- Humana (Salt Lake City, UT)
- …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 (Salt Lake City, UT)
- …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 (Salt Lake City, UT)
- …Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... organization that provides health insurance. The Senior Provider Contracting Professional work assignments involve moderately complex issues where the analysis of… more
- Molina Healthcare (West Valley City, UT)
- …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
- Humana (Salt Lake City, UT)
- …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
- Molina Healthcare (Salt Lake City, UT)
- …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 (Salt Lake City, UT)
- …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 (Salt Lake City, UT)
- …(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
- Intermountain Health (Park City, UT)
- …for assigned care sites and service areas - currently assigned as Park City Hospital , Heber Valley Hospital , surrounding Medical Group clinics, and at least one ... and Southern Idaho area. If interested, please apply here (http://imh.wd108.myworkdayjobs.com/IntermountainCareers/job/Intermountain-Health-Bear-River-Valley- Hospital /Compliance-Officer\_R153137-1) or search R153137 Compliance Officer on our job… more
- TEKsystems (Woods Cross, UT)
- …eligibility. + Develop and maintain a working knowledge of current Medicare, Medicaid , and insurance regulations. + Assist with problem resolution on claims, ... + Comprehensive knowledge of homecare, hospice, and skilled nursing reimbursement guidelines. + Previous experience related to insurance authorization, billing,… more
- Waystar (Lehi, UT)
- …of hospital & professional coding and billing workflows and the provider reimbursement process, obtained either through direct experience in a healthcare ... hospitals and health systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out our organizational values:… more
- Humana (Salt Lake City, UT)
- …for services rendered is complete, compliant and accurate to support optimal reimbursement . The Nurse Auditor 2 work assignments are varied and frequently require ... in the state they reside. + Minimum of 2 consecutive years acute inpatient hospital care experience in critical, intensive care setting within the last 5 years (Not… more
- Intermountain Health (Murray, UT)
- …language + 1-2 years of back-end revenue cycle experience in a facility and hospital setting + Knowledge of Medicaid and Medicare billing regulations **Physical ... of training **Skills** + Medical Billing and Coding + Reimbursement + Billing Operations + Medical Billing Software +...mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers… more