- Norstella (Austin, TX)
- …+ Strong attention to detail + Expert knowledge of provider and payer dynamics within healthcare, specifically within oncology, cellular therapy / CAR-T, immunology, ... neurology / CNS, and/or other rare diseases / specialty therapeutics **The Guiding Principles For Success At Norstella** **01: Bold, Passionate, Mission-First** We have a lofty mission to Smooth Access to Life Saving Therapies and we will get there by being… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …required but a plus: Certified Professional Coder (CPC), CPC-Hospital, CPC- Payer , Certified Interventional Radiology Cardiovascular Coder (CIRCC) and Certified ... Professional Medical Auditor (CPMA) + Experience: A minimum of 1 year coding experience required preferably with psychiatric services + Knowledge, Skills & Abilities: + Knowledge of medical terminology; basic and advanced ICD-9-CM coding; anatomy and… more
- Wolters Kluwer (Coppell, TX)
- …and problem solving + Understanding of the healthcare ecosystem, particularly in payer and provider sectors and experience with value-based care models and health ... language offerings is desireable but not required + Hands-on experience with Electronic Health Records (EHRs) and API integration + Familiarity in interoperability standards and protocols, ensuring seamless data exchange across diverse healthcare systems is… more
- Community Hospital Corporation (Greenville, TX)
- …projects to ensure timely and accurate payments. Revenue Cycle, Reimbursement, and Payer Relations + Oversee and lead negotiations with third-party payors for ... optimal reimbursement and contract performance of managed care contracts. + Administration of all Medicare & Medicaid Reimbursement issues, including the completion and review of the annual cost reports. + Responsible for the review of management and service… more
- Insight Global (Plano, TX)
- …and other coding factors. Apply current clinical criteria including MCG, InterQual, payer clinical policy bulletins, CMS guidelines, NCDs, and LCDs. Adhere to coding ... guidelines and Clinical Documentation Improvement (CDI) best practices as endorsed by ACDIS and AHIMA. Compose and send queries when documentation is insufficient or unclear. Identify query opportunities and ensure accurate code assignment and sequencing.… more
- Highmark Health (Austin, TX)
- …both the return on investment (ROI) and other decisions on the payer partnership constructs. These new approaches require new operational capabilities, and this ... team is responsible for identifying those gaps, building requirements to drive the development of new capabilities, and tying them to Highmark's strategic capability roadmap. They will need to work effectively across teams to inform and influence change to… more
- UTMB Health (Galveston, TX)
- …departmental leadership on productivity metrics, revenue cycle performance, and payer contracting * Establish divisional governance structure including clinical ... operations, research, and fellowship program committees to ensure transparent decision-making and faculty engagement * Participate in departmental strategic planning, faculty recruitment, and institutional committees as assigned, representing infectious… more
- UTMB Health (Galveston, TX)
- …and work with departmental leadership on revenue cycle performance and payer contracting * Participate in departmental strategic planning, faculty recruitment, and ... institutional committees as assigned * Collaborate with nursing leadership, pharmacy, infusion services, and allied health professionals to ensure high-quality, team-based care delivery including management of biologic therapies and immunosuppressive agents *… more
- Highmark Health (Austin, TX)
- …and control frameworks, and assessment methodologies, particularly as applied to healthcare ( payer and provider) business processes. + Knowledge of how to leverage ... technologies to drive efficient and effective GRC processes across payor/provider industries. + Experienced with resource and project planning capabilities, decision making skills, history of results-oriented delivery, and participation in team building across… more
- R1 RCM (Austin, TX)
- …of the top 100 US health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare ... organizations unlock greater long-term value. To learn more, visit: https://www.r1rcm.com . more