- Humana (Lincoln, NE)
- …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
- Omaha Children's Hospital (Omaha, NE)
- …including knowledge of CPT, HCPCS and revenue codes and their effect on hospital reimbursement . Knowledge of the current healthcare climate, including managed ... and education. As the state's only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families-from primary and… more
- Omaha Children's Hospital (Omaha, NE)
- …methodologies + Conducts research on Federal and State regulations/laws + Coordinates regulatory reimbursement audits of the hospital and represents the System * ... and education. As the state's only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families-from primary and… more
- Humana (Lincoln, NE)
- …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
- Avera (Omaha, NE)
- …Report Reimbursement Manager will be responsible for the oversight of reimbursement associated with the Medicare, Medicaid , Tricare and any other ... healths, hopices, and nursing homes. Oversight includes the Medicare, Medicaid and Tricare cost reports for all entities in...clinics, nursing homes and other patient operating units. + Provide expertise, guidance, and advice to the rural network… more
- Omaha Children's Hospital (Omaha, NE)
- …including knowledge of CPT, HCPCS and revenue codes and their effect on hospital reimbursement . Knowledge of the current healthcare climate, including managed ... and education. As the state's only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families-from primary and… more
- Omaha Children's Hospital (Omaha, NE)
- …legal issues associated with behavioral health is a plus; physician contracting; hospital licensure; Medicaid , interest and experience in artificial intelligence ... including veterans and people with disabilities. **A Brief Overview** Provide a wide range of highly competent legal and...training and education programs related to legal matters to hospital providers and staff. + Keep abreast of relevant… more
- Humana (Lincoln, NE)
- …- 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
- Molina Healthcare (Grand Island, NE)
- …and/or functional requirements related to but not limited to coverage, reimbursement , and processing functions to support systems solutions development and ... **JOB DUTIES** + Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to… more
- Oracle (Lincoln, NE)
- …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