- Somatus (Phoenix, AZ)
- …country living with chronic kidney disease to experience more days out of the hospital and healthier at home. It takes a village of passionate and tenacious ... of 3 weeks' Vacation (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being… more
- Humana (Phoenix, AZ)
- …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 (Phoenix, AZ)
- …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 (Phoenix, AZ)
- …* 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
- Humana (Phoenix, AZ)
- … Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements. The Provider ... years of experience servicing or negotiating managed care contracts with physician, hospital and/or other provider contracts + Proficiency in analyzing,… more
- Humana (Phoenix, AZ)
- …Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... + 2+ years of network management experience including but not limited to: provider and hospital contracting, network administration in a healthcare company or… more
- CommonSpirit Health (Phoenix, AZ)
- …including an understanding of national standards for fee-for-service and value-based provide reimbursement methodologies. + Experience in contribution to ... supporting negotiations across a diverse payer portfolio, including commercial, Medicare, Medicaid , Health Insurance Exchange plans, and more. The Analyst leverages… more
- Humana (Phoenix, AZ)
- …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
- Banner Health (Phoenix, AZ)
- …multitasking, positive and energetic attitude, and reliability. Enjoy no weekends, tuition reimbursement and potential for future growth. This is a full time (40 ... Center Phoenix is a nationally recognized academic medical center. The world-class hospital is focused on coordinated clinical care, expanded research activities and… more
- Banner Health (Phoenix, AZ)
- …**Patient Financial Service Representative** , you will have the opportunity to provide direct support to our patients assisting with registering patients, verifying ... Center Phoenix is a nationally recognized academic medical center. The world-class hospital is focused on coordinated clinical care, expanded research activities and… more
- Banner Health (Sun City, AZ)
- …Archival Communication System (PACS) technology - Relocation assistance - Tuition reimbursement - Continuing education programs - Career growth and promotion ... may validate and/or obtain authorizations from payers in order to maximize reimbursement . Provides a customer-oriented interaction with each patient in order to… more
- Humana (Phoenix, AZ)
- …ensure medical documentation and coding are precise, compliant, and support optimal reimbursement . This is an exciting opportunity to apply your advanced technical ... Applies clinical and coding experience to conduct reviews of provider codes and billing. + Decisions are typically related...or more years of clinical RN experience in a hospital setting. + 3 or more years of experience… more
- CommonSpirit Health (Phoenix, AZ)
- …such as Medicaid and Medicare + Working knowledge of various reimbursement methodologies including DRG's, per diems, RVU's + Ability to effectively work within ... complex payer information and reports are analyzed and summarized to provide timely operationaland contracting recommendations for key internal leaders. Research… more
- Philips (Phoenix, AZ)
- …Philips Biomed/Clinical Engineering program which includes Centers for Medicare & Medicaid Services (CMS), FDA and accreditation agencies. + Drive new initiatives ... in an office/home office and/or remote setting, as well as in a hospital /healthcare environment; adhere to requirements. + Work flexible hours (based on business… more
