- Humana (Hartford, CT)
- …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
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- …records and compile documents for case presentations; + May supervise and participate in hospital Medicare and Medicaid reimbursement programs; + May testify ... high volume, we are unable to confirm receipt or provide status updates directly. For recruitment updates, please check...of care providers; + May supervise and participate in hospital Medicare and Medicaid reimbursement … more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …and exit interviews of care providers; + May supervise and participate in hospital Medicare and Medicaid reimbursement programs including preparation of ... ) - Albert J. Solnit Children's Center, South Campus Hospital (https://portal.ct.gov/dcf/solnit-center/south) - is accepting applications for a Utilization Review… more
- J&J Family of Companies (Hartford, CT)
- …+ 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
- Trinity Health (Waterbury, CT)
- …Access or Patient Accounting for hospital registration and / or hospital reimbursement servicesObtain National certification in HFMA CRCR and/or NAHAM CHAA ... liability on patient accounts and works with patients or their representatives to provide financial assistance or secure payment. **What you will do** + Counsel… more
- Humana (Hartford, CT)
- …- 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
- Hartford HealthCare (Farmington, CT)
- …reason for underpayments, denials and cause of payment delays.Maximizes insurance reimbursement timely with commercial and governmental payers C. Resolves denials ... Prepares research and documentation in preparation for meetings with provider reps that will assist in resolution of payer...for other ad hoc analyses and projects as needed Provide team support during team vacations and unexpected absence… more
- Fresenius Medical Center (Bristol, CT)
- …2,600+ dialysis centers, 350+ research sites across North America + Largest provider of renal care products and services in the nation, including state-of-the-art ... largest renal specialty laboratories + We offer RN tuition reimbursement + Great for Nursing Assistants , CNA ,...and dialysate flow (QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as… more
- National Health Care Associates (Plantsville, CT)
- …personalized resident care plans and ensures the capture of clinical reimbursement for services provided. **Key Responsibilities:** + Determine Patient Driven ... prospective residents by assessing their nursing needs and determining appropriate clinical reimbursement levels + Complete and assure the accuracy of the MDS… more
- Humana (Hartford, CT)
- …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
- Hartford HealthCare (Farmington, CT)
- …accounts receivables engagements with small balance, out of state Medicaid and credit vendors as needed. *_Requirements and Specifications:_* *Education* ... and Ability Requirements** * . Epic experience and working knowledge of Resolute Hospital and Professional billing modules preferred . Knowledge of state and federal… more