- CenterWell (Lubbock, TX)
- … with regulatory agencies and requirements of third-party payers. Ensures final audits/ billing are completed timely and in compliance with Medicare regulations. ... Interprets Company standards and Company policies and procedures to ensure compliance with external regulatory authorities and ensures that caregiver clinical… more
- Texas Health Resources (Arlington, TX)
- **Program Director, Compliance Operations and Project Management - Hybrid** This role is hybrid, remote and in office at Texas Health Resources Corporate Offices at ... maintaining the effectiveness of the THR Business Ethics and Compliance Program core processes including: Oversee the operation of...in areas vulnerable to error or noncompliance such as billing , coding, Stark laws, fraud & abuse laws, false… more
- Veterans Affairs, Veterans Health Administration (Dallas, TX)
- …and maintains coding and mapping for laboratory test ordering, reporting, billing , and workload recording considering compliance principles. Analyzes emerging ... developers for the testing and validation of software packages. Responsible for compliance with regulatory agency requirements as related to information systems and… more
- Safran (Gainesville, TX)
- …implemented. For a new contract, ensures that the processes needed for contract compliance are in place ( billing , payment, etc.). D) Clarifies RFQ scope ... including the cost base. C) Draws up the contract compliance form, with information on how differences will be...Is familiar with the tools used to demonstrate program compliance with the contract (test reports, SAP inventory extraction,… more
- Intermountain Health (Austin, TX)
- …within the billing process to assure accuracy and avoid delays in the billing process. 5. Adheres to all compliance guidelines, both internal and external. ... and alerts departments when improper CPT codes are entered to assure accurate billing of accounts. Computer skills and 10-key typing proficiency. 5. General software… more
- Cardinal Health (Austin, TX)
- …seeking a driven and skilled attorney with expertise in healthcare regulatory compliance , including third party billing and reimbursement. The Assistant General ... the AHS order entry and revenue cycle management team, Compliance , the Enterprise Privacy Office, and other internal teams...to, laws and regulations relating to third party payor billing and reimbursement as well as other laws and… more
- EMS LINQ (Austin, TX)
- …enhance the quote-to-cash and procure-to-pay processes to support business agility and compliance . + Oversee order management, billing , and collections functions ... critical to building the financial infrastructure needed to support growth, evolving compliance needs, and a dynamic business model with complex order management… more
- Elevance Health (Houston, TX)
- …in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to identify ... opportunities for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. + Researches new healthcare related questions as necessary to aid in investigations. + Collaborates with the Special… more
- Houston Methodist (Houston, TX)
- …Methodist, the Insurance Biller position is responsible for processing all billing related functions within the Centralized Business Office (CBO). This includes, ... financial correspondence. The Insurance Biller demonstrates general knowledge of billing practices and maintains departmental standards relating to insurance claims… more
- UTMB Health (Galveston, TX)
- …internally within the Revenue Cycle as well as throughout the institution to ensure compliance with all Federal and State-mandated billing and coding laws. The ... in all aspects of coding, . Monitor and ensure compliance with governmental guidelines and QA/Coding Team billing... compliance with governmental guidelines and QA/Coding Team billing processes. * Oversee trending of denials and coding… more