- Humana (Austin, TX)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
- Humana (Austin, TX)
- …The Provider Contracting Executive initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements. The Provider ... diverse scope and complexity ranging from moderate to substantial. The Provider Contracting Executive communicates contract terms, payment structures, and … more
- Baylor Scott & White Health (Dallas, TX)
- …payer requirements, applications and workflows + Familiarity with PECOS and State Medicaid Provider Enrollment and Management Systems preferred + Experience ... **Job Summary** The Director, Provider Enrollment, is responsible for the strategic planning,...Ensures CMS attestations and applications are filed timely for hospital -based department designations + Oversees the build and maintenance… more
- Baylor Scott & White Health (Dallas, TX)
- …credentialed and privileged, and whose service is billed as an independent billing provider , as recognized by Medicare and Medicaid within the healthcare ... of the provider ) as delegated by supervising Physician. May conduct hospital rounds, assist with admissions and discharges, and provide on-call support.… more
- Abbott (Austin, TX)
- …policies (Medicare, Medicare Advantage, Medicaid and Private Payer) to provide coverage and reimbursement guidance for Investigational Device Exemption ... processes and other related matters requiring a specialized knowledge of Medicare, Medicaid and Private Payer reimbursement procedures and requirements. + Heavy… more
- UTMB Health (Galveston, TX)
- …etc., to ensure that processes are developed and maintained to maximize Hospital /Professional reimbursement to UTMB Hospitals. + Develops plans for recruitment ... and other third-party pay or regulatory requirements. + Thorough knowledge of Hospital /Professional reimbursement and managed care contract issues. + Knowledge… more
- Houston Methodist (Katy, TX)
- …operational billing compliance with government/regulatory agencies and the Medicare and Medicaid programs. + Ensures optimization of timely cash collections and ... Ensures that insurance follow-up and billing efforts result in optimal reimbursement . Gathers and analyzes financial information regarding charges, payments and… more
- Community Hospital Corporation (Greenville, TX)
- …contract performance of managed care contracts. + Administration of all Medicare & Medicaid Reimbursement issues, including the completion and review of the ... capital planning, revenue cycle management, and financial compliance. The CFO will provide executive-level guidance to support the hospital 's strategic goals,… more
- Baylor Scott & White Health (Temple, TX)
- …credentialed and privileged, and whose service is billed as an independent billing provider , as recognized by Medicare and Medicaid within the healthcare ... of the provider ) as delegated by supervising Physician. May conduct hospital rounds, assist with admissions and discharges, and provide on-call support.… more
- HCA Healthcare (Webster, TX)
- …department managers in preparation of their budgets. 9. Prepares workpapers to assist Reimbursement staff in filing annual Medicare/ Medicaid Cost Reports. 10. ... spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal… more