- Humana (Columbus, OH)
- …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
- OhioHealth (Columbus, OH)
- …This position will be responsible for ensuring the appropriate governmental (Medicare and Medicaid ) reimbursement is received for OhioHealth. * This position is ... projects as assigned. * Extensive knowledge of Medicare and Medicaid cost reporting and reimbursement and remaining...Hospice. Projects as assigned by Director of Revenue and Reimbursement and Manager of Reimbursement . Provide… more
- Humana (Columbus, OH)
- …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
- Molina Healthcare (Cincinnati, OH)
- …* Working experience with, and strong knowledge of, various managed healthcare provider compensation and VBP methodologies, primarily across Medicaid and ... live in Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development… more
- J&J Family of Companies (Columbus, OH)
- …+ Account Management and/or Reimbursement experience working in the hospital and/or provider office setting, building strong customer relationship. + ... to payer approval processes and business acumen. + Understanding of Medicare, Medicaid , and private payer initiatives affecting reimbursement of pharmaceutical… more
- Cleveland Clinic (Cleveland, OH)
- …a Financial Analyst III, you will be supporting Medicare, Medicare Advantage, and Medicaid rates and reimbursement , representing more than $6 billion in annual ... manage general ledger reconciliations and expense reviews and collaborate with the Reimbursement team on Medicare and Medicaid Cost Reports and third-party… more
- Cardinal Health (Columbus, OH)
- …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
- Bon Secours Mercy Health (Cincinnati, OH)
- …an employee/manager required. + Demonstrated working knowledge of Medicare and Medicaid , Insurance Managed Care including documentation, coding, reimbursement ... Mercy Health's overall compliance audit and compliance responsibilities relative to hospital revenue cycle services performed for Bon Secours Mercy Health. *Please… more
- Humana (Columbus, OH)
- …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
- OhioHealth (Marion, OH)
- …physician and physician group contracts are in full compliance with hospital policies and governmental regulations, (b) manage the physician payroll process ... payment administration, monthly variance reporting and reconciliation process for hospital contracted or employment services physician or physicians groups for… more