- 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 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
- 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)
- …experience in HUB or Patient Services + Comfortable with outbound calls and payer/ provider communication + Familiarity with Medicare, Medicaid , VA, DoD + Must ... About the Role TEKsystems is hiring a Reimbursement Case Manager to support a healthcare program...Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth… 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
- Humana (Raleigh, NC)
- …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
- TEKsystems (Morrisville, NC)
- …other forms of available support and will be responsible for handling healthcare provider and/or patient interactions + May serve as an advocate to patients ... benefits offered by all payer types including private/commercial and government (ie, Medicare, Medicaid , VA and DOD); with expertise in Medicare Part B + Acts as… more