- Humana (Honolulu, HI)
- …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 (Honolulu, HI)
- …The Provider Contracting Executive initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements. The Provider ... diverse scope and complexity ranging from moderate to substantial. The Provider Contracting Executive communicates contract terms, payment structures, and … more
- Hawaii Pacific Health (Honolulu, HI)
- …of three longtime Hawai'i health systems. It is the state's largest health care provider , committed to providing the highest quality medical care and service to the ... & Children, Pali Momi Medical Center, Straub Clinic & Hospital and Wilcox Memorial Hospital , which have...balances and filing, verifies PIMS patient referrals, reviews in-house Medicaid claims, and answers client questions so that our… more
- Humana (Honolulu, HI)
- …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