- Humana (Boise, ID)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
- Molina Healthcare (Twin Falls, ID)
- …* Clearly and professionally communicates contract terms, payment structures, and reimbursement rates to physician, hospital and ancillary providers. * ... contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie physician, group and hospital contracting,… more
- Surgery Care Affiliates (Boise, ID)
- …Meeting and maintaining cash collection metrics and goals. + Maximized facility reimbursement . + Understands each payer contract and will utilize to ensure payments ... of Benefits received from any payer. + Works closely with payer provider relations representatives. + Has thorough knowledge of ASC Allowable procedures. +… more
- R1 RCM (Boise, ID)
- …works with a large variety of hospitals and systems to review and audit Medicaid eligible days for Medicare DSH reimbursement . **Job Responsibilities:** + Assist ... R1 is the leading provider of technology-driven solutions that transform the patient...workflow orchestration. We are seeking to expand our Medicare reimbursement team by adding a senior analyst. Working as… more
- Humana (Boise, ID)
- …first** The Dental Recontracting Professional initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... 2 - 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts and/or working with insurance in a… more
- Cardinal Health (Boise, ID)
- …audit methodology, principles and techniques; CMS manuals; professional and/or hospital services reimbursement and repayment; confidentiality standards. + ... organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including: detection and correction of documentation,… more
- HCA Healthcare (Idaho Falls, ID)
- …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... Center (HSC) staff, and shared service center departments. You will also provide support to coding leadership by coordinating coding and education activities within… more
- HCA Healthcare (Caldwell, ID)
- …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... for our team to ensure that we continue to provide all patients with high quality, efficient care. Did...complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are… more