- Humana (Raleigh, NC)
- …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 (Raleigh, NC)
- …and reimbursement rates to providers in building and maintaining Medicaid Behavioral Health provider networks. Analyzes the financial impact(s) of ... Provider Contracting Professional initiates, negotiates, and executes physician, hospital , and/or other Behavioral Health contracts and agreements within the… more
- Humana (Raleigh, NC)
- …part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the ... of the team as it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible… more
- Cognizant (Raleigh, NC)
- We strive to provide flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in the United ... Monday to Friday - Eastern Time **About the role:** As an AR Physician Hospital Billing Follow Up, you will be responsible for resolving aged hospital … more
- TEKsystems (Morrisville, NC)
- …are not specifically set-forth in this job description. Skills reimbursement , insurance, medical, insurance verification, prior-authorization, benefits, provider ... Reimbursement Case Manager + Will serve as an...types of major payers including private/commercial and government (Medicare, Medicaid , VA, DoD) + Maintains records in accordance with… more
- TEKsystems (Morrisville, NC)
- We're looking for a detail-oriented Reimbursement Case Manager to support patients in accessing their prescribed therapies. This role involves navigating insurance ... as needed, following program protocols. + Monitor and report changes in reimbursement policies and access barriers. + Understand patient health conditions relevant… more