• Medicaid Provider Hospital

    Humana (Boise, ID)
    …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Qualifications** + Experience with Ohio Medicaid hospital reimbursement methodologies + Experience researching and resolving provider reimbursement more
    Humana (04/30/25)
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  • Patient Account Representative - Billing & Coding,…

    Surgery Care Affiliates (Boise, ID)
    …+ Understand payer contracts and utilize them for accurate billing and reimbursement . + Customer Interaction: + Provide professional responses to patient ... accurate and timely follow-up on all accounts receivable. + Maximize facility reimbursement by working with insurance providers to resolve issues. + Denials and… more
    Surgery Care Affiliates (03/05/25)
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  • Consultant, Ethics & Compliance (Audit)

    Cardinal Health (Boise, ID)
    …audit methodology, principles and techniques; CMS manuals; professional and/or hospital services reimbursement and repayment; confidentiality standards. + ... organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including: detection and correction of documentation,… more
    Cardinal Health (04/25/25)
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  • Inpatient Medical Coding Auditor

    Humana (Boise, ID)
    …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
    Humana (05/03/25)
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  • Outpatient Coding Team Lead

    HCA Healthcare (Caldwell, ID)
    …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our...staff, and shared service center departments. You will also provide support to coding leadership by coordinating coding and… more
    HCA Healthcare (03/07/25)
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  • Inpatient DRG Quality Auditor

    Humana (Boise, ID)
    …to quality review the inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education. **Use your skills to… more
    Humana (05/03/25)
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