- 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
- Guidehouse (Lewisville, TX)
- …None **What You Will Do** **:** The **Insurance Patient Account Representative** **( Hospital Claims)** is an extension of a client's business office staff. ... from home._** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare/ Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 & CMS… 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
- 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
- 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
- Baylor Scott & White Health (Marble Falls, TX)
- …* Manage and round on 8-15 neonatal patients per day * Perform hospital rounding, circumcisions, and neonatal resuscitation * Provide inpatient care in ... and whose service is billed as an independent billing provider , as recognized by Medicare and Medicaid ...hospital rounds, assist with admissions and discharges, and provide on-call support. KEY SUCCESS FACTORS Knowledge of information… 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 ... conduct hospital rounds, assist with admissions and discharges, and provide on-call support. **KEY SUCCESS FACTORS** + Knowledge of information and techniques… more
- Humana (Austin, TX)
- …- 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts. + Proficiency in analyzing, understanding ... part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes dental provider contracts… more
- Option Care Health (Fort Worth, TX)
- …as indicated by location and service line including governmental payers (ie, Medicare, Medicaid ). + Provider NPI will be credentialed in association with the ... Careers. Endless Possibilities.** **With the nation's largest home infusion provider , there is no limit to the growth of...and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a… more
- Baylor Scott & White Health (Waco, TX)
- …Summary** The NP Intensivist Medicine is a licensed, certified, non-physician healthcare provider . They provide direct patient care and have prescriptive ... They are credentialed, privileged, and billed as independent providers by Medicare and Medicaid . The Advanced Practice Provider offers medical care based on the… more
- CenterWell (Austin, TX)
- …experience; + Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + ... degree in a related field + Experience with Florida Medicaid + Experience with Physical Therapy, DME, Cardiac or... Experience a plus + Current nursing experience in Hospital , SNF, LTAC, DME or Home Health. + Bilingual… 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 ... conduct hospital rounds, assist with admissions and discharges, and provide on-call support. **KEY SUCCESS FACTORS** + Knowledge of information and techniques… more
- Baylor Scott & White Health (Waco, 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
- Baylor Scott & White Health (Dallas, TX)
- …credentialed and privileged, and their service is billed as an independent billing provider , as recognized by Medicare and Medicaid within the healthcare system, ... adhere to clinical protocols are encouraged to apply. The ideal candidate will provide patient care in a competent, professional, and courteous manner, and will… more
- Baylor Scott & White Health (Pflugerville, TX)
- …Summary** The Nurse Practitioner (NP) Urgent Care is a licensed, certified healthcare provider . They provide direct patient care and have prescriptive authority. ... shifts + Duties: Outpatient clinic care only - no hospital rounding or surgical duties + Experience Preferred: Seeking...They are credentialed, privileged, and billed as an independent provider by Medicare and Medicaid . The Advanced… more