- Humana (Raleigh, NC)
- …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 (Raleigh, NC)
- …and reimbursement rates to providers in building and maintaining Medicaid Behavioral Health provider networks. Analyzes the financial impact(s) of ... Provider Contracting Professional initiates, negotiates, and executes physician, hospital , and/or other Behavioral Health contracts and agreements within the… more
- Humana (Raleigh, NC)
- …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
- TEKsystems (Morrisville, NC)
- …are not specifically set-forth in this job description. Skills reimbursement , insurance, medical, insurance verification, prior-authorization, benefits, provider ... Reimbursement Case Manager + Will serve as an...types of major payers including private/commercial and government (Medicare, Medicaid , VA, DoD) + Maintains records in accordance with… more
- TEKsystems (Morrisville, NC)
- We're looking for a detail-oriented Reimbursement Case Manager to support patients in accessing their prescribed therapies. This role involves navigating insurance ... as needed, following program protocols. + Monitor and report changes in reimbursement policies and access barriers. + Understand patient health conditions relevant… more
- Humana (Raleigh, NC)
- …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
- BrightSpring Health Services (Charlotte, NC)
- Our Company Amerita Overview Amerita, Inc. is a leading provider in home Infusion therapy. We are looking for an Intake Coordinator to join our Intake team as we ... of infusible drugs coming to market, and an industry shift from hospital delivery settings to lower-cost, high-quality alternative providers such as Amerita. As… more
- TEKsystems (Morrisville, NC)
- …other forms of available support and will be responsible for handling healthcare provider and/or patient interactions + May serve as an advocate to patients ... benefits offered by all payer types including private/commercial and government (ie, Medicare, Medicaid , VA and DOD); with expertise in Medicare Part B + Acts as… more
- Gentiva (Hickory, NC)
- …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
- Novant Health (Charlotte, NC)
- …Vice President of Mid Cycle Services to lead the unification of hospital and ambulatory coding, coding audits, Health Information Management, Revenue Integrity, ... Charge Capture, Utilization Review and Provider coding support services. This leader will be pivotal in driving quality, compliance, and efficiency using… more
Recent Jobs
-
Network Engineer - IT Professional III
- Sarasota County Government (Sarasota, FL)