- Humana (Carson City, NV)
- …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 (Carson City, NV)
- …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
- Humana (Carson City, NV)
- … 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 (Carson City, NV)
- …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
- Veterans Affairs, Veterans Health Administration (Las Vegas, NV)
- …to provide patient care to optimize VERA workload, third-party reimbursement , and to manage resources. Reviews compliance monitors with Supervisor and identifies ... skilled in classifying medical data from patient health records n the hospital setting, and/or physician-based settings, such as physician offices, group practices,… more
- Humana (Carson City, NV)
- …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
- Gentiva (Reno, NV)
- …hospice agency promptly if unable to complete F2F visits as scheduled. + May provide F2F coverage for multiple provider numbers with approval. **About You** ... physicians, interdisciplinary group (IDG) members, patients, caregivers, and families. + Provide clinical recommendations to the IDG based on F2F assessment… more
- Humana (Carson City, NV)
- …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
- HCA Healthcare (Las Vegas, NV)
- …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... for our team to ensure that we continue to provide all patients with high quality, efficient care. Did...complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are… more
- Banner Health (NV)
- **Department Name:** Coding-Acute Care Hospital **Work Shift:** Day **Job Category:** Revenue Cycle **Estimated Pay Range:** $27.72 - $46.20 / hour, based on ... Ahima, as defined in minimum qualifications below. **(Please upload a copy or provide certification number in your questionnaire.)** Please note, this is a COMPLEX… more