- 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
- J&J Family of Companies (Toledo, 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
- Bon Secours Mercy Health (Lorain, OH)
- …eligibility for care; understand and communicates Center for Medicare & Medicaid Services (CMS) medical necessity and admission criteria. Establishes rapport with ... hospital staff and physicians; serves as consultant/resource person for...(ELOS) appropriately (using insurance and industry guidelines). Qualified to provide thorough and detail-oriented assessment of patient needs and… 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)
- …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 (Columbus, OH)
- …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
- ProMedica Health System (Toledo, OH)
- …of metrics for financial success; patient satisfaction; access; physician, provider , and employee engagement; quality/safety; primary care membership growth. ... the EHR by physicians, APPs, and staff of PPG. Enhances physician and provider knowledge of available clinical services and actively works to coordinate and enhance… more
- Somatus (Cincinnati, OH)
- …country living with chronic kidney disease to experience more days out of the hospital and healthier at home. It takes a village of passionate and tenacious ... of 3 weeks' Vacation (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being… more
- Select Medical (Cincinnati, OH)
- **Overview** **Critical Illness Recovery Hospital ** **Location:** **Select Specialty Hospital - Cincinnati North** **(located inside Bethesda North Hospital ... **Pay:** **$22.15 to $29.80** **(based on years of experience)** **Select Specialty Hospital Cincinnati North** is a critical illness recovery hospital committed… more
- Fresenius Medical Center (Marion, OH)
- …* Rated Newsweek's Most Loved Workplaces. * Paid Dialysis Training * Tuition reimbursement * Competitive Pay & Benefits - Eligible for healthcare benefits 30 days ... blood flow (QB) and dialysate flow (QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor… more