- Humana (Olympia, WA)
- …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 (Olympia, WA)
- …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 (Everett, WA)
- …* 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
- Whidbey General Hospital (Coupeville, WA)
- …exceeding clinic external review requirements to maintain operations and reimbursement including Medicare/ Medicaid requirements, JCAHO accreditation, Rural ... + Attends a minimum of 80% of monthly department provider meetings throughout the year. Actively participates in monthly...supporting department functions to meet set goals. + Checks hospital email account a minimum of three (3) times… more
- Cardinal Health (Olympia, WA)
- …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
- Swedish Health Services (Seattle, WA)
- …all Swedish acute ministries, including critical access hospitals, rural health clinics, provider based clinics and hospital based profee billing, including ... in a CAH setting, Professional fee billing in both a clinical and Acute Hospital setting, SNF consolidated billing rules, Medicaid TAD claim submission rules,… more
- PeaceHealth (Longview, WA)
- …. An established practice, located inside the hospital has a collaborative group of three Gastroenterologists ... in a Craftsman house within walking distance of the hospital or five to ten minutes away in Columbia...retirement plans, health, dental vision, CME allotment, education loan reimbursement (to those qualified), and more. + We value… more
- PeaceHealth (Vancouver, WA)
- …of any applicable collective bargaining agreement, seniority, etc. Position Details: + Provide initial and ongoing assessments of the patients' needs for services in ... length of stay consistent with external regulations and standards. + Provide utilization management including facilitating appropriate status assignment per Medicare… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …by the Hospital 's Medical Executive Committee (MEC), are satisfied * Provide feedback to attending and consulting physicians regarding patient status, length of ... **Job Summary and Responsibilities** 1. The Physician Advisor serves the Hospital through collaborating with, advising, and teaching the Care Coordination… more
- Humana (Olympia, WA)
- …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