- 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 ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… 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 (Cost Reporting - Medicare/ Medicaid )...This role is crucial inensuring UTMB complies with Medicare, Medicaid , and Tricare hospital cost reporting regulations… more
- Methodist Health System (Dallas, TX)
- …and state laws relating to healthcare, including but not limited to Medicare/ Medicaid reimbursement , HIPAA, AKS, self-referral prohibitions, and fraud and abuse. ... quality of care issues, informed consent, managed care contracting and negotiations, provider credentialing, and billing and reimbursement issues. + The AGC… 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
- TEKsystems (Dallas, TX)
- …for managing all aspects of accounts receivables to ensure maximum and timely reimbursement for hospital billing and claims. This role requires staying current ... Medicaid , Tricare, HIP Plans) + Strong understanding of reimbursement methodologies and contract pricing logic Nice-to-Have Qualifications: + Candidates with… more
- Genesis Healthcare (TX)
- …through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, ... in NM. Within a defined geographic area, the Clinical Reimbursement Lead models the MDS process and capability standards...support for the MDS Coordinators to meet those goals. * Provide guidance, oversight, and direction for compliance of auditing… more
- Texas Health Resources (Fort Worth, TX)
- …skills. + Entity Finance Officer must have the knowledge of product pricing, provider reimbursement and financial requirements specific to hospitals. + Entity ... Finance Officer must have the ability to anticipate and model what changes in reimbursement will mean for the hospital . Texas Health requires a resume when an… 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 ... 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 (Dallas, 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
- 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
- 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
- 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 integrated healthcare system.… 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 ... (PA) 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 (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 ... 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
- Houston Methodist (Houston, TX)
- …and compiling information for various governmental reports, including Medicare & Medicaid Cost Reports, Annual Tax Returns, Federal Emergency Management Agency ... and submits the annual Medicare cost report for each Houston Methodist (HM) hospital and assists in cost report amendments, audit, appeals and reopening process. +… more
- Houston Methodist (Houston, TX)
- …job roles and is responsible for facilitating appropriate lengths of stay (LOS) and reimbursement for all hospital admissions in accordance with set goals and ... patients. Takes leadership role in collaborating with employees to secure reimbursement for hospital services. Collaborates with department leadership on… more
- Baylor Scott & White Health (Dallas, TX)
- …credentialed and privileged, and whose service is billed as an independent billing provider , as recognized by Medicare and Medicaid within the healthcare ... The PA Surgical Specialty-Operative is a licensed, certified, non-physician healthcare provider who actively renders direct patient care and possesses delegated… more