- Humana (Indianapolis, IN)
- …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 (Indianapolis, IN)
- …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
- Humana (Indianapolis, IN)
- …2 who initiates, negotiates, and executes physician, hospital , and other provider contracts and agreements related to Medicaid health plans. The ... and independent determination of the appropriate courses of action. The Provider Contracting Professional 2 responsibilities include (but not limited to): +… more
- Humana (Indianapolis, IN)
- …executing upon said strategy. Communicates contract terms, payment structures, and reimbursement rates to providers. Analyzes financial impact of contracts and ... responsibility for developing contracting methodologies and foster relationships with large hospital systems. Maintains metrics and health quality based goals to… more
- Insight Global (Indianapolis, IN)
- …with complex data sets Medicare/ Medicaid cost reporting (MAC, reimbursement consulting firm, hospital , healthcare) Eligibility surveys ( hospital ... including those for transplant and GME at our flagship hospital , as well as the Home Office Cost Statement....6-8 cost reports prepared by team members, and handling Medicaid DSH Eligibility and HSL surveys. You will coordinate… more
- Insight Global (Indianapolis, IN)
- … Medicaid DSH Eligibility and HSL surveys, contributing to compliance and reimbursement strategies. Prepare and review 2-3 hospital cost reports, including ... and timely. Collaborate with team members to ensure compliance and optimize reimbursement processes. Provide analysis and insights to support strategic financial… more
- CommonSpirit Health at Home (Indianapolis, IN)
- …Community Health at Home -Based onsite at Community South Hospital **Competitive Wages/Incentive Bonus plan/Mileage Reimbursement /Comprehensive Health Insurance ... providers to promote home health services and best practices. + Participate in provider education and support hospital staff as a home health resource.… more
- Humana (Indianapolis, IN)
- …for services rendered is complete, compliant and accurate to support optimal reimbursement . The Nurse Auditor 2 work assignments are varied and frequently require ... guidelines. Applies clinical experience when conducting chart reviews of hospital and facility billing. Understands department, segment, and organizational strategy… more