- Prime Therapeutics (Austin, TX)
- …resolve regulatory inquiries/complaints related to claims, contracting and pharmacy reimbursement . Works directly with business partners across the enterprise. ... duties as assigned **Education & Experience** + Bachelor's degree in business, healthcare , or related area of study, or equivalent combination of education and/or… more
- Datavant (Austin, TX)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
- Baylor Scott & White Health (Grapevine, TX)
- …and whose service is billed as an independent billing provider, as recognized by Medicare and Medicaid within the healthcare systems, and in accordance with the ... The Nurse Practitioner Medical Specialty is a licensed, certified, non-physician healthcare provider who actively renders direct patient care and possesses delegated… more
- Banner Health (TX)
- …to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of ... information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or… more
- Houston Methodist (Houston, TX)
- …and knowledge of electronic health record software (EPIC preferred) + Knowledge of Medicare , Medicaid, and managed care reimbursement methodologies + Ability to ... procedure in a timely manner, to ensure third party reimbursement . + Evaluates patient liability and generates estimates as...+ Three years of insurance verification experience in a healthcare setting, preferably in a hospital or clinic setting… more
- Banner Health (TX)
- …to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of ... information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or… more
- Houston Methodist (Nassau Bay, TX)
- …and knowledge of electronic health record software (EPIC preferred) + Knowledge of Medicare , Medicaid, and managed care reimbursement methodologies + Ability to ... patient's admission or procedure in a timely manner, to ensure third party reimbursement . + Evaluates patient liability and generates estimates as needed for patient… more
- Humana (Austin, TX)
- …and as needed will communicates contract terms, payment structures, and reimbursement rates to providers. Maintains contracts and documentation within a tracking ... and communicating financial impact of contract terms, payment structures and reimbursement rates to providers. + Excellent written and verbal communication skills… more
- Houston Methodist (Houston, TX)
- …performance, as assigned. + Demonstrates expertise of all payors, including Medicare , Medicaid and commercial payors, and applicable department's revenue cycle ... Revision (ICD-9), International Classification of Diseases Tenth Revision (ICD-10), and Healthcare Common procedure Coding System (HCPCS) coding + In depth knowledge… more
- Highmark Health (Austin, TX)
- …topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles ... system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare… more