- Humana (Phoenix, AZ)
- …caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer ... **Required Qualifications** + 3+ years of experience researching state Medicaid hospital reimbursement methodologies that utilize MS-DRG, APR-DRG, APC or… more
- CommonSpirit Health (Phoenix, AZ)
- …Medicaid (Medi-Cal) regulations monitoring and report processes required Experience as hospital Reimbursement staff or auditing experiences with Fiscal ... **Responsibilities** **Position Summary:** The Senior Reimbursement Analyst is responsible for providing cost report...of Dignity Health. The position maintains current knowledge of Medicare Medicaid and other State and Federal regulations. The… more
- CommonSpirit Health (Phoenix, AZ)
- …(Medi-Cal) regulations monitoring and report processes required + Experience as hospital Reimbursement staff or auditing experiences with Fiscal Intermediary ... **Responsibilities** The **Senior Reimbursement Analyst i** s responsible for providing cost...of Dignity Health. The position maintains current knowledge of Medicare , Medicaid and other State and Federal regulations. The… more
- CommonSpirit Health (Phoenix, AZ)
- …or related field. + Minimum of five (5) years of intensive experience with Medicare and Medicaid reimbursement , two (2) years of net revenue experience and ... **Responsibilities** + Manages the healthcare organization's reimbursement activities and initiatives, to ensure timely and...through more than 2,300 clinics, care sites and 137 hospital -based locations, in addition to its home-based services and… more
- Banner Health (AZ)
- …Demonstrates extensive knowledge of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group ... production role but does require coding proficiency and recent Hospital Facility Coding experience.** This position is task-production-oriented ensuring quality… more
- HonorHealth (AZ)
- …project management, clinical trial operations, coding/billing compliance, Medicare coverage analysis/budgeting, contracting, Clinical Trial Management Systems ... relationships with physicians, industry sponsors, contract research organizations, attorneys, hospital departments, other internal staff and external entities in… more
- HonorHealth (AZ)
- …commercial payers. Determines insurance eligibility and coverage. Communicates current Medicare requirements, HIPAA compliance and reimbursement criteria. ... and provides out of pocket liability for planned services and prepares Medicare required documentation as necessary. Delivers excellent customer service via phone,… more
- Dignity Health (Phoenix, AZ)
- …medical healthcare claim environment. (Includes health plan physician claims/ reimbursement /appeals experience). + AHCCCS/ Medicare /government Commercial payer ... up with insurance companies to ensure timely and accurate reimbursement is received. + Maintains knowledge of payer guidelines...through scholarly activities. As part of the Dignity Health hospital system DHMG has full access to the staff… more
- HonorHealth (AZ)
- …documentation & coding for appropriateness & accuracy in accordance to Medicare and American Medical Association (AMA) coding guidelines. Utilizes electronic medical ... documentation & coding for appropriateness & accuracy in accordance to Medicare and American Medical Association (AMA) coding guidelines. Utilizes electronic medical… more
- Dignity Health (Phoenix, AZ)
- …healthcare claim environment. (Includes health plan physician claims/ reimbursement /appeals experience). AHCCCS/ Medicare /government Commercial payer experience. ... in the heart of Phoenix, Arizona, (http://phoenix.gov/visitors/index.html) St. Joseph's Hospital and Medical Center is a 571-bed, not-for-profit hospital… more