- Somatus (Phoenix, AZ)
- …country living with chronic kidney disease to experience more days out of the hospital and healthier at home. It takes a village of passionate and tenacious ... of 3 weeks' Vacation (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being… more
- 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 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
- Molina Healthcare (Phoenix, AZ)
- …* Working experience with, and strong knowledge of, various managed healthcare provider compensation and VBP methodologies, primarily across Medicaid and ... live in Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development… more
- Humana (Phoenix, AZ)
- … Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements. The Provider ... years of experience servicing or negotiating managed care contracts with physician, hospital and/or other provider contracts + Proficiency in analyzing,… more
- Humana (Phoenix, AZ)
- …Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... + 2+ years of network management experience including but not limited to: provider and hospital contracting, network administration in a healthcare company or… more
- Cardinal Health (Phoenix, AZ)
- …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
- CommonSpirit Health (Phoenix, AZ)
- …including an understanding of national standards for fee-for-service and value-based provide reimbursement methodologies. + Experience in contribution to ... supporting negotiations across a diverse payer portfolio, including commercial, Medicare, Medicaid , Health Insurance Exchange plans, and more. The Analyst leverages… more
- Humana (Phoenix, AZ)
- …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
- 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
- Banner Health (Sun City, 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
- Humana (Phoenix, AZ)
- …ensure medical documentation and coding are precise, compliant, and support optimal reimbursement . This is an exciting opportunity to apply your advanced technical ... Applies clinical and coding experience to conduct reviews of provider codes and billing. + Decisions are typically related...or more years of clinical RN experience in a hospital setting. + 3 or more years of experience… more
- Banner Health (Tempe, AZ)
- …of service collections and obtains authorizations and forms needed to maximize reimbursement . Document all facets of the registration process and meet accuracy goals ... the ability to collect payments, to resolve customer issues and provide excellent customer service. Perform financial counseling when appropriate. CORE FUNCTIONS… more
- BrightSpring Health Services (Scottsdale, AZ)
- …Short & Long-Term Disability*Flexible Schedules & Paid Time Off*Tuition Reimbursement *Employee Discount Program & DailyPay*401k *Pet Insurance Responsibilities + ... Familiarity with payer portals.* Strong understanding of commercial, Medicare, and Medicaid insurance plans.* Proven track record of communicating effectively with… 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 operationaland contracting recommendations for key internal leaders. Research… more
- Philips (Phoenix, AZ)
- …Philips Biomed/Clinical Engineering program which includes Centers for Medicare & Medicaid Services (CMS), FDA and accreditation agencies. + Drive new initiatives ... in an office/home office and/or remote setting, as well as in a hospital /healthcare environment; adhere to requirements. + Work flexible hours (based on business… more
