- Humana (St. Paul, MN)
- …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 (St. Paul, MN)
- …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 (St. Paul, MN)
- …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
- Humana (St. Paul, MN)
- …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
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Licensed Professional Clinical Counselor (LPCC) * 1 year of county and/or hospital experience. * Medicaid /Medicare and/or Public Programs experience. * Knowledge ... BCBSMN Care Management team. Behavioral Health Care Advisors will provide clinical approaches that will serve and support members...gaps internally or for the member, health plan or provider coverage needs, and raise gaps to leadership as… more