- 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
- Grace Hospital (Morganton, NC)
- …sponsorship agencies. Assist patients with Financial Assistance applications when denied by Medicaid or their combined hospital patient account balances are ... our people are our greatest asset and strive to provide an environment where they can thrive. You'll love...working with us because: + We are a teaching hospital + We work together to ensure our patients… more
- TEKsystems (Morrisville, NC)
- …Care Coordinator will be regionally aligned and serve as an expert on reimbursement , co-pay, foundation assistance and PAP issues and be responsible for handling ... patient and healthcare provider interactions Serve as an advocate to patients regarding...Serve as an advocate to patients regarding program enrollment, reimbursement process, affordability support and general access for prescribed… more
- Genesis Healthcare (Pembroke, NC)
- …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
- TEKsystems (Morrisville, NC)
- …in healthcare, medical, or customer service settings + Strong understanding of reimbursement processes and major payers (Medicare, Medicaid , VA, DOD, commercial) ... stakeholders. You'll be the voice of support for patients navigating reimbursement , affordability programs, and access to prescribed therapies-ensuring no one is… more
- TEKsystems (Morrisville, NC)
- …on improving patient access to prescribed therapies by navigating reimbursement processes, affordability support, and program enrollment. The coordinator will ... journey. Key Responsibilities + Advocate for patients regarding program enrollment, reimbursement , affordability support, and therapy access. + Serve as the primary… more
- Humana (Raleigh, NC)
- …first** The Dental Recontracting Professional initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... 2 - 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts and/or working with insurance in a… more
- Cardinal Health (Raleigh, NC)
- …audit methodology, principles and techniques; CMS manuals; professional and/or hospital services reimbursement and repayment; confidentiality standards. + ... organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including: detection and correction of documentation,… more
- Centene Corporation (Raleigh, NC)
- …experience. 2+ years of contracting, contract analysis, provider relations, or provider experience in a hospital or physician's office or group setting. ... fresh perspective on workplace flexibility. **Position Purpose:** Recruit physician, hospital and ancillary service providers to sign network participation… more
- UNC Health Care (Smithfield, NC)
- …Responsible for performing a variety of complex duties in support of reimbursement from patient and insurance carriers throughout the revenue cycle from pre-service ... staff with training or techniques to increase production and quality as well as provide support for the team members that may be absent or backlogged. Perform all… more
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