- Humana (Austin, TX)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Qualifications** + Experience with Ohio Medicaid hospital reimbursement methodologies + Experience researching and resolving provider reimbursement… more
- Methodist Health System (Dallas, TX)
- …financial records. 5. Assist CBO and other department managers to resolve Medicare/ Medicaid reimbursement , billing, and compliance issues as they arise. ... Experience using HFS software preferred * Working knowledge of Hospital Medicare reimbursement areas of Wage Index,...* Assist with the preparation of the annual MHS hospital Medicare/ Medicaid cost reports and home office… more
- Molina Healthcare (TX)
- …* Clearly and professionally communicates contract terms, payment structures, and reimbursement rates to physician, hospital and ancillary providers. * ... contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie physician, group and hospital contracting,… more
- UTMB Health (Galveston, TX)
- …in annual wage index reviews. + Maintains current knowledge of Medicare and Medicaid reimbursement and cost reporting laws, regulations, and manual instructions. ... Reimbursement Analyst (Remote/Local) - Government Reimbursement ...This role is crucial inensuring UTMB complies with Medicare, Medicaid , and Tricare hospital cost reporting regulations… more
- Guidehouse (Lewisville, TX)
- …None **What You Will Do** **:** The **Insurance Patient Account Representative - Hospital A/R Emphasis** is an extension of a client's business office staff. ... and three days from home._** **Essential Job Functions** + Hospital Claims + Account Review + Appeals & Denials...Claims + Account Review + Appeals & Denials + Medicare/ Medicaid + Insurance Follow-up + Customer Service + Billing… more
- Baylor Scott & White Health (Waco, TX)
- …credentialed and privileged, and whose service is billed as an independent billing provider , as recognized by Medicare and Medicaid within the healthcare ... conduct hospital rounds, assist with admissions and discharges, and provide on-call support. **KEY SUCCESS FACTORS** + Knowledge of information and techniques… more
- Baylor Scott & White Health (College Station, TX)
- …credentialed and privileged, and whose service is billed as an independent billing provider , as recognized by Medicare and Medicaid within the healthcare ... conduct hospital rounds, assist with admissions and discharges, and provide on-call support. **KEY SUCCESS FACTORS** + Knowledge of information and techniques… more
- Baylor Scott & White Health (Pflugerville, TX)
- …credentialed and privileged, and whose service is billed as an independent billing provider , as recognized by Medicare and Medicaid within the healthcare ... collaborate with referring physicians, agencies, and other professionals to provide optimum patient care within our award-winning integrated healthcare system.… more
- Baylor Scott & White Health (Temple, TX)
- …credentialed and privileged, and whose service is billed as an independent billing provider , as recognized by Medicare and Medicaid within the healthcare ... & White Medical Center - Temple is a 640-bed hospital in the heart of Central Texas and is...provider as delegated by supervising Physician. + May provide care to a panel of patients in a… more
- Houston Methodist (Houston, TX)
- …relations contracts for reimbursement billed through managed care including hospital , physician contracts for commercial, Medicare Medicaid , all products ... maintenance of health plan relationships. This position directs all aspects of provider network strategy and leads the process of continuous enhancement of… more
- Baylor Scott & White Health (Temple, TX)
- …credentialed and privileged, and whose service is billed as an independent billing provider , as recognized by Medicare and Medicaid within the healthcare ... & White Medical Center - Temple is a 640-bed hospital in the heart of Central Texas and is...(PA) Primary Care is a licensed, certified, non-physician healthcare provider who effectively renders direct patient care and possesses… more
- Cardinal Health (Austin, TX)
- …audit methodology, principles and techniques; CMS manuals; professional and/or hospital services reimbursement and repayment; confidentiality standards. + ... organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including: detection and correction of documentation,… more
- Baylor Scott & White Health (Pflugerville, TX)
- …credentialed and privileged, and whose service is billed as an independent billing provider , as recognized by Medicare and Medicaid within the healthcare ... NP - OBGYN is a licensed, certified, non-physician healthcare provider who effectively renders direct patient care and possesses...post-operatively, and may also round on patients in the hospital or see patients in the Emergency Department. +… more
- Houston Methodist (Cypress, TX)
- …informing physicians of timely disposition options to assure maximum benefits for patients and reimbursement for the hospital . + Secures reimbursement for ... stay are medically necessary, communicating clinical information to payors to ensure reimbursement . In addition to performing the duties of a CM, this position… more
- Humana (Austin, TX)
- …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
- Baylor Scott & White Health (Plano, TX)
- …credentialed and privileged, and whose service is billed as an independent billing provider , as recognized by Medicare and Medicaid within the healthcare ... Practitioner CV Surgical Specialty is a licensed, certified, non-physician healthcare provider who effectively renders direct patient care and possesses delegated… more
- Baylor Scott & White Health (Waco, TX)
- …credentialed and privileged, and whose service is billed as an independent billing provider , as recognized by Medicare and Medicaid within the healthcare ... collaborate with referring physicians, agencies, and other professionals to provide optimum patient care within our award-winning integrated healthcare system.… more
- Baylor Scott & White Health (Waco, TX)
- …credentialed and privileged, and whose service is billed as an independent billing provider , as recognized by Medicare and Medicaid within the healthcare ... collaborate with referring physicians, agencies, and other professionals to provide optimum patient care within our award-winning integrate healthcare system.… more
- Baylor Scott & White Health (Temple, TX)
- …credentialed and privileged, and whose service is billed as an independent billing provider , as recognized by Medicare and Medicaid within the healthcare ... collaborate with referring physicians, agencies, and other professionals to provide optimum patient care within our award-winning integrated healthcare system.… more
- Baylor Scott & White Health (Waco, TX)
- …credentialed and privileged, and whose service is billed as an independent billing provider , as recognized by Medicare and Medicaid within the healthcare ... collaborate with referring physicians, agencies, and other professionals to provide optimum patient care within our award-winning integrated healthcare system.… more