- BAYADA Home Health Care (Austin, TX)
- …Health Care has an immediate opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work remotely. RN, PT, OT, and SLP's ... MCM. + Prevent or decrease the occasion of Medicare denials by assuring proper coding on the plan of...Perform related duties, or as required or requested by Manager /Director. **Qualifications:** + Competency in PC skills required to… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient ... initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from the physician… more
- NTT America, Inc. (Plano, TX)
- …and forward-thinking organization, apply now. We are currently seeking a Delivery Senior Manager to join our team. NTT DATA is seeking to hire a **Medicare ... to interpret medical records, documenting recommendations to uphold or overturn denials + Excellent analytical and problem-solving skills + Strong communication and… more
- Texas Health Resources (Dallas, TX)
- …Healthcare Access Associate preferred + CHAM - Certified Healthcare Access Manager preferred + CPI - Crisis Prevention Intervention Training required within ... by the department. + Responsible for reviewing patient account errors and denials that pertain to the Insurance Verification's Department. Also providing guidance to… more
- Houston Methodist (Houston, TX)
- …as needed **FINANCE ESSENTIAL FUNCTIONS** + Informs social worker/case manager of the patients' available benefits through insurance/managed care provider. ... insurance/managed care benefits + Supports and assists with concurrent insurance denials and appeals process, transmission of utilization reviews to insurance… more
- Texas Health Resources (Bedford, TX)
- …Access Associate upon hire preferred or + CHAM - Certified Healthcare Access Manager upon hire preferred + CPI - Crisis Prevention Intervention Training within 90 ... by the department. + Responsible for reviewing patient account errors and denials that pertain to the Insurance Verification's Department. Also providing guidance to… more
- Baylor Scott & White Health (Dallas, TX)
- …position type and/or level **Job Summary** + Under the Safe Choice Claims Manager , the Safe Choice Claims Specialist II reviews, studies, and processes assigned ... handling. + Responsibility for the preparation of summaries and files for denials , appeals, medical advice, subrogation, and litigation. + Collection of documents… more
- Houston Methodist (Katy, TX)
- …of issues that may result in potential service delays or reimbursement denials . **PEOPLE ESSENTIAL FUNCTIONS** + Demonstrates ability to use critical thinking skills ... departments and patients to ensure best practices within department. Works with manager to improve areas requiring concern as indicated, embraces change, and strives… more
- Baylor Scott & White Health (Dallas, TX)
- …medical appropriateness criteria, you'll alert relevant teams and coordinate actions during denials . + As part of your role, you'll also streamline the authorization ... documentation systems. + Case management certifications, such as Certified Case Manager , are beneficial but not necessary for this position. **Belonging Statement**… more
- HCA Healthcare (San Antonio, TX)
- …Updates required systems with authorization, pcp referrals, eligibility information and denials . 2. Consistently meets deadlines and turn around times to ensure ... transplant authorization. 4. In collaboration with the social worker and/or case manager and/or financial counselor to ensure that patients and/or their families… more
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