- Elevance Health (Grand Prairie, TX)
- …Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and Medicare Part A reimbursement. ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...as assigned. + Prepare and perform supervisory review of cost report desk reviews and audits. +… more
- Houston Methodist (Houston, TX)
- …all internal and external financial and governmental reporting requirements. Requirements include Medicare cost reports, Federal Tax Returns Health and Human ... and reviews the filing of Federal and State Charity Report . + Directs the coordination, review and filing of...and state regulations and apply appropriately + Knowledge of medicare cost reporting and federal tax reporting… more
- Houston Methodist (Houston, TX)
- …to requests for information. **SERVICE ESSENTIAL FUNCTIONS** + Prepares and submits the annual Medicare cost report for each HM hospital and assists in ... cost report amendments, audit, appeals and reopening process. + Independently...and keeps up-to-date with government regulations (ie Centers for Medicare and Medicaid (CMS), Internal Revenue Service (IRS), Federal… more
- UTMB Health (Galveston, TX)
- …Provider Enrollment, and directs departmental employees in these areas. + Ensures accuracy of Medicare , Medicaid and TDCJ cost report tentative and final ... Medicare and Medicaid reimbursement components including, but not limited to, cost report preparation, audits, re-openings, appeals, IME, DGME, DSH, UC,… more
- Baylor Scott & White Health (Dallas, TX)
- …appointments, as requested. + Input patient appointments and information in appropriate databases. + Medicare Cost Report data entry. + Prepare a wide ... up to 5% + Debt-free tuition assistance, offering access to many no- cost and low- cost degrees, certificates and more + Immediate access to time off benefits… more
- Humana (Austin, TX)
- …(DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus ... other commercial and Medicare Advantage value based programs. DVACO is a joint...are involved in Board and other administrative meetings. Fellows report directly to Joel Port, SVP, Business and Network… more
- Houston Methodist (Houston, TX)
- …clinical pathways and measurement and feedback of performance indicators for cost , quality, and service and patient satisfaction. Collaborates with the Physician ... of evidence-based protocols and/or order sets to influence high quality and cost -effective care. + Identifies and records episodes of preventable delays or avoidable… more
- Molina Healthcare (Austin, TX)
- …Plan and Finance team through analyzing key business issues related to cost , utilization and revenue for multiple Molina Healthcare products. Analyzes data and ... plan performance and identify the root causes of medical cost trends. With those root causes identified, drives improvement...achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **JOB… more
- Molina Healthcare (Austin, TX)
- …medical director, and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews quality referred ... among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care. + Ensures that medical decisions are rendered… more
- HCA Healthcare (Pasadena, TX)
- …include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health ... patient discharges requiring post-acute placement or services and will identify and report barriers to discharges. The CMA will provide administrative support in… more