- Humana (Nashville, TN)
- …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 (Nashville, TN)
- …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 (Nashville, TN)
- …- 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
- Molina Healthcare (Bowling Green, KY)
- …and/or functional requirements related to but not limited to coverage, reimbursement , and processing functions to support systems solutions development and ... **JOB DUTIES** + Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to… more
- Humana (Nashville, TN)
- …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
- Ascension Health (Nashville, TN)
- …Full-time, 7on/7off, night shift, 8:30p - 7:00a, 35 hours per week + ** Hospital :** Ascension Saint Thomas West + **Location:** Nashville, TN ** Hospital ... disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community _Benefit options and… more
- Molina Healthcare (Bowling Green, KY)
- …modeling current and future contract rate proposals. * Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of ... Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard. * Generate hospital performance analytics tools on a quarterly basis; develop reports on… more
- Molina Healthcare (Bowling Green, KY)
- …modeling current and future contract rate proposals. + Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of ... Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard. + Generate hospital performance analytics tools on a quarterly basis; develop reports on… more
- Molina Healthcare (Bowling Green, KY)
- …(UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS ... from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions… more
- Ascension Health (Nashville, TN)
- …Services + **Schedule:** Full-time, Day Shift, 40 hours per week + ** Hospital :** Ascension Saint Thomas West + **Location:** Nashville, TN + Coordinates clinical ... of Organ Sharing (UNOS) and Centers for Medicare and Medicaid Services (CMS). + Collects and maintains time study...assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community _Benefit… more
- HCA Healthcare (Brentwood, TN)
- …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... for our team to ensure that we continue to provide all patients with high quality, efficient care. Did...+ Minimum two years of professional fee coding and/or reimbursement experience required. Relevant education may substitute for experience… more
- Gentiva (Lebanon, TN)
- …designated teams and functions as an interdisciplinary (IDG) team member to provide care and liaise between physician, patient/family and hospice team. + Performs ... minimum of one (1) year experience as an RN, either in acute care hospital , oncology, long-term care, hospice or home health. + In instances where state-specific… more
- HCA Healthcare (Nashville, TN)
- …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …clinical and communication skills + Working knowledge of Medicare/Medicare Advantage, Medicaid , Commercial, and third-party reimbursement processes + Proven ... the needs of patients and their families from admission throughout their hospital stay. A critical aspect of this position involves proactive discharge planning… more