- Guidehouse (Lewisville, TX)
- …+ Insurance Follow-up + Customer Service + Billing + UB-04 & CMS 1500 **Duties & Responsibilities** + Complete all business-related requests and correspondence ... + Assist client and patients in all requested tasks. + Communicate to Guidehouse management areas of concern or areas of improvement. + Research and respond to all… more
- Bloom Healthcare (San Antonio, TX)
- …homebound population, and Bloom Healthcare has generated outstanding quality results in CMS Innovation Center models compared to our peers. At Bloom Healthcare, we ... to work. Job Summary: Bloom Healthcare, a Colorado leader in population health management , home-based primary care, and hospice, is seeking a hospice nurse to join… more
- HCA Healthcare (Houston, TX)
- …endoscopic procedures. We are certifiedby the Centers for Medicare and Medicaid Services ( CMS ). Also, we have achieved the highest level of accreditation by the ... AccreditationAssociation for Ambulatory Health Care (AAAHC). Physicians Endoscopy Center is a member ofSurgery Ventures powered by HCA Healthcare. HCA Healthcare has been recognized as one of the World's Most Ethical Companies(R) by the Ethisphere Institute… more
- Houston Methodist (The Woodlands, TX)
- …is a registered nurse (RN) responsible for comprehensively planning for case management of a targeted patient population on a designated unit(s) and/or service ... education to physicians, nurses, and other healthcare providers on case management topics. + Initiates contributions towards improvement of department scores for… more
- RTX Corporation (Richardson, TX)
- …Act (TINA) + Demonstrated Risk Management experience + Experience with Collins Management System ( CMS ) and product lifecycle value stream preferred + ... global market. Missions Systems is looking to hire a Subcontract Manager, Program Management (SPM) for our **Richardson, TX location** . The SPM role is strategic… more
- Humana (Austin, TX)
- …and internal controls, and communicating issues and recommendations to management . Coordinates implementation and compliance with corrective action plans. ... + Provide reporting on metrics and M&A activity related to revenue cycle management . **Use your skills to make an impact** **Required Qualifications** + Bachelor's… more
- Texas Health Resources (Stephenville, TX)
- …will act as a liaison to designated medical staff members and hospital management by working cooperatively to ensure development and nurturing of collaborative work ... leadership and others as well as assume accountability for overall management of nursing practice, nursing education, professional development, nursing research,… more
- Kelsey-Seybold Clinic (Houston, TX)
- …of 5-out-of-5-stars as part of the Centers for Medicare and Medicaid CMS annual assessment for eight consecutive years, including 2024. Kelsey-Seybold has been ... recognized by the National Committee for Quality Assurance (NCQA) as the nation's first accredited Accountable Care Organization and a Level 3 (highest) Patient-Centered Medical Home. Kelsey-Seybold has many physicians in the Greater Houston area certified for… more
- Molina Healthcare (Fort Worth, TX)
- …received from providers, improve completeness of encounter data with states, CMS , HHS to reconcile data. + Responsible for encounter submissions, rejection ... management & resolution for all lines of business including...and implements processes to standardize the overall ends-to-end processing, management and accuracy of encounters, as well as working… more
- Molina Healthcare (San Antonio, TX)
- …building regulatory compliance audit procedures. * At the direction of management , coordinates and performs oversight audits and validation activities to ensure ... other evidence as part of regulatory audits. EX: DMHC, CMS active audits. Responsible for acting as the liaison...Provides draft written reports of audits and findings to management , including recommendations for any identified finding; Supports … more