- Zelis (Plano, TX)
- …the personal interests that shape who you are. Position Overview The Sr. Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory ... or a related field + Five+ years of experience in Medicaid billing, reimbursement , claim payment or cost reporting. + Experience with Medicare /Medicare… more
- Humana (Austin, TX)
- …The Senior Business Intelligence Engineer will develop and maintain expertise in Medicaid reimbursement methodologies rooted in complex grouping concepts (EAPG, ... Business Intelligence Engineer will be responsible for: + Researching state-specific Medicaid reimbursement methodologies for hospitals and facilities +… more
- Texas Health Resources (Arlington, TX)
- …safety-net services through various supplemental payment programs. The VP Government Reimbursement Medicaid Payments has the following duties and ... with the fiscal intermediary. + Sets annual Medicare and Medicaid reimbursement rates for budget and extended forecasting. Estimates and communicates… more
- Methodist Health System (Dallas, TX)
- …and state laws relating to healthcare, including but not limited to Medicare/ Medicaid reimbursement , HIPAA, AKS, self-referral prohibitions, and fraud and abuse. ... but not limited to, state specific health care laws and regulations, Medicare/ Medicaid rules, fraud and abuse including Stark and anti-kickback laws and regulations,… more
- Public Consulting Group (Austin, TX)
- …agency and school district clients in their efforts related to special education, Medicaid reimbursement , data management and use. While a remote role, it ... is expected that the successful candidate reside within Washington State, have a strong reputation within that state, and be able to travel to client locations as needed to meet with and support clients. **Duties And Responsibilities** + Serves as project… more
- Molina Healthcare (Fort Worth, TX)
- …providers. Contract/Re-contracting with large scale entities involving custom reimbursement . Executes standardized Alternative Payment Method or Value Based ... Committees. * Manages and reports network adequacy for Medicare, Marketplace, and Medicaid services. * In conjunction with direct management and senior leadership,… more
- Guidehouse (San Antonio, TX)
- …from home._** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare/ Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 & CMS ... Flexible Spending Accounts + Short-Term & Long-Term Disability + Tuition Reimbursement , Personal Development & Learning Opportunities + Skills Development &… more
- Houston Methodist (Houston, TX)
- …of electronic health record software (EPIC preferred) + Knowledge of Medicare, Medicaid and managed care reimbursement methodologies + Ability to manage ... patient or patient guardian/representative. Ensures all Centers for Medicare & Medicaid Services (CMS) regulatory items are completed properly, including Medicare… more
- Houston Methodist (Houston, TX)
- …of electronic health record software (EPIC preferred) + Knowledge of Medicare, Medicaid , and managed care reimbursement methodologies + Ability to manage ... 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
- Houston Methodist (The Woodlands, TX)
- …of electronic health record software (EPIC preferred) + Knowledge of Medicare, Medicaid , and managed care reimbursement methodologies + Ability to manage ... 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
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