- Humana (Phoenix, AZ)
- …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 (Phoenix, AZ)
- …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
- CommonSpirit Health (Phoenix, AZ)
- …an understanding of national standards for fee-for-service and value-based provider reimbursement methodologies. **Required Minimum Knowledge, Skills, Abilities ... including an understanding of national standards for fee-for-service and value-based provide reimbursement methodologies. + Experience in contribution to… more
- Cardinal Health (Phoenix, AZ)
- …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
- Dignity Health (Phoenix, AZ)
- …years job related experience. Knowledge of financial data analysis, Medicare and Medicaid regulations, third party reimbursement , charge and coding guidelines. ... Proficient in aspects of reimbursement (ie, benefit investigations, payer reimbursement policies,... hospital campuses. This unique relationship with our hospital allows Dignity Health Medical Group to provide… more
- Humana (Phoenix, AZ)
- …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
- Humana (Phoenix, AZ)
- …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
- CommonSpirit Health (Phoenix, AZ)
- …such as Medicaid and Medicare + Working knowledge of various reimbursement methodologies including DRG's, per diems, RVU's + Ability to effectively work within ... complex payer information and reports are analyzed and summarized to provide timely operational and contracting recommendations for key internal leaders. Research… more
- Intermountain Health (Phoenix, AZ)
- …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