Audit & Reimbursement II-Medicare Cost Report Appeals Specialist

Job Summary:Audit and Reimbursement Senior will support our Medicare Administrative Contract (MAC) with the federal government, working closely with the Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services.Key Responsibilities:Evaluate the work performed by other associates to ensure accurate reimbursement...

Job Summary:The Grievance & Appeals Specialist II is responsible for reviewing appeals submitted by Medicaid and Medicare providers and all future providers contracted with CareSource. This role requires strong analytical and communication skills to ensure accurate and timely resolution of appeals.Key Responsibilities:Prepare appeals for clinical review and...

Medicare Billing and Collections SpecialistCommuniCare Health Services Corporate is seeking a skilled Medicare Billing and Collections Specialist to join our Central Billing Office in Cincinnati, OH.The successful candidate will be responsible for billing, receivables auditing, and collections activities for services provided to patients in the facilities...

About the RoleWe are seeking a highly skilled Medicare Biller to join our Central Billing Office in Cincinnati, OH. As a key member of our team, you will be responsible for billing, receivables auditing, and collections activities for services provided to patients in the facilities assigned.Key ResponsibilitiesVerify receipt of monthly triple check forms and...

Job Summary: The Grievance & Appeals Specialist II plays a critical role in reviewing appeals submitted by Medicaid and Medicare providers and future providers contracted with CareSource. This position requires strong analytical and communication skills to ensure timely and accurate resolution of appeals.Key Responsibilities:Prepare appeals for clinical...

About the Role:The CommuniCare Health Services Corporate is seeking a skilled Medicare Claims Specialist to join our Central Billing Office in Cincinnati, OH. As a key member of our team, you will be responsible for billing, receivables auditing, and collections activities for services provided to patients in the facilities assigned.Key...

Job SummaryWe are seeking a highly skilled Auditor II to join our team at BlueCross BlueShield of South Carolina. As an Auditor II, you will be responsible for providing a full range of financial, compliance, and operational audits, business advisory and consultation services, investigations, internal controls, accountability, and use of resources.Key...

Job DescriptionMedicare and Medicaid Enrollment RepresentativeLocation: RemoteReports to: Credentialing and Enrollment Medicaid and Medicare ManagerSupervises: N/AThis is a Full-Time, Salaried, Exempt PositionSummaryThis salaried, full-time position plays a crucial role in the organization's success. As the Medicaid and Medicare enrollment expert, you will...

Job Title: Quality Assurance SpecialistJob Summary: We are seeking a Quality Assurance Specialist to join our team at SNI Companies. The successful candidate will be responsible for monitoring and rating member service representatives based on established quality guidelines. This role requires excellent communication and analytical skills, as well as the...

Job SummaryWe are seeking a highly skilled and experienced Manager I Grievance/Appeals to join our team at Elevance Health. This role will be responsible for managing the receipt, investigation, and processing of grievances and appeals, ensuring regulatory compliance and quality. The ideal candidate will have a strong background in leadership, with...

Job Title: Communications Specialist IIOverviewWe are seeking a skilled Communications Specialist II to join our team at IEA Infrastructure and Energy Alternatives. This role will play a critical part in supporting our efforts to inform, influence, and inspire internal clients through strategic communication.Key Responsibilities:Develop and implement content...

LHH Recruitment Solutions is partnering with a top retail chain to find a Senior Corporate Accountant. This role reports to the Accounting Manager and offers opportunities for growth within the GL and Financial Reporting accounting team.Key Responsibilities:Financial ReportingASC 842Month/Year End AssistanceJournal EntriesReconciliationsFinancial...

Job Summary:We are seeking a highly skilled Billing Specialist to join our team at Acadia Healthcare. The successful candidate will be responsible for obtaining accurate and detailed information concerning insurance and self-pay reimbursement on all patient accounts.Key Responsibilities:Request and process all bills to third party payors and patients,...

Job SummaryWe are seeking a highly skilled Audit Manager to join our team at Forvis Mazars, LLP. As an Audit Manager, you will be responsible for leading audit engagements, reviewing audit procedures, and providing expert advice to clients.Key ResponsibilitiesLead audit engagements and ensure timely completionReview audit procedures and provide feedback to...

At Blue and Co., we're seeking an exceptional Audit Manager to join our team and play a key role in delivering high-quality audit services to our clients.As an Audit Manager, you will be responsible for leading all aspects of assurance engagements, including planning, scheduling, and monitoring work paper preparation. You will also be responsible for...

Job SummaryWe are seeking a highly skilled Medical Assistant II to join our team in Behavioral Health. As a key member of our clinical support team, you will provide exceptional patient care and support to our patients and families.Key ResponsibilitiesProvide direct patient care and support to patients and families in Behavioral HealthAssist with prior...

Job Title: Payroll/AP AR SpecialistCommunity Integrated Living Incorporated is seeking a highly skilled Payroll/AP AR Specialist to join our team. As a key member of our financial operations team, you will be responsible for performing a variety of tasks related to payroll, accounts payable, accounts receivable, and financial reporting.Key...

Job Summary:The Family Community Specialist Level II will provide supportive services to children and families, including education, child development, and child and family wellbeing. The ideal candidate will have a strong understanding of social services, school services, and child development principles.Key Responsibilities:• Provide education and...

Job Summary:As an IT Auditor II at Humana, you will play a critical role in ensuring the efficiency and effectiveness of our information systems and procedures. Your expertise will help us maintain compliance with organizational standards and identify areas for improvement.Key Responsibilities: Perform IT audit assurance and consulting engagements to ensure...

Job SummaryKPMG is seeking a highly skilled Audit Professional to join our Audit Services team. As an Audit Professional, you will play a key role in conducting financial statement audits and ensuring the accuracy and reliability of client financial information.ResponsibilitiesConduct financial statement audits and serve the capital markets by helping ensure...