• Sr Insurance Verifier-Full-time/Days

    Houston Methodist (Houston, TX)
    …accounts and completes high-quality work while adhering to productivity standards. ** FINANCE ESSENTIAL FUNCTIONS** + Utilizes multiple online resources to initiate ... of electronic health record software (EPIC preferred) + Knowledge of Medicare, Medicaid , and managed care reimbursement methodologies + Ability to manage multiple… more
    Houston Methodist (08/26/25)
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  • Sr Utiliz. Review Spclst Nurse

    Houston Methodist (Houston, TX)
    …chart audits and performs peer-to-peer evaluations for continuous quality improvement. ** FINANCE ESSENTIAL FUNCTIONS** + Takes leadership role in collaborating with ... focus and application of positive language principles + Knowledge of Medicare, Medicaid , and Managed Care requirements + Knowledge of community resources, health… more
    Houston Methodist (08/26/25)
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  • Post-Transplant Coordinator (RN) - Transplant…

    Houston Methodist (Houston, TX)
    …for hospital-based statistics and regulatory agencies such as OPTN/UNOS/CMS and Medicaid to ensure compliance with all governmental reporting requirements, and ... targets for quality, compliance, and safety, on department dashboard ** FINANCE ESSENTIAL FUNCTIONS** + Validates patient's insurance authorization for applicable… more
    Houston Methodist (08/20/25)
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  • Manager Strategic Workflow Optimization

    HCA Healthcare (Round Rock, TX)
    …that you will need:** + Bachelor's degree in computer science, finance , accounting, statistics/analytics, information science, engineering or similar field of study ... full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000… more
    HCA Healthcare (08/20/25)
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  • Pre-Transplant Coordinator (RN) | Liver

    Houston Methodist (Houston, TX)
    …and regulatory agencies, if applicable, such as OPTN/UNOS/CMS/NMDP/CIBMTR/FACT, and Medicaid to ensure compliance with all government reporting requirements, and ... and organ program targets for quality, compliance, and safety. ** FINANCE ESSENTIAL FUNCTIONS** + Validates patient's insurance authorization for applicable… more
    Houston Methodist (08/19/25)
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  • Lead Data Scientist - Safety Alignment

    Humana (Austin, TX)
    …multi-agent alignment + Experience in regulated domains such as healthcare, finance , or defense **Additional Information** **Location/Work Style:** Remote US **Why ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ **Equal… more
    Humana (08/16/25)
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  • Account Representative - (Museum District)

    Houston Methodist (Houston, TX)
    …as assigned. + Demonstrates expertise of all payors, including Medicare, Medicaid and commercial payors, and applicable department's revenue cycle operations. + ... (AR) collections. + Meets and/or exceeds established follow-up productivity goals. ** FINANCE ESSENTIAL FUNCTIONS** + Expedites and maximizes payment of insurance… more
    Houston Methodist (08/14/25)
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  • Revenue Cycle Specialist - Plastics (Medical…

    Houston Methodist (Houston, TX)
    …as the subject matter expert with all payers, including Medicare, Medicaid and commercial payers, and applicable department's revenue cycle operations. Provides ... worked. + Identifies, analyzes and escalates trends impacting AR collections. ** FINANCE ESSENTIAL FUNCTIONS** + Expedites and maximizes payment of insurance medical… more
    Houston Methodist (08/13/25)
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  • Manager, Coding & QA Clinical - Revenue Cycle…

    UTMB Health (Galveston, TX)
    …Cycle Coding **Galveston, Texas, United States** **Hot** Business, Managerial & Finance UTMB Health Requisition # 2504148 **JOB SUMMARY:** Develops, coordinates and ... / ABILITIES:** * Knowledge of federal and state collection laws, Medicare, Medicaid , and other third-party pay or regulatory requirements. * Thorough knowledge of… more
    UTMB Health (08/08/25)
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  • Case Manager - PRN

    Houston Methodist (The Woodlands, TX)
    …collaborates with unit leadership to implement evidence-based patient engagement strategies. ** FINANCE ESSENTIAL FUNCTIONS** + Monitors Length of Stay (LOS) for case ... to prioritize multiple tasks and role components + Knowledge of Medicare, Medicaid and Managed Care requirements + Comprehensive knowledge of community resources,… more
    Houston Methodist (08/08/25)
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