SR Reimbursement Specialist

2 weeks ago


Taguig, National Capital Region, Philippines Tenet Global Business Center, Inc. Full time

Pharmaceuticals & Medical Devices (Healthcare & Medical)

Full time

Add expected salary to your profile for insights

The individual will be responsible for addressing all Medicare and Medicaid audits assigned to them from the Director of Audit. The Medicare audit assignments will consist of the following types of audits: the standard/desk review; Worksheet S-10; Wage Index; Interns & Residents ("IRIS") and other audits as received from the Medicare Administrative Contractors ("MAC"). The Medicare and Medicaid audits must be addressed in a timely and accurate manner, and the individual will work closely with Tenet hospitals' Controllers and/or CFOs to obtain the necessary support/documentation to address issues raised and to resolve such issues prior to the MAC's issuance of the Final Medicare adjustments/settlement.

After receipt of each Medicare final settled cost report, the individual will be responsible for reviewing the final audit adjustments and preparing a list of the adjustments to be submitted to the Government Programs' Appeals/Reopening team. This list will include the audit adjustment(s) to be pursued through appeal and/or reopening, a description of the issue/dispute, and be supplemented with the MAC workpapers.

Qualifications:

  • Bachelor's Degree in Accounting or Business
  • The position also requires a working knowledge of the Medicare cost report, the Medicare regulations and the Provider Reimbursement Manuals.

A leading fortune 500 Hospital and Healthcare company just opened it's Philippine office in Bonifacio Global City, Taguig. Be part of the pioneer shared services team and make a positive impact to the community.

We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community.

Our company is a healthcare services company headquartered in Dallas, Texas. We operate 65 hospitals and approximately 500 other healthcare facilities across the US. The company is listed in the NYSE.

A leading fortune 500 Hospital and Healthcare company just opened it's Philippine office in Bonifacio Global City, Taguig. Be part of the pioneer shared services team and make a positive impact to the community.

We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community.

Our company is a healthcare services company headquartered in Dallas, Texas. We operate 65 hospitals and approximately 500 other healthcare facilities across the US. The company is listed in the NYSE.

Don't provide your bank or credit card details when applying for jobs.

Researching careers? Find all the information and tips you need on career advice.

#J-18808-Ljbffr

  • Taguig, National Capital Region, Philippines Tenet Global Business Center, Inc. Full time

    Pharmaceuticals & Medical Devices (Healthcare & Medical) Responsible for the accurate completion, review, and on time filing of all Medicare and Medicaid cost reports to obtain appropriate reimbursement from these programs and monitor our hospitals compliance with the company's reimbursement policies and procedures.Prepare all required Medicaid supplemental...


  • Taguig, National Capital Region, Philippines Sony Corporation Full time

    Sr. Specialist, Data Engineering and Science page is loaded Sr. Specialist, Data Engineering and Science Apply locations San Diego time type Full time posted on Posted 2 Days Ago job requisition id JR Sony Electronics Inc. is looking for the risk-takers, the collaborators, the inspired and the inspirational. We want the people who are brave enough to work...


  • Taguig, National Capital Region, Philippines Carelon Global Solutions Full time

    Talent Acquisition Support Sr Specialist Recruitment - Internal (Human Resources & Recruitment) Full time Add expected salary to your profile for insights The Talent Acquisition Support Sr. Specialist will provide administrative support throughout the recruitment process. Primary duties include but are not limited to: Monitoring pre-employment requirements...

  • Sr. Specialist

    2 weeks ago


    Taguig, National Capital Region, Philippines ING Full time

    Provides detailed and comprehensive support/expertise to 1 or more areas of business by taking on and being responsible for associated organizational/ operational/process management tasks Requires in-depth experience and a high (advanced or expert) proficiency knowledge level in several aspects of a process Closely communicate with internal stakeholders...

  • Sr. Specialist

    7 days ago


    Taguig, National Capital Region, Philippines ING Full time

    Provides detailed and comprehensive support/expertise to 1 or more areas of business by taking on and being responsible for associated organizational/ operational/process management tasks Requires in-depth experience and a high (advanced or expert) proficiency knowledge level in several aspects of a process Closely communicate with internal stakeholders...

  • Sr. Specialist

    2 weeks ago


    Taguig, National Capital Region, Philippines ING Bank N.V. Full time

    Provides detailed and comprehensive support/expertise to 1 or more areas of business by taking on and being responsible for associated organizational/operational/process management tasks. Requires in-depth experience and a high (advanced or expert) proficiency knowledge level in several aspects of a process.Closely communicates with internal stakeholders...


  • Taguig, National Capital Region, Philippines GSS-PH Consulting Solution Inc. Full time

    Cobol (Junior to Sr. Lead Role) URGENT - Hybrid Developers/Programmers (Information & Communication Technology) Role Overview: Join us as a COBOL Specialist to lead the transformation of our legacy systems into state-of-the-art applications. Your expertise will drive the success of our modernization initiatives.Responsibilities:Evaluate and enhance COBOL...

  • Sr. PPC Specialist

    2 weeks ago


    Taguig, National Capital Region, Philippines XDNA Full time

    We're searching for a skilled Senior PPC Specialist to join our award-winning digital agency. Reporting directly to our Paid Media Lead, this is the perfect opportunity for an experienced Paid Media expert to make their mark in one of our fastest-growing departments.You'll be a problem-solver and analytical thinker with a track record of going above and...


  • Taguig, National Capital Region, Philippines Thermo Fisher Scientific Inc. Full time

    Job DescriptionAbout Thermo Fisher Scientific:Thermo Fisher Scientific Inc. is the world leader in serving science, with annual revenue exceeding $40 billion. Our Mission is to enable our customers to make the world healthier, cleaner and safer. Whether our customers are accelerating life sciences research, solving complex analytical challenges, improving...


  • Taguig, National Capital Region, Philippines Ingram Micro Full time

    Associate Professional, Import/Export (ECCN Specialist) Import/Export & Customs (Manufacturing, Transport & Logistics) Full time Add expected salary to your profile for insights Ingram Micro touches 80% of the technology you use every day with our focus on Technology Solutions, Cloud, and Commerce and Lifecycle Solutions. With $50 billion in revenue, we...


  • Taguig, National Capital Region, Philippines RSD Human Resource Management Consultancy Full time

    Job Title: Out-Patient Medical CoderJob Description:As an Out-Patient Medical Coder, you will be responsible for accurately assigning appropriate medical codes to outpatient medical records, procedures, diagnoses, and services. Your primary goal is to ensure compliance with coding guidelines and regulations while optimizing reimbursement for healthcare...

  • Renewals Specialist I

    2 weeks ago


    Taguig, National Capital Region, Philippines SupportNinja Full time

    We're obsessed with growth. From enabling companies to flourish, to helping careers bloom.SupportNinja was founded in 2015 to help companies solve for scale and connect them with a wider world of talent. Our vision is to show the world a better way to grow by developing the best people, implementing the latest technology, and challenging the status quo. This...


  • Taguig, National Capital Region, Philippines Neksjob Full time

    Duties/Responsibilities: Responsibility Includes responding to incoming calls from the customers, answering questions and inquiries, troubleshooting problems, providing information and handling complaints regarding the organization's products or services.Perks:HMO on Day 1 plus 1 FREE Dependent Group life insurance Leave Encashment Refreshing work culture...


  • Taguig, National Capital Region, Philippines AgileOne Full time

    Consulting & Generalist HR (Human Resources & Recruitment) *On-Boarding Management: Oversee all on-boarding processes, ensuring compliance with client contracts, including mandated screenings.*Payroll Processing: Handle all aspects of timecard processing and payroll, coordinating with applicants and clients to ensure timely submission and approval according...


  • Taguig, National Capital Region, Philippines Training and Marketing Professionals Inc. Full time

    WE ARE HIRINGTraining and Marketing Professionals, Inc. (TMPI) is looking for an Administrative Support Specialist - Globe Telecommunication (GCash Account)SKILLS & QUALIFICATIONS:Must have a Bachelor's Degree, preferably a graduate of Business Management, Office Administration, Business Administration or any related field.- Minimum of 2 years of working...


  • Taguig, National Capital Region, Philippines Dito Telecommunity Corporation Full time

    Remuneration & Benefits (Human Resources & Recruitment) Full time Add expected salary to your profile for insights The HR Specialist (Compensation and Benefits Operation) is responsible for ensuring accurate and timely processing of employee benefits and compliance with government regulations. The HR Specialist will oversee various tasks related to...


  • Taguig, National Capital Region, Philippines Nimbyx Full time

    The Accounts Receivable Specialist is responsible for assisting the Revenue Analyst in routinary processes and non-routinary accounts receivable, research, reconciliation, auditing, and related accounting functions to support Philippines and Canadian businesses. They will aid internal and external customers in resolving financial inquiries and non-routine...


  • Taguig, National Capital Region, Philippines Nimbyx Full time

    We're Nimbyx, a global technology industry leader revolutionizing healthcare through cutting-edge solutions. We're not just transforming industries; we're reshaping perspectives.At Nimbyx, we envision a world where Filipino talent shines on the global stage.As a Customer Support Specialist, you'll play a pivotal role in nurturing strong client relationships,...


  • Taguig, National Capital Region, Philippines Focus Global Full time

    Focus Global values hard work, dedication, and the continuous pursuit of personal excellence.Find out more about our open roles here.Open Positions 1Open role Account Executive Accounting 9Open roles Accounting Intern (for June 2024) Accounting Officer Accounts Payable Associate Accounts Receivable Manager Credit and Collection Associate Customer...


  • Taguig, National Capital Region, Philippines AboitizPower Full time

    Stakeholder Relations and Compliance Specialist (Start ASAP)Opportunity Expired Build a career with a company that advances business and communities. Join team AboitizPower now Aboitiz Power Corporation (AboitizPower, AP) is a leader in the Philippine Electric Power Industry with a portfolio of assets located across the country. They are engaged in power...