- UTMB Health (Galveston, TX)
- …on various committees and task force groups. + Maintains current knowledge of Medicare reimbursement and cost reporting regulations, keeping abreast of recent ... + Responsible for technical aspects, calculations and analyses of multiple areas of Medicare and Medicaid reimbursement components including, but not limited to,… more
- Elevance Health (Grand Prairie, TX)
- … and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior** will support our Medicare Administrative Contract (MAC) with ... Reimbursement Senior will support contractual workload involving complex Medicare cost reports and Medicare Part A reimbursement . This position provides a… more
- Houston Methodist (Houston, TX)
- …**GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Seeks out opportunities to grow knowledge of Medicare reimbursement , tax regulations, State 1115 waivers, FEMA, and ... service focus and application of positive language principles + Expert knowledge of Medicare reimbursement , tax and/or FEMA rules preferred + Strong knowledge of… more
- Texas Health Resources (Arlington, TX)
- …+ Responsible for providing financial consulting and representation on various Medicare /Medicaid regulations. + Leads resolution of reimbursement issues for ... in negotiations with the fiscal intermediary. + Sets annual Medicare and Medicaid reimbursement rates for budget...intermediary. + Sets annual Medicare and Medicaid reimbursement rates for budget and extended forecasting. Estimates and… more
- Houston Methodist (Houston, TX)
- …outs, new procedures, new drugs. Analyzes proposals which include capitation reimbursement , Medicare resource-based revenue value scale (RBRVS) values, current ... maintenance and payer relations of the Houston Methodist (HM) contracts for reimbursement of services billed through managed care companies and serves as a… more
- Centene Corporation (Houston, TX)
- …to competitive benefits including a fresh perspective on workplace flexibility. ** Medicare Field based sales position for Houston, TX** **Position Purpose:** Provide ... access to health insurance, by providing education and assistance to Medicare individuals. Distribute health education materials and arrange for health screenings.… more
- Houston Methodist (Katy, TX)
- …HB Epic AR management experience + Strong working knowledge of Facility Medicare (Part A) guidelines. + Problem solving thought leader with proven execution ... to ensure operational billing compliance with government/regulatory agencies and the Medicare and Medicaid programs. + Ensures optimization of timely cash… more
- Centene Corporation (Austin, TX)
- …planning and delivery of strategic programs and complex, large-scale enterprise-wide Medicare designs to execute defined requirements and meet company strategic ... executive level discussion. + End-to-end development, filing and execution of the Medicare Supplemental dental, vision and hearing benefits. Program Manager will own… more
- Guidehouse (Lewisville, TX)
- …from home._** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare /Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 & CMS ... Flexible Spending Accounts + Short-Term & Long-Term Disability + Tuition Reimbursement , Personal Development & Learning Opportunities + Skills Development &… more
- Zelis (Plano, TX)
- …analysis, and reporting. + Understand claim payment methodologies such as Medicare , Medicaid, and Commercial Reimbursement . + Create visualizations and ... experience in healthcare data analysis. + 1+ years in claim reimbursement methodologies ( Medicare , Medicaid, Commercial) + Experience with Tableau is a bonus but… more