• Medicaid Provider Hospital

    Humana (Richmond, VA)
    …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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  • Regional Vice President (RVP) Provider

    Elevance Health (Richmond, VA)
    …member of the Elevance Health family of companies offering Medicare plans, Medicaid , individual and family plans, and group insurance plans in Colorado, Connecticut, ... enough to fit any size business. **Regional Vice President (RVP) Provider Solutions II** **Location** Virginia (Richmond, Norfolk or Roanoke) **Summary** The… more
    Elevance Health (05/03/25)
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  • Provider Contracting Executive

    Humana (Richmond, VA)
    …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
    Humana (05/07/25)
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  • R215261 Registration Spec - Wound Care Clinic…

    Bon Secours Mercy Health (Midlothian, VA)
    …to and promotes departmental plans, goals, and objectives in accordance with hospital policies and procedures, regulatory and Joint Commission for Accreditation of ... Hospital Operations. * Assists in collaboration with the Physicians and Clinical Staff to provide appropriate wound service coverage in the center. * Assists… more
    Bon Secours Mercy Health (04/28/25)
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  • Outpatient Coding Team Lead

    HCA Healthcare (Richmond, VA)
    …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 (Richmond, VA)
    …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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  • Specialty Sales Representative

    Grifols Shared Services North America, Inc (Richmond, VA)
    …territory including major accounts and large players (ie, Commercial, Medicare, and Medicaid ) *Understanding of Hospital formulary with guidance of RSD and ... to fulfill customer needs and impact pull-through (eg, MSL, IG Nurse Educator, reimbursement specialist) *Gather and provide customer insights to Marketing teams… more
    Grifols Shared Services North America, Inc (04/08/25)
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  • Revenue Integrity Clinical Team Lead

    HCA Healthcare (Richmond, VA)
    …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... RI workflow tools for timely resolution resulting in appropriate reimbursement and data integrity. **What you will do in...degree required. + Healthcare experience in an acute care hospital or coding experience preferred. + Knowledge of CPT/HCPCS… more
    HCA Healthcare (05/07/25)
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  • Inpatient Coding Auditor

    HCA Healthcare (Richmond, VA)
    …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
    HCA Healthcare (04/17/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Richmond, VA)
    …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the… more
    HCA Healthcare (04/23/25)
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