- Centene Corporation (Austin, TX)
- …healthcare coverage, providing access to affordable, high-quality services to Medicaid and Medicare members, as well as to individuals and families served by the ... Health Insurance Marketplace. Looking for a compelling opportunity to move beyond patient encounters and drive meaningful change in the community? **Qualifications for this role include:** + Licenses MD or DO without restrictions + Board certified by the… more
- UTMB Health (Galveston, TX)
- …commercial and government payers, including HMOs, PPOs, ACOs, and Medicaid/ Medicare Advantage plans. * Analyze reimbursement methodologies and contract performance ... to ensure profitability and operational effectiveness. * Develop and maintain strong relationships with payer representatives to facilitate contract negotiations and dispute resolution. * Collaborate with finance, legal, revenue cycle, and clinical operations… more
- R1 RCM (Austin, TX)
- …extensive knowledge in the health insurance industry (Commercial Insurances, Medicare , Medicaid); health claims billing and/or Third-Party contracts, minimum of ... two years experience in a specified area. Demonstrated excellent analytical, fact-finding, problems solving and organizational skills as well as the ability to communicate, both verbally and in writing with staff, patients, and insurance plan administrators.… more
- Houston Methodist (Houston, TX)
- …service focus and application of positive language principles + Knowledge of Medicare , Medicaid, and managed care reimbursement methodologies + Ability to manage ... multiple tasks in a fast-paced environment + Mid-level medical terminology and knowledge of insurance requirements for physician visits and procedures + Ability to flex hours and work/day assignments to meet needs related to unanticipated patient volumes +… more
- HCA Healthcare (Austin, TX)
- …fully certified and licensed by AAAHC, the state of Texas, and Federal Medicare program. We perform over 160 laparoscopic gynecological surgeries a month. HCA ... Healthcare has been recognized as one of the World's Most Ethical Companies(R) by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts,… more
- Baylor Scott & White Health (Killeen, TX)
- …whose service is billed as an independent billing provider, as recognized by Medicare and Medicaid within the healthcare systems, and in accordance with the ... appropriate board. The Advanced Practice Provider provides medical care based upon the scope of practice as delineated by the supervising physician. Surgical providers care for both adult and pediatric patients, and specialize in General Surgery, Orthopedics,… more
- HCA Healthcare (El Paso, TX)
- …and continued stay and discharge criteria. Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan process, and rights ... and responsibilities. + You will act as the coordinator of patient/family/caregiver education. You will promote the participation of the patient/family/caregiver in team discussions related to plans, goals, and status. This will be conducted through Family… more
- Cardinal Health (Austin, TX)
- …and evaluating strategic opportunities for all lines of business including Medicare , Medicaid, and various commercial markets. The Managed Care Market Manager ... is responsible for maintaining the relationship between Cardinal Health PSAOs and the Cardinal Health network of retail independent pharmacies as well as the various sales teams. The role is devoted to educating both customers and sales on managed care and… more
- AssistRx (Dallas, TX)
- …program business rules. + Strong understanding of Government benefits such as Medicare , Medicaid, and Tricare. + Documenting and reporting payment information. + ... Professional level skills in computer use, including but not limited to Microsoft Office Suite, web-based applications, and keyboard skills. + Demonstrated strong written and verbal communication skills with providers, patients and insurance companies. +… more
- Humana (Austin, TX)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more