- Humana (Augusta, ME)
- …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
- Cardinal Health (Augusta, ME)
- …audit methodology, principles and techniques; CMS manuals; professional and/or hospital services reimbursement and repayment; confidentiality standards. + ... organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including: detection and correction of documentation,… more
- Humana (Augusta, ME)
- …coding auditor to review inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims… more
- Covenant Health (Lewiston, ME)
- …to staff. * Documents patient care appropriately with attention to Medicare, Medicaid , Private Pay, and Worker's Compensation reimbursement requirements. * ... to patients by referral of a physician or other appropriate healthcare provider . Essential Duties and Responsibilities * Supports and promotes the mission and… more
- Humana (Augusta, ME)
- …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
- First Atlantic Health Care (Lewiston, ME)
- …and welfare agencies to meet the needs of the resident. + Provide solutions for social and practical environmental problems including seeking financial assistance, ... to the facility Administrator. + Work with resident/families as to Medicare/ Medicaid , and other financial assistance programs available to the resident. +… more
- Amergis (Augusta, ME)
- …to health problems. + Maintains knowledge of the field including Medicare, Medicaid , Mainecare and other third-party reimbursement sources. + Participates in ... Understand member confidentiality and HIPAA requirements + Ability to effectively elicit/ provide information to and from appropriate individuals (including, but not… more
- Covenant Health (Lewiston, ME)
- …from participation in federal health care programs (eg Medicare, Medicaid , SCHIP). Experience: Preferred: 2 years of experience providing direct ... party education loan vendor per the IMG Student loan Reimbursement Policy) * Relocation Assistance * CME * Other...Mary's Regional Medical Center is a 233-bed Acute Care Hospital that offers a full range of inpatient and… more