- Humana (Oklahoma City, OK)
- …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 (Oklahoma City, OK)
- …part of our caring community and help us put health first** The Medicare (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Pricer Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team… more
- Cardinal Health (Oklahoma City, OK)
- …Managed Care oversees the interactions that take place between payer and provider (s) to ensure optimal reimbursement including managed care contracting, ... Functions:** + Responsible for documenting and tracking all credentialing, re-credentialing, provider enrollment, and hospital privileging activities within the… more
- Integrative Emergency Services (Lawton, OK)
- …, state, local and federal guidelines + Clinical Responsibilities: + Provide emergency medical care, determining appropriate disposition ( hospital admission ... management of the clinical and administrative aspects of the Emergency Department and provider care team(s) at client hospitals of IES and its subsidiaries. This… more
- Humana (Oklahoma City, OK)
- …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
- TEKsystems (Oklahoma City, OK)
- Description JOB SUMMARY Coordinates provider referrals, pre-certifications, and pre-authorizations for managed care insurance plans. PRIMARY RESPONSIBILITIES * ... reverifications as needed (ex; first of the month reverifications for managed Medicaid 's). * Works collaboratively with insurance companies, providers and staff to… more
- SSM Health (Oklahoma City, OK)
- **It's more than a career, it's a calling.** OK-SSM Health St. Anthony Hospital - Oklahoma City **Worker Type:** Regular **Job Highlights:** . Department: Oncology . ... and to get paid when you need it. **Job Summary:** Coordinates provider referrals, pre-certifications, and pre-authorizations for managed care insurance plans. **Job… more
- Banner Health (OK)
- **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