- 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)
- …part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the ... of the team as it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible… more
- Humana (Phoenix, AZ)
- … Contracting Professional helps ensure network adequacy, competitive reimbursement structures, and compliance with regulatory requirements. Through effective ... part of our caring community and help us put health first** The Senior Provider Contracting Professional serves as a primary point of contact for Humana's … more
- Molina Healthcare (Chandler, AZ)
- …experience in Managed Care + 5 or more years hospital reimbursement methodologies + Background in provider contracts, pricing configuration, claim ... The Lead Analyst, Reimbursement is responsible for administering complex provider reimbursement methodologies timely and accurately. Supports existing lines… more
- Banner Health (AZ)
- …as necessary. 4. Builds strong working relationships with assigned business units, hospital departments or provider offices. Identifies trends in payment issues ... across all groups of patients and all types of provider specialties, as well as the full cycle of...billing is ideal and knowledge of Medicare, Medicare Advantage, Medicaid , and Commercial insurance is highly preferred. **Location** :… more
- Molina Healthcare (Chandler, AZ)
- …and/or functional requirements related to but not limited to coverage, reimbursement , and processing functions to support systems solutions development and ... **JOB DUTIES** + Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to… more
- Gentiva (Casa Grande, AZ)
- …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
- Banner Health (Phoenix, AZ)
- …multitasking, positive and energetic attitude, and reliability. Enjoy no weekends, tuition reimbursement and potential for future growth. **This is a full time (40 ... Center Phoenix is a nationally recognized academic medical center. The world-class hospital is focused on coordinated clinical care, expanded research activities and… more
- Banner Health (Phoenix, AZ)
- …**Patient Financial Service Representative** , you will have the opportunity to provide direct support to our patients assisting with registering patients, verifying ... Center Phoenix is a nationally recognized academic medical center. The world-class hospital is focused on coordinated clinical care, expanded research activities and… more
- Molina Healthcare (Mesa, AZ)
- …modeling current and future contract rate proposals. * Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of ... Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard. * Generate hospital performance analytics tools on a quarterly basis; develop reports on… more
- Molina Healthcare (Scottsdale, AZ)
- …modeling current and future contract rate proposals. + Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of ... Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard. + Generate hospital performance analytics tools on a quarterly basis; develop reports on… more
- Banner Health (Tempe, AZ)
- …Archival Communication System (PACS) technology - Relocation assistance - Tuition reimbursement - Continuing education programs - Career growth and promotion ... may validate and/or obtain authorizations from payers in order to maximize reimbursement . Provides a customer-oriented interaction with each patient in order to… more
- Molina Healthcare (Tucson, AZ)
- …(UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS ... from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions… more
- Banner Health (AZ)
- **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