- Guidehouse (Lewisville, TX)
- …from home._** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare / Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 ... claims + Complete all business-related requests and correspondence from...Spending Accounts + Short-Term & Long-Term Disability + Tuition Reimbursement , Personal Development & Learning Opportunities + Skills Development… more
- Humana (Austin, TX)
- …Senior Business Intelligence Engineer will develop and maintain expertise in complex Medicare reimbursement methodologies. This role is within the Integrated ... on Pricer edit resolution + Provide consultation to internal business partners on Medicare reimbursement /editing logic and Humana system logic **Use your skills… more
- Molina Healthcare (TX)
- …their financial and clinical performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **JOB ... and manage information from large data sources. + Analyze claims and other data sources to identify early signs...- 5 years supervisory experience + Demonstrated understanding of Medicaid and Medicare programs or other healthcare… more
- AssistRx (Dallas, TX)
- …program business rules. + Strong understanding of Government benefits such as Medicare , Medicaid , and Tricare. + Documenting and reporting payment information. ... DUTIES AND RESPONSIBILITIES: + Processes medical copay claims in accordance with program business rules. +...prescription plans and billing policies to ensure compliance and reimbursement . + Monitor profitability of orders, manage claim queues… more
- Abbott (Austin, TX)
- …and appeal processes and other related matters requiring a specialized knowledge of Medicare , Medicaid and Private Payer reimbursement procedures and ... ** is responsible for implementing and managing clinical trial reimbursement processes to secure Medicare and private...On** + Review clinical investigative plan and payer policies ( Medicare , Medicare Advantage, Medicaid and… more
- Danaher Corporation (Dallas, TX)
- …and reimbursement landscape. + Communicate regional and local coverage and reimbursement issues for Medicare , Medicaid and Commercial payers through ... and reimbursement . + Support customers with approved resources for denied claims , payer coverage expansion and inadequate reimbursement . + Respond to and… more
- Danaher Corporation (Houston, TX)
- …and maintain a comprehensive understanding of national, regional and local coverage and reimbursement issues for Medicare , Medicaid and Commercial payers ... and reimbursement . + Support customers with approved resources for denied claims , payer coverage expansion and inadequate reimbursement . + Respond to and… more
- Humana (Austin, TX)
- …certification from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement methodologies, ICD, CPT, and ... efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large.… more
- Molina Healthcare (Dallas, TX)
- …and troubleshooting. **Job Duties** + Research, review, and decipher state-specific Medicaid and Medicare reimbursement methodologies for providers, ... or reimbursement processes + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg, performing basic… more
- Ascension Health (Austin, TX)
- …organizations and/or government or self payers. + Research, analyze and reconcile Medicare / Medicaid billing and reimbursement practices. + Maintain detailed ... assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community _Benefit...account record of all billing activities. Maintain documentation of claims processed as part of the daily claims… more