- Humana (Annapolis, MD)
- …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
- University of Rochester (Pittsford, NY)
- …and addressing consequential barriers to securing public benefits which may impact hospital reimbursement and timely discharge. + Possesses a nuanced ... Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR… more
- Guidehouse (El Segundo, CA)
- …None **What You Will Do** **:** The **Insurance Patient Account Representative** **( Hospital Claims)** is an extension of a client's business office staff. ... from home._** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare/ Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 & CMS… more
- Geisinger (Danville, PA)
- …have a strong understanding of Medicare settlement processes, compliance requirements, and hospital reimbursement regulations. This role requires the ability to ... Summary We are seeking a detail-oriented professional with expertise in Medicare and Pennsylvania Medicaid cost reporting to join our team. The ideal candidate will… more
- Omaha Children's Hospital (Omaha, NE)
- …including knowledge of CPT, HCPCS and revenue codes and their effect on hospital reimbursement . Knowledge of the current healthcare climate, including managed ... and education. As the state's only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families-from primary and… more
- Omaha Children's Hospital (Omaha, NE)
- …methodologies + Conducts research on Federal and State regulations/laws + Coordinates regulatory reimbursement audits of the hospital and represents the System * ... and education. As the state's only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families-from primary and… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …and exit interviews of care providers; + May supervise and participate in hospital Medicare and Medicaid reimbursement programs including preparation of ... ) - Albert J. Solnit Children's Center, South Campus Hospital (https://portal.ct.gov/dcf/solnit-center/south) - is accepting applications for a Utilization Review… more
- AmeriHealth Caritas (Washington, DC)
- …dual eligibility health insurance, ACA Exchange Business & DSNPs. + 5 years provider contracting/ reimbursement experience in healthcare setting. + 3 years of ... Responsible for assisting the Leader with departmental activities related to provider satisfaction, education, and communication. This position is also responsible… more
- AmeriHealth Caritas (Southfield, MI)
- …partnership with & incentives for providers. + Ensure strategic alignment with state Medicaid agenda and compliance with provider related aspects of state ... preferred. + 10 or more years of experience years of managed care provider contracting and reimbursement experience, including in-depth knowledge of … more