- Humana (Springfield, IL)
- …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 (Springfield, IL)
- …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 to complex issues where the… more
- Huron Consulting Group (Chicago, IL)
- … Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement . Organizational business needs may require this coder to ... HACs and PSIs or other indicators that could impact quality data and hospital reimbursement . * Codes Inpatient health records utilizing encoder software and… more
- Option Care Health (Bannockburn, IL)
- …and abuse, including but not limited to HIPAA, Anti-Kickback, Stark, Medicare/ Medicaid reimbursement . + Experience evaluating information to determine compliance ... and/or nursing compliance programs. + Direct experience applying knowledge of Medicare, Medicaid , and Managed Care reimbursement guidelines. + Proficiency with… more
- Option Care Health (Bannockburn, IL)
- **Extraordinary Careers. Endless Possibilities.** **With the nation's largest home infusion provider , there is no limit to the growth of your career.** Option Care ... the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team...and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a… more
- Humana (Springfield, IL)
- …- 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
- Huron Consulting Group (Chicago, IL)
- …systems, as well as with innovative payment models, negotiating complex payer reimbursement contracts for provider organizations, understanding reimbursement ... a healthcare organization's contractual relationships with payers and overall reimbursement level. + Communicate effectively to understand client challenges, create… more
- Trinity Health (Maywood, IL)
- …Patient Access or Patient Accounting for hospital registration and / or hospital reimbursement services + Obtain National certification in HFMA CRCR and/or ... + Daily Pay option + Career development and growth opportunities + Tuition reimbursement + On-site fitness center (Gottlieb Memorial Hospital & Loyola University… more
- Rush University Medical Center (Chicago, IL)
- …to resolve issues while also analyzing necessary information that will ensure hospital reimbursement . 9. Appropriately informs the patients of hospital ... to resolve issues while also analyzing necessary information that will ensure hospital reimbursement . 13. Maintains a working knowledge of applicable Federal,… more
- Centene Corporation (Springfield, IL)
- …HOSPITAL ON THE WEST SIDE OF CHICAGO TO SUPPORT MEDICARE AND MEDICAID ADMITTED MEMBERS WORKING WITH HOSPITAL STAFF TO FACILITATE DISCHARGE ... MONDAY - FRIDAY 8AM - 5PM WORKING FROM THE HOSPITAL BASED ON MEMBER CENSUS 3 - 4 DAYS...appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and… more
- Trinity Health (Maywood, IL)
- …Development + Tuition Reimbursement + On Site Fitness Center (Gottlieb Memorial Hospital & LUMC) + Certification reimbursement (up to 1 certification) + ... Loyola University Medical Center and is part of a three- hospital system including Loyola University Medical Center (https://www.loyolamedicine.org/location/lumc) ,… more
- Oracle (Springfield, IL)
- …focus more on patient care by reducing administrative burden of clinical and reimbursement tasks such as charting, documentation, and coding by applying power of ... opportunities to prevent future denials, and ensure maximum appropriate reimbursement . This role is critical for financial recovery and...on experience preparing appeals for claim denials in the hospital and ambulatory setting + 3+ years hands on… more
- Abbott (Abbott Park, IL)
- …high employer contribution + Tuition reimbursement , the Freedom 2 Save ... all ADC brands and customer channels, including Managed Care, Medicaid , Medicare, Retail, and Point of Care (POC). The...Develop list and net pricing recommendations in Pharmacy, DME, Hospital , POC and other channels + Prepare and present… more
- Prime Healthcare (Joliet, IL)
- Overview Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and ... engineering, capital procurement, medical coding, project management and more. We provide services to clinically excellent community hospitals across the country… more
- Humana (Springfield, IL)
- …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
- Trinity Health (Maywood, IL)
- …to providing exceptional care to those we serve at Loyola Medicine. In return, we provide a supportive atmosphere where you can grow your career and make a lasting ... insurers, third party payors, and review entities such as EQ Health for Medicaid to relay clinical information and to certify inpatient care for payment. Records… more