- Houston Methodist (Katy, TX)
- …Confers with Billers, as necessary, to obtain additional information/clarification. + Informs manager of payer trends or any problems or changes in ... collection dollars from insurance companies in accordance with the respective contract and/or Houston Methodist financial arrangement. + Analyzes accounts for… more
- Catholic Health Initiatives (Houston, TX)
- …financial reporting functions * Experience in managing accounts for embassy-sponsored care, international payer systems and contracts , or other payer sources ... **Job Summary and Responsibilities** The Manager of Global Business Operations leads the financial...* Experience in managing accounts for embassy-sponsored care, international payer systems and contracts , or other … more
- BrightSpring Health Services (Harlingen, TX)
- …Accesses national/state/company account information, including the account names and terms of contracts or other past payer agreements, as appropriate. + ... interprets potential reimbursement options and negotiates reimbursement levels with third party payer . + Contacts referral sources to advise them of case acceptance… more
- Catholic Health Initiatives (Houston, TX)
- **Job Summary and Responsibilities** The Global Business Development Manager drives patient volume and revenue across CommonSpirit Health by expanding relationships ... reimbursement models to maximize revenue. + Collaborate with finance teams to track contract performance, compliance, and renewal timelines. + Identify new payer … more
- Houston Methodist (Nassau Bay, TX)
- …weekend days. Acute Care experience preferred. At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively ... initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from the physician… more
- Amazon (Austin, TX)
- …the world's safest and fastest online pharmacy. The Role: We seek a Senior Manager of Business Development leader to drive growth within our strategic payer ... business objectives - Lead RFP responses for expanded business opportunities and contract re-negotiations - Partner with product and technical teams to ensure our… more
- Centene Corporation (San Antonio, TX)
- …management activities to ensure compliance with current state, federal, and third-party payer regulators + Provides education to members and their families on ... Behavioral Health Professional: LCSW, LMFT, LPC or RN based on state contract requirements with BH experience is required **Preferred Experience:** + 4+ years… more
- Medical Center Hospital (Odessa, TX)
- …materials. I. Position Relationships: A. Responsible to: Patient Access Supervisor/ Manager and PFS Director B. Workers Supervised: None C. Interrelationships: ... position requires the ability to retain large amounts of changing payer information/knowledge crucial to attaining reimbursement for the services provided. Primary… more
- Catholic Health Initiatives (Lufkin, TX)
- …and to bring that information to the attention of management. * Able to perform Payer Contract Compliance Audits to identify payers at risk as needed by ... the Market's patient data repository and cost accounting system (McKesson Performance Manager ). Tasks include: * Work with department managers to develop and review… more
- Catholic Health Initiatives (Houston, TX)
- …related tools. 1. Gathers information for various financial projects, including payer contract negotiations, payment variance analysis, and reimbursement ... 1) developing/maintaining Key Performance Indicator (KPI) dashboards, reimbursement and payer mix analyses and clinic/business operational reports; 2) interpreting/explaining… more
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