- 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 ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
- Humana (Augusta, ME)
- …Professional who initiates, negotiates, and executes physician, hospital , and other provider contracts and agreements related to Medicaid health plans. The ... seeking a Provider Contracting...with QuickBase. + 2+ years of network development and Medicaid /Medicare experience. + Excellent written and verbal communication skills.… more
- Intermountain Health (Augusta, ME)
- …to appropriately maximize reimbursement . Interacts with Medicare Administrative Contractor, State Medicaid , and hospital personnel as needed. + Acts as a ... individual claims (logs), etc.). Interacts with HIM, PAS, and hospital finance staff as needed. + Prepares monthly Medicare..., and/or governmental reporting + Experience with Medicare and Medicaid reimbursement world and cost reports. +… more
- Genesis Healthcare (Lewiston, ME)
- …standards of care. *Manage the overall process and tracking of all Medicare/ Medicaid case-mix documents to assure appropriate reimbursement for services provided ... through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative,… more
- Humana (Augusta, ME)
- … Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... 2 - 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts and/or working with insurance in a… more
- Cardinal Health (Augusta, ME)
- …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
- 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
- National Health Care Associates (Bath, ME)
- …personalized resident care plans and ensures the capture of clinical reimbursement for services provided. **Key Responsibilities:** + Determine Patient Driven ... prospective residents by assessing their nursing needs and determining appropriate clinical reimbursement levels + Complete and assure the accuracy of the MDS… 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
- 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