- Humana (Indianapolis, IN)
- …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 (Indianapolis, IN)
- …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 (Indianapolis, IN)
- …of our caring community and help us put health first** The Director, Provider Contracting initiates, negotiates, and executes physician, hospital , and/or other ... Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers. Analyzes financial impact of contracts and terms.… more
- Insight Global (Indianapolis, IN)
- …with complex data sets Medicare/ Medicaid cost reporting (MAC, reimbursement consulting firm, hospital , healthcare) Eligibility surveys ( hospital ... including those for transplant and GME at our flagship hospital , as well as the Home Office Cost Statement....6-8 cost reports prepared by team members, and handling Medicaid DSH Eligibility and HSL surveys. You will coordinate… more
- Insight Global (Indianapolis, IN)
- … Medicaid DSH Eligibility and HSL surveys, contributing to compliance and reimbursement strategies. Prepare and review 2-3 hospital cost reports, including ... and timely. Collaborate with team members to ensure compliance and optimize reimbursement processes. Provide analysis and insights to support strategic financial… more
- Humana (Indianapolis, IN)
- …- 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts. + Proficiency in analyzing, understanding ... part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes dental provider contracts… more
- Humana (Indianapolis, IN)
- …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