Top 3667 Reimbursement manager Jobs in Cedar Hill, Tx

Mgr, Credentialing
PDS Health —Irving, TX
- $93,000 - $117,000 a year
- Full-time
- Bachelor's degree
- Mentoring
- Trade school
- Dental insurance
- 401(k)
Mgr Billing & Collections (hybrid)
Baylor Scott & White Health —Dallas, TX
- Research
- Mid-level
- Analysis skills
- Health insurance
- Tuition reimbursement
3d
Mgr Patient Accounting
Children's Health —Dallas, TX
- Full-time
- Remote
- 3 years
- Finance
- Analysis skills
- Paid parental leave
- Health insurance
Manager Professional Billing & Denial Recovery
Methodist Health System —Dallas, TX
- Full-time
- Hybrid work
- 3 years
- Master's degree
- Bachelor's degree
Health Payment Reimbursement Manager
Accenture —Irving, TX
- $87,400 - $293,800 a year
- Full-time
- Bachelor's degree
- Travel
- US work authorization
- Paid holidays
- Disability insurance
Workforce Management & Insights Mgr
Richemont —Grand Prairie, TX
- Full-time
- 6 years
- PMP
- Mentoring
- Health insurance
- Dental insurance
5d
Manager Clinic Operations 1
Baylor Scott & White Health —Midlothian, TX
- Mid-level
- Clinic
- Recruiting
- Health insurance
- Tuition reimbursement
11d
Virtual Regional Reimbursement Manager
サイネオス・ヘルス —Dallas, TX
- $155,000 - $165,000 a year
- Bachelor of Science
- 3 years
- Senior level
- Health insurance
- Dental insurance
Business Office Manager - Long-Term Care
Lancaster Nursing & Rehabilitation —Lancaster, TX
- Full-time
- Computer literacy
- Writing skills
- English
- AD&D insurance
- Disability insurance
Quick Apply
Business Office Manager
Texas Rehabilitation Hospital of Arlington —Arlington, TX
- Full-time
- Mid-level
- Analysis skills
- Experience equivalent to degree accepted
- Disability insurance
- Health insurance
Quick Apply
Virtual Regional Reimbursement Manager
Syneos Health Commercial Solutions —Dallas, TX
- Bachelor of Science
- 3 years
- Senior level
- Health insurance
- Dental insurance
ADMINISTRATOR IN TRAINING (FT)
TOWN EAST REHABILITATION AND HEALTHCARE CENTER —Dallas, TX
- Full-time
- Skilled nursing facility
- Mid-level
- Bachelor's degree
- COVID-19 protective measures
- AD&D insurance
Quick Apply
Payor Contracts Manager
Omnicell —Grapevine, TX
- $100,000 - $175,000 a year
- Remote
- Microsoft Excel
- 5 years
- Analysis skills
Sourcing and Contracts Specialist
UT Southwestern —Dallas, TX
- Full-time
- Hybrid work
- Microsoft Word
- Mid-level
- Office
- Paid parental leave
- Paid holidays
13d
Talent Development & Engagement Manager
Susan G. Komen —Dallas, TX
- $68,000 - $87,000 a year
- Full-time
- Remote
- 5 years
- Research
- Mid-level
- Dental insurance
- Tuition reimbursement
Property Manager I - 500+ Units
Morgan Properties —Cedar Hill, TX
- $72,000 - $75,000 a year
- Full-time
- Clean driving record
- 5 years
- Mid-level
- AD&D insurance
- Paid holidays
Talent Mgmt Program Mgr 1
Baylor Scott & White Health —Dallas, TX
- Mid-level
- Bachelor's degree
- Product management
- Health insurance
- Tuition reimbursement
7d
Senior Counsel, Medical Risk Management
UT Southwestern —Dallas, TX
- Full-time
- Mentoring
- Senior level
- Leadership
- Paid parental leave
- Paid holidays
Sr. Director, Ambulatory RNs
UT Southwestern —Dallas, TX
- Full-time
- Nursing
- RN License
- 5 years
- Paid parental leave
- Paid holidays
Home Health & Home Care Community Liaison
BrightStar Care® —Grapevine, TX
- $70,000 - $150,000 a year
- Full-time
- Background check
- Skilled nursing facility
- LVN
- Travel reimbursement
- Paid time off
Quick Apply
14d

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reimbursement manager jobs near cedar hill, tx

Mgr, Credentialing

PDS Health -
Irving, TX

Apply Now

Job Details

Full-time
$93,000 - $117,000 a year

Benefits

Dental insurance
401(k)
Tuition reimbursement
Paid time off
Vision insurance

Qualifications

Optimizing workflow processes
Affordable Care Act (ACA)
Project reporting
Employee onboarding
Operational analysis
Performance improvement leadership
Confidential information handling
Provider database maintenance for medical credentialing
Team leadership
Coaching
Provider enrollment for medical credentialing
CMS
Operations coordination planning
Business analysis
Gap analysis
Clinical staff development programs
State healthcare regulations
Team development
CMS regulatory compliance
Clinical staff training
Bachelor's degree
Health insurance knowledge
Clinical training
NCQA standards
Decision making
Mentoring
Data interpretation
Trade school
Healthcare provider information
Leading team collaboration initiatives

Full Job Description

Description:

Now is the time to join PDS Health. You will have opportunities to learn new skills from our team of experienced professionals. If you're ready to take your career to the next level and gain valuable experience, apply today!

Overview:

The Mgr, Credentialing leads a team responsible for all elements of the Credentialing, Recredentialing, and/or Delegated Credentialing processes. The Mgr, Credentialing will ensure ongoing execution of credentialing and other applicable provider onboarding functions completed are in accordance with applicable department policies and procedures.

Responsibilities

Lead Credentialing Team day to day activities while planning / executing for long-term growth
Mentor, develop, and train team members as well as educate the PDS team or field team members (affiliated clinical and operational) on the carrier and plan credentialing nuances
Ensure and maintain PDS compliance with all doctor’s credentials and licenses
Manage the credentialing process in accordance with NCQA, CMS, federal and state laws/standards
Develop and provide reporting and subject matter expertise to field and PDS team members including status reports, out-of-network reporting, re-credentialing updates, etc.
Develop and provide reporting to measure the throughput of the credentialing team, ensure timeliness and accuracy of all credentialing processes, and gap analysis for improvement
Partner with the billing department and Epic team to ensure all credentials are loaded timely
Establish and build relationships as the primary point of contact with insurance plan representatives
Analyze insurance plan trends that may impact the business (e.g., credentialing alternatives and competitors, the potential impact of the Affordable Care Act, etc.). make recommendations to optimize the credentialing process
Facilitate the credentialing team’s coordination and communication with the onboarding of new doctors and all departments, including Legal, People Services, DeNovo, and field leadership
Collaborate with billing and patient relations departments on denials, downgrades, or other anomalies to align billing practices with insurance carrier requirements that improve care and reduce overall cost
Oversee the development and maintenance of training programs, manuals, and all field/clinician-facing collateral
Lead/coordinate projects and special assignments as required by planning and identifying opportunities for process improvement/efficiency
Ensure alignment with the maintenance of audit procedures, including process adherence, document tracking, records, reports, policies, and procedures for accuracy and effectiveness
Other duties as assigned by management

Qualifications

Bachelor’s Degree or one-year certificate from an accredited college or technical school; or equivalent combination of education and experience, and 4-6 years of related business experience. In lieu of education, 8+ years of experience is required
Experience in assessing workflow, leading a team, mentoring, coaching, and training subordinate

Preferred

Experience in a multi-regional healthcare, retail, or dental company
Credentialing leadership with proven results

Knowledge/Skills/Abilities

Strong abilities in managing the daily operations of department(s) or work unit while developing short to medium term (1-3 years) goals
Fostering employee development by providing a supportive learning environment
Highly developed teambuilding, influencing, and collaboration skills
Ability to direct the work of others and work as a team leader in attainment of goals
Ability to interpret and apply policies and procedures
Ability to handle and maintain extreme confidentially with employee records, compensation information, etc.
Ability to draw valid conclusions; apply sound judgment in making decisions, and make decisions under pressure
Proficient communication skills with a commitment to achieving predetermined goals
Ability to read, analyze, and interpret documents such as professionals journals, technical procedure manuals, safety rules, operating and maintenance instructions, and governmental regulations
Ability to interpret a variety of instructions furnished in written, verbal or diagram form

Benefits

Medical, dental, and vision insurance
Paid time off
Tuition Reimbursement
401K
Paid time to volunteer in your local community

‎ :

PDS Health is an Equal Opportunity Employer. We celebrate diversity and are united in our mission to create healthier and happier team members.

Salary Information: $93,000.00-$117,000.00 / Annually

Apply Now

Refine Your Search

reimbursement manager jobs in cedar hill, tx

Mgr, Credentialing

Mgr Billing & Collections (hybrid)

Mgr Patient Accounting

Manager Professional Billing & Denial Recovery

Health Payment Reimbursement Manager

Workforce Management & Insights Mgr

Manager Clinic Operations 1

Virtual Regional Reimbursement Manager

Business Office Manager - Long-Term Care

Business Office Manager

Virtual Regional Reimbursement Manager

ADMINISTRATOR IN TRAINING (FT)

Payor Contracts Manager

Sourcing and Contracts Specialist

Talent Development & Engagement Manager

Property Manager I - 500+ Units

Talent Mgmt Program Mgr 1

Senior Counsel, Medical Risk Management

Sr. Director, Ambulatory RNs

Home Health & Home Care Community Liaison

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