- Humana (Salem, OR)
- …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 (Salem, OR)
- …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 issues where the analysis of… more
- Deschutes County (Bend, OR)
- …care programs ( Medicaid , Medicare and other federally funded programs that provide health benefits); AND must not be excluded from participating in federal ... (CCBHC). As such, DCBH relies on multi-disciplinary teams to provide innovative, evidence based, recovery oriented services in behavioral...services must be eligible to be enrolled in Oregon Medicaid as a MH Provider within the… more
- Humana (Salem, OR)
- …- 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
- Sanford Health (Klamath Falls, OR)
- …care. Maintain current knowledge of state legal regulations for advanced practice provider practices, including reimbursement of services. Keep abreast of ... Full time **Weekly Hours:** 40.00 **Department Details** Seeking an Advanced Practice Provider who shares in the philosophy of establishing strong relationships with… more
- Oracle (Salem, OR)
- …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
- Veterans Affairs, Veterans Health Administration (Portland, OR)
- … reimbursement , workload, accepted nomenclature, and proper sequencing. Ensures provider documentation is complete and supports the diagnoses and procedures ... technology courses. (b) Successful completion of a course for medical technicians, hospital corpsmen, medical service specialists, or hospital training obtained… more
- PeaceHealth (Eugene, OR)
- …utilizing team-based care models for the populations we serve. In addition, we provide telepsychiatry services within our network and to rural communities.** **As a ... + Employment bonus + Relocation Assistance + Education Loan Reimbursement (if applicable) + CME Allowance + Medical/dental/vision/disability/life/wellness +… more
- Humana (Salem, OR)
- …for services rendered is complete, compliant and accurate to support optimal reimbursement . The Nurse Auditor 2 work assignments are varied and frequently require ... in the state they reside. + Minimum of 2 consecutive years acute inpatient hospital care experience in critical, intensive care setting within the last 5 years (Not… more