- Humana (Springfield, IL)
- …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
- Humana (Springfield, IL)
- …Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... organization that provides health insurance. The Senior Provider Contracting Professional work assignments involve moderately complex to complex issues where the… more
- Huron Consulting Group (Chicago, IL)
- … Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement . Organizational business needs may require this coder to ... HACs and PSIs or other indicators that could impact quality data and hospital reimbursement . * Codes Inpatient health records utilizing encoder software and… more
- Option Care Health (Bannockburn, IL)
- …and abuse, including but not limited to HIPAA, Anti-Kickback, Stark, Medicare/ Medicaid reimbursement . + Experience evaluating information to determine compliance ... and/or nursing compliance programs. + Direct experience applying knowledge of Medicare, Medicaid , and Managed Care reimbursement guidelines. + Proficiency with… more
- Option Care Health (Bannockburn, IL)
- **Extraordinary Careers. Endless Possibilities.** **With the nation's largest home infusion provider , there is no limit to the growth of your career.** Option Care ... the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team...and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a… more
- Humana (Springfield, IL)
- …- 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts. + Proficiency in analyzing, understanding ... part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes dental provider contracts… more
- Huron Consulting Group (Chicago, IL)
- …systems, as well as with innovative payment models, negotiating complex payer reimbursement contracts for provider organizations, understanding reimbursement ... a healthcare organization's contractual relationships with payers and overall reimbursement level. + Communicate effectively to understand client challenges, create… more
- Trinity Health (Maywood, IL)
- …Patient Access or Patient Accounting for hospital registration and / or hospital reimbursement services + Obtain National certification in HFMA CRCR and/or ... + Daily Pay option + Career development and growth opportunities + Tuition reimbursement + On-site fitness center (Gottlieb Memorial Hospital & Loyola University… more
- Rush University Medical Center (Chicago, IL)
- …to resolve issues while also analyzing necessary information that will ensure hospital reimbursement . 9. Appropriately informs the patients of hospital ... to resolve issues while also analyzing necessary information that will ensure hospital reimbursement . 13. Maintains a working knowledge of applicable Federal,… more
- Centene Corporation (Springfield, IL)
- …HOSPITAL ON THE WEST SIDE OF CHICAGO TO SUPPORT MEDICARE AND MEDICAID ADMITTED MEMBERS WORKING WITH HOSPITAL STAFF TO FACILITATE DISCHARGE ... MONDAY - FRIDAY 8AM - 5PM WORKING FROM THE HOSPITAL BASED ON MEMBER CENSUS 3 - 4 DAYS...appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and… more