- United Therapeutics (Fort Worth, TX)
- …Teams + Advanced knowledge of medical insurance terminology + Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in ... develop and implement plans that optimize patient access and reimbursement . You are an expert in XX with an...forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution + Educate physician office staff on the… more
- Houston Methodist (Houston, TX)
- …team performance, as assigned. + Demonstrates expertise of all payors, including Medicare , Medicaid and commercial payors, and applicable department's revenue ... for resolving all outstanding third party primary and secondary insurance claims for professional services. This position performs collections activities on simple… more
- HCA Healthcare (Houston, 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
- 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
- Cardinal Health (Austin, TX)
- …and/or hospital facility fee coding and auditing. + Expert-level knowledge of Medicare and Medicaid documentation and coding rules and guidelines; ... patient medical records. + Availability to assist with research of denied claims . + Maintains a functional knowledge of enterprise EMRs, the registration process… more
- UTMB Health (Galveston, TX)
- …Skills and Abilities:** + Knowledge of federal and state collection laws, Medicare , Medicaid , and other third-party pay or regulatory requirements. + ... throughout the Enterprise on denials trends and opportunities for maximizing reimbursement . + Responsible for the coordination and provision of personnel and… more
- Prime Therapeutics (Austin, TX)
- …internal stakeholders to research and resolve regulatory inquiries/complaints related to claims , contracting and pharmacy reimbursement . Works directly with ... or PBM organization, or other highly regulated industry, including experience with Medicare , Medicaid , and the Affordable Care Act (ACA) + Must be eligible to… more