- Humana (Denver, CO)
- …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 (Denver, CO)
- …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 (Denver, CO)
- …2 who initiates, negotiates, and executes physician, hospital , and other provider contracts and agreements related to Medicaid health plans. The ... and independent determination of the appropriate courses of action. The Provider Contracting Professional 2 responsibilities include (but not limited to): +… more
- Humana (Denver, CO)
- … Contracting Professional helps ensure network adequacy, competitive reimbursement structures, and compliance with regulatory requirements. Through effective ... part of our caring community and help us put health first** The Senior Provider Contracting Professional serves as a primary point of contact for Humana's … more
- UCHealth (Longmont, CO)
- …course of practice. + Eligible to provide services, reimbursable services, and maintain provider status with Medicare and Medicaid . + Eligible to provide ... to world-class care. UCHealth Medical Group and the UCHealth Hospital Medicine team, located in Longmont, CO, are ready...to provide services, reimbursable services, and maintain provider status with Medicare and Medicaid . +… more
- J&J Family of Companies (Denver, CO)
- …+ Account Management and/or Reimbursement experience working in the hospital and/or provider office setting, building strong customer relationship. + ... to payer approval processes and business acumen. + Understanding of Medicare, Medicaid , and private payer initiatives affecting reimbursement of pharmaceutical… more
- UCHealth (Erie, CO)
- …course of practice. + Eligible to provide services reimbursable services and maintain provider status with Medicare and Medicaid . + Eligible to provide ... to provide services reimbursable services and maintain provider status with Medicare and Medicaid . +...pre-paid by UCHealth or in the form of tuition reimbursement each calendar year. About UCHealth UCHealth is an… more
- UCHealth (Longmont, CO)
- …course of practice. + Eligible to provide services, reimbursable services, and maintain provider status with Medicare and Medicaid . + Eligible to provide ... to provide services, reimbursable services, and maintain provider status with Medicare and Medicaid . +...pre-paid by UCHealth or in the form of tuition reimbursement each calendar year. About UCHealth UCHealth is an… more
- BrightSpring Health Services (Englewood, CO)
- …plus + Working knowledge of Managed Care, Commercial, Government, Medicare, and Medicaid reimbursement ; knowledge of automated billing systems and experience ... Our Company Amerita Overview Amerita is a leading provider of Specialty Infusion services focused on providing...products and clinical services to patients outside of the hospital . As one of the most respected Specialty Infusion… more
- BrightSpring Health Services (Englewood, CO)
- …billing with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement ; home infusion experience a plus + Must have ... Our Company Amerita Overview Amerita, Inc. is a leading provider in home Infusion therapy. We are looking for...drugs coming to market, and an industry shift from hospital delivery settings to lower-cost, high-quality alternative providers such… more
- Intermountain Health (Brighton, CO)
- …understand their coverage, estimate costs, and apply for programs such as Medicaid , ACA plans, and internal/external financial aid. You'll also assist with payment ... arrangements and provide clear, compassionate education about insurance and billing. If...facilitates the application of financial assistance programs, such as Medicaid , charity care, or payment plans, for eligible patients.… more
- Humana (Denver, CO)
- …for services rendered is complete, compliant and accurate to support optimal reimbursement . The Nurse Auditor 2 work assignments are varied and frequently require ... guidelines. Applies clinical experience when conducting chart reviews of hospital and facility billing. Understands department, segment, and organizational strategy… more