- USAA (San Antonio, TX)
- …special and impactful. **The Opportunity** As a dedicated **Strategic Account Relationship Manager Senior for Claims Optimization** , you will be responsible for ... identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. **What you have:** + Bachelor's degree; OR… more
- CenterWell (Austin, TX)
- …documentation is in compliance with regulatory agencies and requirements of third -party payers. Ensures final audits/ billing are completed timely and in ... Interprets Company standards and Company policies and procedures to ensure compliance with external regulatory authorities and ensures that caregiver clinical… more
- Humana (Austin, TX)
- …part of our caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. ... The Manager , Fraud and Waste works within specific guidelines and...Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Decisions… more
- Option Care Health (Austin, TX)
- …negotiation and relationship management. Resolve reimbursement issues arising from contract compliance issues for assigned regions when escalated by Revenue Cycle ... insure health plan agreements are current in order to facilitate clean claim billing . Initiate and lead meetings with health plans and corporate teams, including… more
- UTMB Health (Galveston, TX)
- …environment_** **_JOB SUMMARY:_** Under the direction of the 340B Program Manager , this position oversees the day-to-day operations, compliance monitoring, ... of the University's 340B Drug Pricing Program. Collaborates with the Purchasing Manager and Senior Procurement Officer to monitor ordering processes to ensure… more
- Houston Methodist (Houston, TX)
- …Portability and Accountability Act (HIPAA) and Payment Card Industry (PCI) compliance regulations. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Reviews third party ... environment such as managed care, independent physician associations (IPAs), and third -party administrators (TPAs) + Extensive knowledge of billing , collections,… more
- Medical Center Hospital (Odessa, TX)
- …management, credit and collection laws, billing forms, medical billing regulations, insurance benefit calculations, HMO/PPO contracts, third party ... optimize collection efforts and system recording events to expedite reimbursement and compliance ; resolves issues as they arise to promote point of service… more
- Houston Methodist (Houston, TX)
- …investigations as a result of the root cause analysis process as assigned by manager . + Monitors self and ensures employee compliance with policies, procedures, ... and supervises staff while maintaining adequate staffing levels and budget compliance . The supervisor position contributes to staffing decisions such as hiring,… more
- City of College Station (College Station, TX)
- …+ Questions Description Under general direction of the Accounting Manager /Controller, the Financial Support Specialist coordinates activities related to accounts ... payable support, accounts receivable billing , payment processing and performs a variety of financial activities including assisting with cash reconciliation, grant… more
- HCA Healthcare (San Antonio, TX)
- …Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance , credentialing, ... inquiries via inbound and outbound calls from patients, guarantors, or other third parties to review account information, take appropriate actions in various systems… more