for...
-
Vocational Specialist
1 week ago
Clearwater, Florida, United States Mental Health Resource Center Full timeJob DescriptionMental Health Resource Center is a leading provider of mental health and behavioral health care services. We are seeking a dedicated and compassionate Vocational Specialist to join our team.Job SummaryThis is an exciting opportunity for an individual who is passionate about providing support and services to individuals with severe and...
-
Senior Quality Assurance Specialist
1 month ago
Clearwater, Florida, United States AMERICAN TOOL & MOLD Full timeJob Summary:The Senior Quality Engineer will provide experienced quality assurance support to the product development team, document and submit 510K to FDA, Lead CAR resolving of defects and ensuring the product meets customer specifications and regulatory requirements.Key Responsibilities:Initiates FDA 510K documentation and successfully submitted to the...
-
Detox Support Specialist
1 week ago
Clearwater, Florida, United States Operation Par Inc. Full timeJob OpportunityOperation PAR, Inc. is a non-profit organization dedicated to providing comprehensive behavioral health treatment in west Florida. We are seeking a qualified individual to fill the role of Detox Support Specialist.About the Role:This entry-level position involves working with clients who require limited counseling skills and/or experience. The...
-
Detox Support Specialist
5 days ago
Clearwater, Florida, United States Operation Par Inc. Full timeJob OpportunityOperation PAR, Inc. is a non-profit organization dedicated to providing comprehensive behavioral health treatment in west Florida. We are seeking a qualified individual to fill the role of Detox Support Specialist.About the Role:This entry-level position involves working with clients who require limited counseling skills and/or experience. The...
-
Senior Software Developer
1 week ago
Clearwater, Florida, United States FrankCrum Full timeJob DescriptionFrankCrum, a professional employer organization, is seeking a skilled Senior Software Developer to join their team. As a key member of the development team, you will be responsible for designing, building, and maintaining various reporting-based software applications and systems.Key Responsibilities:Lead and collaborate with a team of...
-
Application Specialist
2 weeks ago
Clearwater, Florida, United States FrankCrum Full timeJob DescriptionFrankCrum, a professional employer organization, is seeking a skilled Application Specialist to join their team in Clearwater, FL. As an Application Specialist, you will play a crucial role in administering and managing the company's customer-facing time clock application and associated onboarding processes.Key ResponsibilitiesLead support for...
-
Senior Electrical and Instrumentation Designer
4 weeks ago
Clearwater, Florida, United States McKim & Creed, Inc. Full timeJob OpportunityMcKim & Creed, Inc. is seeking a highly skilled Senior Electrical and Instrumentation Designer to join our Water Business Unit in Clearwater, FL.Job SummaryWe are looking for a talented professional to provide technical and design services in support of water/wastewater design projects. The successful candidate will be responsible for...
-
Unemployment and Garnishment Specialist
2 weeks ago
Clearwater, Florida, United States FrankCrum Full timeJob OverviewFrankCrum is seeking a highly skilled Unemployment and Garnishment Specialist to join our team. As a key member of our HR services team, you will play a critical role in processing garnishments and unemployment claims, ensuring compliance with state regulations and company policies.Key ResponsibilitiesProcess writs of garnishments and child...
-
ERP Implementation Specialist
2 weeks ago
Clearwater, Florida, United States CECO Environmental Full timeJob Title: ERP SpecialistJob Summary:We are seeking a highly skilled ERP Specialist to join our team at CECO Environmental. As an ERP Specialist, you will be responsible for implementing and maintaining our enterprise resource planning (ERP) system, ensuring seamless integration with our existing IT systems.The ideal candidate will have extensive knowledge...
-
Primary Care Physician Opportunity
1 month ago
Clearwater, Florida, United States StaffPhysicians Full timeJob Opportunity**About the Role**We are seeking a skilled Primary Care Physician to join our team at StaffPhysicians. As a Physician / Internal Medicine Specialist, you will be responsible for delivering high-quality patient care in a calm and serene environment.Key Responsibilities:Provide professional, friendly, and quality care to seniorsDeliver care in...
-
Customer Support Specialist
1 month ago
Clearwater, Florida, United States Frank Winston Crum Insurance Full timeJob DescriptionFrank Winston Crum Insurance is a leading provider of Workers' Compensation and General Liability policies, offering flexible coverage and payment options to meet the diverse needs of businesses.As a Bilingual Customer Support Specialist, you will play a crucial role in delivering exceptional customer service to our policyholders, agents, and...
-
Customer Support Specialist
1 month ago
Clearwater, Florida, United States Frank Winston Crum Insurance Full timeJob DescriptionFrank Winston Crum Insurance is a leading provider of Workers' Compensation and General Liability policies, offering flexible coverage and payment options to meet the diverse needs of businesses.As a Bilingual Customer Support Specialist, you will play a crucial role in delivering exceptional customer service to our policyholders, agents, and...
-
Senior Fiber Systems Specialist
1 month ago
Clearwater, Florida, United States PRG Technical Full timePosition Title: Lead Fiber Systems TechnicianLocation: Bay Area, FloridaCompensation: $25.00/hourWork Schedule: Flexible shifts, including days, nights, and weekendsDress Requirements: Long pants, long-sleeved shirts, hard hats, steel-toed boots, and safety glassesEssential Qualifications:Proficient in English for safety communicationBackground checks, drug...
-
Blood Svcs Implementation Specialist Level 1
1 week ago
Clearwater, Florida, United States SOFT COMPUTER CONSULTANTS Full timeJob DescriptionJob Summary:Soft Computer Consultants is seeking a highly skilled Blood Svcs Implementation Specialist Level 1 to join our team. As a key member of our Blood Services team, you will provide on-site and in-house application support, troubleshooting, and training to clients for the duration of the project and for a period of approximately 30...