- Humana (Columbus, OH)
- …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
- OhioHealth (Columbus, OH)
- …This position will be responsible for ensuring the appropriate governmental (Medicare and Medicaid ) reimbursement is received for OhioHealth. * This position is ... projects as assigned. * Extensive knowledge of Medicare and Medicaid cost reporting and reimbursement and remaining...Hospice. Projects as assigned by Director of Revenue and Reimbursement and Manager of Reimbursement . Provide… more
- Humana (Columbus, OH)
- …in Ohio seeks highly motivated Engagement Professionals to provide end to end provider experience as a member of our Medicaid team. The Senior Provider ... preparation and presenting skills, with knowledge of value based programs and provider reimbursement methodologies. + Demonstrated ability to manage multiple… more
- Humana (Columbus, OH)
- …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
- Bon Secours Mercy Health (Lorain, OH)
- …eligibility for care; understand and communicates Center for Medicare & Medicaid Services (CMS) medical necessity and admission criteria. Establishes rapport with ... hospital staff and physicians; serves as consultant/resource person for...(ELOS) appropriately (using insurance and industry guidelines). Qualified to provide thorough and detail-oriented assessment of patient needs and… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …an employee/manager required. + Demonstrated working knowledge of Medicare and Medicaid , Insurance Managed Care including documentation, coding, reimbursement ... Mercy Health's overall compliance audit and compliance responsibilities relative to hospital revenue cycle services performed for Bon Secours Mercy Health. *Please… more
- OhioHealth (Columbus, OH)
- …resource person to campus leaders for research on new technology, alternate reimbursement methodologies, and non- hospital settings. Usually requires incumbent to ... proactive management of the charge masters and fee schedules for OhioHealth hospital operations covering 1000+ departments at all hospitals with patient charges of… more
- Cardinal Health (Columbus, OH)
- …understands the trends that affect current and future healthcare business models and reimbursement to make short and long term strategies. Will serve as an executive ... implements managed care contracting strategy including implementation of value-based reimbursement initiatives. Responsible for maintaining reimbursement strategy… more
- Humana (Columbus, OH)
- …for services rendered is complete, compliant and accurate to support optimal reimbursement . The Nurse Auditor 2 work assignments are varied and frequently require ... for services rendered is complete, compliant and accurate to support optimal reimbursement . Identifies the root cause analysis of audit findings and submits… more
- CommonSpirit Health at Home (West Chester, OH)
- …providers to promote home health services and best practices. + Participate in provider education and support hospital staff as a home health resource. ... Servicing West Chester, Ohio areas **Competitive Wages/Incentive Bonus plan/Mileage Reimbursement /Comprehensive Health Insurance Package Offered** **As a Care Transition… more
- Cleveland Clinic (Cleveland, OH)
- …requested by outside 3rd party payers or audit firms representing them. + Provide feedback to Reimbursement Managers, Institutes and Clinical areas resolving any ... Coder (CPC) or Registered Health Information Technician (RHIT) + Experience with Medicaid and Managed Care reimbursement payment policies + Knowledge of… more
- Fresenius Medical Center (Trotwood, OH)
- …* Rated as one of Forbes' US Best Employers * Paid one-on-one training * Tuition reimbursement * Competitive Pay & Benefits * Paid time off * 401(K) and much more * ... blood flow (QB) and dialysate flow (QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor… more
- Fresenius Medical Center (Toledo, OH)
- …* Rated Newsweek's Most Loved Workplaces. * Paid Dialysis Training * Tuition reimbursement * Competitive Pay & Benefits - Eligible for healthcare benefits 30 days ... blood flow (QB) and dialysate flow (QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor… more
- Intermountain Health (Columbus, OH)
- …compliant application with charge/coding capture, charge editing, and audit and reimbursement practices. Researches and collaborates on regulation updates to ensure ... (3) years of direct related experience in revenue cycle operations Hospital Billing/Coding experience preferably with a large Health System preferred **Preferred**… more
- Cleveland Clinic (Mayfield Heights, OH)
- …in working with Joint Commission, HFAP, CMS (Centers for Medicare and Medicaid : Government agency that provides reimbursement for accredited trainees) surveys ... Clinic team where you will work alongside passionate caregivers and provide patient-first healthcare. You will work alongside dedicated caregivers, receive endless… more