- Humana (Phoenix, AZ)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and… more
- Mayo Clinic (Phoenix, AZ)
- …Highlights** + Medical: Multiple plan options. + Dental: Delta Dental or reimbursement account for flexible coverage. + Vision: Affordable plan with national ... Clinic Stores. Assists patients with product selection and training of home medical equipment in accordance with provider prescriptions. Gathers registration and… more
- CVS Health (Phoenix, AZ)
- …of Clinical Reimbursement Specialists, ensuring accurate and timely qualification of Medicare patients and Medicare appeals. This role is responsible for ... metrics, implementing process improvements as needed. + Ensure compliance with all Medicare regulations and CVS Health policies. + Collaborate with… more
- Banner Health (Tucson, AZ)
- …be hired into our Pharmacy Shared Services, supporting Banner Family Pharmacy - Home Delivery and Banner Pharmacy Services - Specialty Care at Banner MD Anderson ... hours of 8AM - 4:30PM.** This team also offers the opportunity to **work from home , once fully trained on Tuesdays,Thursdays and every other Friday, you will be on… more
- CommonSpirit Health (Phoenix, AZ)
- …+ Working knowledge of state and federal programs such as Medicaid and Medicare + Working knowledge of various reimbursement methodologies including DRG's, per ... **Required Knowledge, Skills and Abilities** + Knowledge and experience in reimbursement , the financial aspects of contracting and managed care operations +… more
- CommonSpirit Health (Phoenix, AZ)
- …Employee will follow the coding guidelines set by AHIMA (American Health Information Management Association,) NCCI (National Correct Coding Initiative) edits, CMS ... (Center for Medicare and Medicaid Services,) and the Standards of Coding...principal diagnosis and procedure code; -Sequencing codes to optimize reimbursement in conformance with policies; -Coding only diagnoses and… more
- Ensono (Phoenix, AZ)
- …US Citizenship and pass related background checks including but not limited to Medicare and Medicaid and VA **Preferred Skills:** + Experience with secure file ... a strong background in implementing and maintaining Centers for Medicare & Medicaid Services (CMS) security standards and compliance...inclusion. You can do great things for your own health or for a healthier planet. Whatever it means… more
- CenterWell (Phoenix, AZ)
- …Experience a plus + Current nursing experience in Hospital, SNF, LTAC, DME or Home Health . + Bilingual We offer tangible and intangible benefits such as ... largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is… more
- NASCO (Phoenix, AZ)
- …laws and regulations related to our products and services, including for our Medicare Advantage and ACA Exchanges business + Interacts with vendors and customers on ... on compliance issues, including related to HIPAA + Experience supporting Medicare Advantage and ACA Exchanges business **Required Training, Certification and… more
- Humana (Phoenix, AZ)
- **Become a part of our caring community and help us put health first** Step into a leadership role with Humana where your clinical expertise and passion for accuracy ... ensure medical documentation and coding are precise, compliant, and support optimal reimbursement . This is an exciting opportunity to apply your advanced technical… more