- Cornerstone Caregiving (Waco, TX)
- …Oversee all payer relationships, reimbursement cycles, and revenue processes for VA, Medicaid , LTCI, work comp, and Medicare programs. + Ensure billing and ... and implement corrective action plans for delayed or disputed claims . + Ensure accurate application of payments and resolution...or RCM. + Deep expertise in LTCI, VA billing, Medicaid reimbursement , and/or Private Duty billing. +… more
- Cardinal Health (Austin, TX)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- R1 RCM (Austin, TX)
- …Demonstrated extensive knowledge in the health insurance industry (Commercial Insurances, Medicare , Medicaid ); health claims billing and/or Third-Party ... questions and obtain appropriate information in pursuit of resolving unpaid claims . Responsibilities: Reads and interprets expected reimbursement information… more
- HCA Healthcare (Austin, TX)
- …a liaison accounts and administer contracts in collection of third party accounts ( Medicare and Medicaid ) + You will complete account reconciliation of accounts ... and self-pay accounts to enhance cash flow and gather reimbursement based on established contracts. **What you will do...work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims… more
- US Anesthesia Partners (Austin, TX)
- …of insurance processing, guidelines, laws, and EOBs. + Knowledge of managed care, Medicare , and Medicaid guidelines. + Data entry skills with high accuracy. ... without a reasonable accommodation) + Contacts insurance companies for status on outstanding claims . + Processes and follows up on appeals to insurance companies. +… more
- J&J Family of Companies (Fort Worth, TX)
- …pre-authorization, billing, coding, claims , and appeals/grievances); practice management; Medicare and Medicaid rules and regulations; OSHA; HIPAA; and ... of product promotion, including but not limited to product access, pull-through and reimbursement . + Mentor doctors and staff on how to develop and implement an… more
- Cognizant (Austin, TX)
- …billing, with strong knowledge of RARC and CARC codes. . Expertise in Medicare , Medicaid , Managed Care, and Commercial payer processes. . Deep understanding ... reduce denials. You'll work closely with payers to ensure timely reimbursement and contribute to operational excellence through data-driven insights and… more
- Molina Healthcare (San Antonio, TX)
- …modeling current and future contract rate proposals. * Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- Molina Healthcare (Austin, TX)
- …modeling current and future contract rate proposals. + Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- Molina Healthcare (Fort Worth, TX)
- …+ Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). ... and/or functional requirements related to but not limited to coverage, reimbursement , and processing functions to support systems solutions development and… more