Reimbursement Specialist

2 weeks ago


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 reports and Tricare Capital/DME Reimbursement reports to procure all amounts due from these government programs as applicable for our hospitals.
  • Individual must be capable of handling multiple projects and accustomed to working with hard set deadlines.
  • Be familiar with CMS regulations surrounding the rules and instructions for reimbursement through a Medicare cost report (PRM 15-1 and 15-2 and CFR Part 412) and stay abreast of changes and updates to these rules and regulations throughout the year as they are released. Have knowledge of the consequences to Tenet and/or the hospitals for fraudulent data reported through the cost report.
  • Compose audit workpapers and gather backing documents necessary so that audit staff are prepared for all CMS Medicare and Medicaid audits and cost report amounts reported are thoroughly supported. Explain any material variances in costs, charges, or manners of reporting as they arise.
  • Promptly communicate reimbursement and compliance issues to management once they are identified so they can be addressed and resolved in a timely manner.
  • Review prior year audit findings and adjustment reports and incorporate any changes necessary into the preparation of the current year report.
  • Understand the cost reimbursement of Intern and Resident programs and the rules and regulations that surround the proper reporting of these programs in the Medicare cost report.

Qualifications:

  • Bachelor's Degree in accounting/business with minimum 2-3 years' experience in Medicare and/or Medicaid reimbursement. Prefer at least some cost report preparation experience.

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) 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...


  • 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...


  • 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 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...


  • Taguig, National Capital Region, Philippines Techno Global Team Full time

    Are you ready to embark on a thrilling journey of business expansion and success? We're on the lookout for a passionate and driven Business Development Specialist to join our dynamic teamYOU DESERVE THE BEST - Enjoy these PerksComprehensive day 1 HMO with 10K medical reimbursementAdditional HMO coverage for your family + dental coverageFree annual Flu...


  • Taguig, National Capital Region, Philippines Nasdaq, Inc. Full time

    Compensation Operations Specialist page is loaded Compensation Operations Specialist Apply locations Philippines - Taguig City - National Capital Region time type Full time posted on Posted Yesterday job requisition id R Why NasdaqWhen you work at Nasdaq, you're working for more open and transparent markets so that more people can access opportunities....


  • Taguig, National Capital Region, Philippines Thomson Reuters Full time

    Technical Support Specialist (Accounting Software) Help Desk & IT Support (Information & Communication Technology) Product Support Specialist, Customer Service and SupportThis role has great influence on customer satisfaction. Handles customer inquiries via phone, email or chat regarding technical issues with software, hardware, online or electronic...


  • Taguig, National Capital Region, Philippines AboitizPower Full time

    Regulatory and Compliance Specialist (Rolling Intake)Opportunity Expired Experience meaningful career growth in serving both the community and the environment. Be part of the AboitizPower team today Aboitiz Power Corporation (AboitizPower, AP) is a leader in the Philippine Electric Power Industry with a portfolio of assets across the country. They are...


  • Taguig, National Capital Region, Philippines Penumbra, Inc. Full time

    General Administration – Finance & Accounting / Penumbra Europe Inc. is a US medical technology company with 4,000 employees worldwide and an annual turnover of 1.2 billion dollars. The headquarters are located in Alameda, California. As a fast-growing company with the most innovative products, particularly in the field of fast, safe and effective...


  • Taguig, National Capital Region, Philippines Merck KGaA, Darmstadt, Germany Full time

    Operations Manager for Travel & Expense and Vendor Master DataThe Operations Manager for Travel & Expense and Vendor Master Data oversees the efficient and effective operation of both the Travel & Expense (T&E) and Vendor Master Data (VMD) processes. This role is responsible for managing a team of team leaders who, in turn, oversee specialists, ensuring...


  • Taguig, National Capital Region, Philippines Optum Full time

    Taguig Site is now hiring Day 1 HMO | Customer Support Specialist Apply now Help Desk & IT Support (Information & Communication Technology) You will respond to customer service inquiries and issues by identifying the topic and type of assistance the customer needs. This may include, among others, inquiries or concerns on their benefits, eligibility and...


  • Taguig, National Capital Region, Philippines Globe Telecom Full time

    Budget Monitoring and People Agenda Specialist Administrative Assistants (Administration & Office Support) Full time Add expected salary to your profile for insights At Globe, our goal is to create a wonderful world for our people, business, and nation. By uniting people of passion who believe they can make a difference, we are confident that we can...


  • Taguig, National Capital Region, Philippines Principal Global Services (Philippines) LLC Full time

    ResponsibilitiesHoliday BreaksHybrid Work arrangement (based on metric performance and behaviors exhibited)Annual BonusComprehensive Medical HMO plan including up to 3 dependentsRetirement and Employee Stock Purchase PlanEmployee Assistance programTuition and Certification Reimbursement Program*Job Purpose: Handle inbound contacts from internal and/or...


  • Taguig, National Capital Region, Philippines Apple Inc. Full time

    Do you like to work on ground breaking technologies that enable amazing new products? Do you have the attention for details and love for excellence to work towards an extraordinary result? Envision what you could do here At Apple, we believe new ideas have a way of becoming extraordinary products, services, and customer experiences very quickly. Bring...


  • Taguig, National Capital Region, Philippines Abbott Laboratories Full time

    About AbbottAbbott is a global healthcare leader, creating breakthrough science to improve people's health. We're always looking towards the future, anticipating changes in medical science and technology.Working at AbbottAt Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You'll also...


  • Taguig, National Capital Region, Philippines Continental Full time

    Continental develops pioneering technologies and services for sustainable and connected mobility of people and their goods. Founded in 1871, the technology company offers safe, efficient, intelligent, and affordable solutions for vehicles, machines, traffic and transportation.Continental Global Business Services in Manila started in June 2012 as Veyance...