- 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)
- …part of our caring community and help us put health first** The Medicare (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Pricer Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team… more
- Edwards Lifesciences (Chicago, IL)
- …in facility and physician's office or clinics. + Experience with government reimbursement programs, such as Medicare and Medicaid + Excellent project ... policy coverage for procedure and technology to seek broader access and adequate reimbursement . + Conduct virtual and onsite meetings with customers to educate on… more
- Cardinal Health (Springfield, IL)
- …Managed Care oversees the interactions that take place between payer and provider (s) to ensure optimal reimbursement including managed care contracting, ... Functions:** + Responsible for documenting and tracking all credentialing, re-credentialing, provider enrollment, and hospital privileging activities within the… 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
- 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
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- …the areas of regulations and policy, coding requirements, resident supervision, reimbursement , accepted nomenclature, and proper sequencing. Insures provider ... Management (HIM) section at the Edward Hines Jr. VA Hospital . MRTs (Coder) are skilled in classifying medical data...Common Procedure Coding System (HCPCS). MRT (Coder) may also provide education related to coding and documentation. Assigns codes… more
- Humana (Springfield, IL)
- …coding auditor to review inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims… more
- Trinity Health (Maywood, IL)
- …Development + Tuition Reimbursement + On Site Fitness Center (Gottlieb Memorial Hospital & LUMC) + Certification reimbursement (up to 1 certification) + ... Loyola University Medical Center and is part of a three- hospital system including Loyola University Medical Center (https://www.loyolamedicine.org/location/lumc) ,… more
- Gentiva (Peoria, IL)
- …hospice agency promptly if unable to complete F2F visits as scheduled. + May provide F2F coverage for multiple provider numbers with approval. **About You** ... physicians, interdisciplinary group (IDG) members, patients, caregivers, and families. + Provide clinical recommendations to the IDG based on F2F assessment… more