Director of Credentialing and Payer Enrollment (4087)
Waco, Texas, United States
OnsiteFull Time
Waco Family Medicine: Community health center providing primary care and medical education.
2+ YOEOversee credentialing, privileging, and payer enrollment for clinical sites and staff; supervise C&P and enrollment teams; use VerityStream and EHR systems; ensure compliance with HRSA, CMS, Medicaid and commercial payer rules.
Allegiance Mobile Health: Provides emergency medical services and ambulance transport.
0.75+ YOEVerify patient and payer eligibility for ground ambulance transports (Medicare/Medicaid/commercial), document results in LOGIS, and communicate with payers, dispatch, and patients; high attention to detail and data entry accuracy required.
2+ YOELicensure as RN or LVN/LPN, 2 years third-party reimbursement experience, Excel and database experience, strong communication and judgment for payer authorization and documentation.
Field Reimbursement Manager, Dermatology - Austin, TX
Austin or Georgetown or Round Rock or Cedar Park or Pflugerville or Lakeway
FieldFull Time
Johnson & JohnsonNYSE: JNJ: Provides pharmaceutical products and medical technology healthcare solutions.
5+ YOEBachelor’s degree, 5+ years of relevant experience, reimbursement or managed care expertise, payer coding and billing knowledge, CRM proficiency, valid US driver’s license, and ability to travel up to 50%.
Oceans Healthcare: Provider of specialized behavioral health and psychiatric services.
High school diploma or equivalent; experience with Microsoft Office and patient accounting systems; knowledge of payer requirements; customer service, confidentiality, teamwork, and regulatory compliance skills; CPR and de-escalation certification required.
Allegiance Mobile Health: Provides emergency medical services and ambulance transport.
2+ YOEHigh school diploma and 2+ years of medical billing, coding, verification, or accounts receivable experience required. Requires payer knowledge, coding familiarity, EHR and practice management systems, and remote-work capability.
Electronic Health Record (EHR), VPN, video conferencing, secure messaging, cloud-based document sharing, multi-factor authentication, practice management software, clearinghouse systems, payer portals, billing software
Field Reimbursement Manager, Dermatology - Austin, TX
Austin or Georgetown or Round Rock or Cedar Park or Pflugerville or Lakeway
FieldFull Time
Johnson & JohnsonNYSE: JNJ: Develops and manufactures pharmaceutical drugs and medical devices.
5+ YOEBachelor's degree and 5+ years of relevant experience required, including reimbursement or account management in provider settings. Requires payer access expertise, relationship-building, problem-solving, a valid US driver's license, and up to 50% travel.
Georgetown Behavioral Health Institute: Provides comprehensive inpatient and outpatient acute psychiatric hospital services.
3+ YOEHigh school diploma required (BA preferred). 3+ years admitting/financial counseling preferred. Must have PC skills including Windows, Microsoft Outlook/Word/Excel, knowledge of payer requirements, HIPAA confidentiality, and pass background/drug/physical screens.
Windows Operating System, Microsoft Outlook, Microsoft Word, Microsoft Excel