- Humana (Annapolis, MD)
- …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
- Genesis Healthcare (Silver Spring, MD)
- …standards of care. *Manage the overall process and tracking of all Medicare/ Medicaid case-mix documents to assure appropriate reimbursement for services provided ... through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative,… more
- Humana (Annapolis, MD)
- …- 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
- Johns Hopkins University (Baltimore, MD)
- …+ Provide monthly ambulatory clinic practice reports by site, provider , and sub-specialty to divisional leadership. + Report on access, volumes, show ... rates, provider cancellations and other selected metrics to assess outpatient...conform to applicable policies and procedures of Johns Hopkins Hospital (JHH) and Johns Hopkins University Clinical Practice Association… more
- GetWellNetwork, Inc. (Bethesda, MD)
- …outcomes. + Additional knowledge around payer-side healthcare operations, particularly in Medicaid /Medicare, with expertise in provider enrollment and services ... to stay up to date on market trends, and provide recommendations on new tools and technologies to improve...solutions with an understanding of costs and provider needs. + Evaluate and translate business requirements into… more
- Oracle (Annapolis, MD)
- …focus more on patient care by reducing administrative burden of clinical and reimbursement tasks such as charting, documentation, and coding by applying power of ... opportunities to prevent future denials, and ensure maximum appropriate reimbursement . This role is critical for financial recovery and...on experience preparing appeals for claim denials in the hospital and ambulatory setting + 3+ years hands on… more
- Genesis Healthcare (Baltimore, MD)
- …through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, ... you comfortable working cross-functionally with departments like Admissions, Clinical Reimbursement , and Social Services to maintain accurate and compliant patient… more
- US Anesthesia Partners (Rockville, MD)
- …facility has earned a five-star rating from the Centers for Medicare & Medicaid Services! Contact Callie Wade, Sr. Clincial Recruiter for more information! Email ... sharing with immediate 401k matching contributions + Continued education and professional reimbursement fund + Liberal time off program with company paid holidays +… more
- Humana (Annapolis, MD)
- …for services rendered is complete, compliant and accurate to support optimal reimbursement . The Nurse Auditor 2 work assignments are varied and frequently require ... in the state they reside. + Minimum of 2 consecutive years acute inpatient hospital care experience in critical, intensive care setting within the last 5 years (Not… more