- Grifols Shared Services North America, Inc (Dallas, TX)
- …fits within the Health System's existing purchase structure (ie Distributor, GPO, Contract Status, Consignment, etc ) + Develop and execute a Strategic Account ... provide any necessary support to the responsible National Account Manager (NAM) in the execution of the contracting process...resources to assist the customer (ie Director of Reimbursement, Payer Team, etc ) + Compliantly engage and interact… more
- Option Care Health (Austin, TX)
- …Summary:** Responsible for the timely, accurate submission of invoices to responsible payer , of any type, for all services and products provided. Evaluates payments ... **Job Description:** **Job Responsibilities:** + Submits timely, accurate invoices to payer for products and services provided. Understands the terms and fee… more
- Elevance Health (San Antonio, TX)
- …submit prior authorization requests for 340B specialty medications according to payer -specific guidelines and protocols. + Maintain and update patient spreadsheets ... incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient… 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
- Bayer (Texarkana, TX)
- …contracted account and community settings. The WHS will report to the WHC Area General Manager (AGM) and be a key member of the Area Customer Squad, working closely ... growth; + Partner with the Area Business Development Lead and monitor contract performance and ensure completion of quarterly customer business review meetings on… more
- Elevance Health (Grand Prairie, TX)
- …compliance with vendor SLAs, state and federal guidelines, and employer group contracts . + Perform additional duties as necessary to support vendor operations and ... experience is desired, with strong understanding and application of Medicare Secondary Payer (MSP), NAIC guidelines, ERISA, and other relevant regulations. + AA/AS… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …performing follow-up on unpaid claims, billing or re-billing claims to appropriate payer source, and appealing denied claims + On rotating schedule, collect billing ... SharePoint + Other duties as assigned by Supervisor and/or Manager + Process Radiology accounts through the Fee Ticket...+ Analytical ability to comprehend, interpret and explain complex contract terms + Ability to work under stress and… more