- 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)
- …The Provider Contracting Executive initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... organization that provides health insurance. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to… more
- Genesis Healthcare (Pembroke, NC)
- …standards of care. *Manage the overall process and tracking of all Medicare/ Medicaid case-mix documents to assure appropriate reimbursement for services provided ... through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative,… more
- CVS Health (Durham, NC)
- …**Dual Eligible Special Needs Plan** (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. ... face interactions which include visits to member homes, in the community, and/or provider locations. + Care management activities will focus on quality of care,… more
- BrightSpring Health Services (High Point, NC)
- Our Company Amerita Overview Amerita, Inc. is a leading provider in Home Infusion therapy. We are looking for an Intake Coordinator to join our Intake team as we ... Short & Long-Term Disability*Flexible Schedules & Paid Time Off*Tuition Reimbursement *Employee Discount Program & DailyPay*401k *Pet Insurance Responsibilities +… more
- Humana (Raleigh, NC)
- …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
- LifePoint Health (Henderson, NC)
- …physical, and financial wellness assistance . Loan Repayment and Tuition Reimbursement /Assistance for qualified applicants . Robust employee recognition and awards ... an outpatient rehab setting. Collaborates with multi-disciplinary team of providers to provide optimal patient care across a variety of diagnoses. Provides quality… more
- LifePoint Health (Henderson, NC)
- …physical, and financial wellness assistance . Loan Repayment and Tuition Reimbursement /Assistance for qualified applicants . Robust employee recognition and awards ... an outpatient rehab setting. Collaborates with multi-disciplinary team of providers to provide optimal patient care across a variety of diagnoses. Provides quality… more
- LifePoint Health (Henderson, NC)
- …physical, and financial wellness assistance . Loan Repayment and Tuition Reimbursement /Assistance for qualified applicants . Robust employee recognition and awards ... position may include the use of telemedicine equipment in order to provide these services to other LifePoint facilities. Participates in a multidisciplinary team… more
- PruittHealth (Durham, NC)
- …levels of care. 2. Must be knowledgeable of private insurance, Medicare and Medicaid coverage criteria, rules and regulations and reimbursement methodologies. 3. ... continuum and facilitating admissions into the Pruitt Health network. 5. Must provide excellent customer service to all referral sources and network of providers.… more
- UNC Health Care (Goldsboro, NC)
- …UNC Health Care as well as accounts with credit balances according to Hospital policy and regulatory, legal, and compliance guidelines. The Specialist is responsible ... regulatory rules related to credit balance accounts, including NC laws, Medicaid , Medicare, Liability, Worker's Compensation, HMO/PPO and Managed Care regulatory… more