- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** The Reimbursement Specialist prepares and monitors reimbursement schedules with hospitals, physicians and ancillary providers based upon the ... ensure compliance. + Organizes and performs random and for-cause audits of reimbursement policies, benefit adjudication and provider fraud. + Conducts,… more
- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY for BSWHP (Baylor Scott&White Health Plan)** Accountable for reviewing member records to accurately maximize risk scoring in keeping with Baylor Scott ... risk adjustment. **ESSENTIAL FUNCTIONS OF THE ROLE** + Conducts provider audits and creates provider scorecards to...plan with dollar-for-dollar match up to 5% + Tuition Reimbursement + PTO accrual beginning Day 1 Note: Benefits… more
Locations:
Texas