Payer Jobs in Houston, TX

Bluebird Staffing - Houston, TX, United States

are being selected - Demonstrates an expert knowledge of hospital outpatient coding guidelines, medical terminology, anatomy/physiology, and payer specific coding guidelines. Understands reimbursement

from: linkedin.com - 12 days ago

US Tech Solutions - Houston, TX, United States

Primary responsibilities include the following: Conduct Health Economics and Outcomes Research projects under the supervision of the manager to support the Value Proposition to Regulators, Payers

from: linkedin.com - 10 days ago

CommonSpirit Health - Houston, Texas

both inside our hospitals and out in the community. Responsibilities: This position will be responsible for the Texas region. Job Summary The Director, Payer Strategy and Relationships (PSR

from: resume-library.com - 16 days ago

PsychPlus - Houston, TX, United States

in the development of proper reporting systems and automation Ensure that Clinician payer enrollment applications are submitted timely and accurately Maintain compliance with NCQA standards and guidelines Maintenance

from: linkedin.com - 11 days ago

UnitedHealth Group - Houston, TX, United States

and accreditation requirements. Supports compliance with regulatory agency standards and requirements (e.g., CMS, NCQA, URAC, state / federal and third-party payers) Works with clinical staff to coordinate

from: linkedin.com - 3 days ago

LINQM, INC. - Houston, TX, US

from all 835 payer files • Post all non-EDI payments, contractual allowances, rejection codes, deductibles, and copayments • Update and maintain all logs and spreadsheets used for reconciliation • Obtain missing

from: jobvertise.com - 8 days ago

Amerit Consulting - Houston, TX, United States

communicate to the payer the medical necessity/appropriateness /level of care criteria that is necessary for acute care hospitalization. Skills in setting priorities that accurately reflect the relative

from: linkedin.com - 5 days ago

Amerit Consulting - Houston, TX, United States

of clinical documentation · Ability to effectively communicate to the payer the medical necessity/appropriateness /level of care criteria that is necessary for acute care hospitalization. · Skills in setting

from: linkedin.com - 5 days ago

Christus Health - Houston, Texas

practice. Thorough understanding of government and commercial payer guidelines as well as reimbursement methodologies. Ability to successfully perform all aspects of the physician billing cycle including

from: resume-library.com (+1 source) - 4 days ago

Staffing Now - Houston, TX, United States

are submitted in a timely manner Actively follow-up and collect on all assigned payers, and facilities Follow up on payment errors, review posting, and calculate allowable amount before approving patient

from: linkedin.com - 25 days ago