- 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
- 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)
- …2 who initiates, negotiates, and executes physician, hospital , and other provider contracts and agreements related to Medicaid health plans. The ... and independent determination of the appropriate courses of action. The Provider Contracting Professional 2 responsibilities include (but not limited to): +… 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
- Molina Healthcare (Austin, TX)
- …experience in Managed Care + 5 or more years hospital reimbursement methodologies + Background in provider contracts, pricing configuration, claim ... The Lead Analyst, Reimbursement is responsible for administering complex provider reimbursement methodologies timely and accurately. Supports existing lines… 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
- 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 ... of the provider ) as delegated by supervising Physician. May conduct hospital rounds, assist with admissions and discharges, and provide on-call support.… 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 ... of the provider ) as delegated by supervising Physician. May conduct hospital rounds, assist with admissions and discharges, and provide on-call support.… more
- Baylor Scott & White Health (Marble Falls, TX)
- …* Manage and round on 8-15 neonatal patients per day * Perform hospital rounding, circumcisions, and neonatal resuscitation * Provide inpatient care in ... and whose service is billed as an independent billing provider , as recognized by Medicare and Medicaid ...hospital rounds, assist with admissions and discharges, and provide on-call support. KEY SUCCESS FACTORS Knowledge of information… 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
- CenterWell (Austin, TX)
- …experience; + Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + ... degree in a related field + Experience with Florida Medicaid + Experience with Physical Therapy, DME, Cardiac or... Experience a plus + Current nursing experience in Hospital , SNF, LTAC, DME or Home Health. + Bilingual… more
- Baylor Scott & White Health (Pflugerville, TX)
- …Summary** The Nurse Practitioner (NP) Urgent Care is a licensed, certified healthcare provider . They provide direct patient care and have prescriptive authority. ... shifts + Duties: Outpatient clinic care only - no hospital rounding or surgical duties + Experience Preferred: Seeking...They are credentialed, privileged, and billed as an independent provider by Medicare and Medicaid . The Advanced… more
- Baylor Scott & White Health (Temple, TX)
- …The Nurse Practitioner (NP) CV Surgical Specialty is a licensed, certified healthcare provider . They provide direct patient care and have prescriptive authority. ... plan with dollar-for-dollar match up to 5% + Tuition Reimbursement + PTO accrual beginning Day 1Note: Benefits may...They are credentialed, privileged, and billed as an independent provider by Medicare and Medicaid . The Advanced… more
- Baylor Scott & White Health (Temple, TX)
- …Physician Assistant (PA) CV Surgical Specialty is a licensed, certified healthcare provider . They provide direct patient care and have prescriptive authority. ... plan with dollar-for-dollar match up to 5% + Tuition Reimbursement + PTO accrual beginning Day 1Note: Benefits may...They are credentialed, privileged, and billed as an independent provider by Medicare and Medicaid . The Advanced… 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
- Baylor Scott & White Health (Killeen, 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)
- …prescriptive authority. They are credentialed, privileged, and billed as an independent provider by Medicare and Medicaid . The Advanced Practice Provider ... plan with dollar-for-dollar match up to 5% + Tuition Reimbursement + PTO accrual beginning Day 1Note: Benefits may...hospital rounds, assist with admissions and discharges, and provide on-call support. **Key Success Factors** + Know the… 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 ... dedicated to cutting-edge care, growth, and professional development. **POSITION HIGHLIGHTS** * Provider daily volume: ~10-15 patients per day * Care model: 1… more
- Molina Healthcare (Austin, TX)
- …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
- 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 ... Surgical Specialty - Non-Operative is a licensed, certified, non-physician healthcare provider who actively renders direct patient care and possesses delegated… more