- Humana (Austin, TX)
- …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 (Austin, TX)
- …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
- Abbott (Austin, TX)
- …policies (Medicare, Medicare Advantage, Medicaid and Private Payer) to provide coverage and reimbursement guidance for Investigational Device Exemption ... processes and other related matters requiring a specialized knowledge of Medicare, Medicaid and Private Payer reimbursement procedures and requirements. + Heavy… more
- Centene Corporation (Austin, TX)
- …cross functional teams in the management of multiple VBP relationships including Provider Groups (IPAs) and the other contracting entities like ACOs and potentially ... the New York State Department of Health and Center for Medicare and Medicaid Services' Value Based Payment programming. Support exploration of additional VBP models… more
- Option Care Health (Austin, TX)
- …as indicated by location and service line including governmental payers (ie, Medicare, Medicaid ). + Provider NPI will be credentialed in association with the ... Careers. Endless Possibilities.** **With the nation's largest home infusion provider , there is no limit to the growth of...and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a… more
- Baylor Scott & White Health (Austin, TX)
- …**Job Summary** The PA Surgical Specialty-Operative is a licensed, certified healthcare provider . They provide direct patient care and have prescriptive ... plan with dollar-for-dollar match up to 5% + Tuition Reimbursement + PTO accrual beginning Day 1 _Note: Benefits...They are credentialed, privileged, and billed as an independent provider by Medicare and Medicaid . The Advanced… more
- Molina Healthcare (Austin, TX)
- …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 (Austin, TX)
- …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 (Austin, TX)
- …(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
- Centene Corporation (Austin, TX)
- …on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, ... and personal assistance/social services, and providing patient advocacy and education to Medicaid members * Experience in FIELD-BASED Social Worker or Case Managers… more
- HCA Healthcare (Austin, TX)
- …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...and self-pay accounts to enhance cash flow and gather reimbursement based on established contracts. **What you will do… more
- Humana (Austin, TX)
- …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
- Ascension Health (Austin, TX)
- …CEE + **Schedule:** Monday - Friday, 8:00 am - 4:30 pm + ** Hospital :** Seton Administrative Offices + **Location:** Austin, TX (Onsite) **Benefits** Paid time off ... disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community _Benefit options and… more