- Humana (Austin, TX)
- …to day flexibility in care manager's schedule. **Duties:** + Telephonically assess Medicare , Medicaid, and/or and Group Account members and create actionable and ... match * Generous Paid Time Off accrual * Tuition Reimbursement * Parent Leave * Go365 perks for well-being...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- Cardinal Health (Austin, TX)
- …processes. Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial ... experience + Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to… more
- Houston Methodist (Houston, TX)
- …roles and is responsible for facilitating appropriate lengths of stay (LOS) and reimbursement for all hospital admissions in accordance with set goals and objective. ... are medically necessary, communicating clinical information to payers to ensure reimbursement . The Advanced CM position analyzes variances to identify opportunities… more
- Amgen (San Antonio, TX)
- …(Sales Representatives, District Sales Managers, Regional Sales Directors, Reimbursement /Access Specialists, Nurse Educators, Regional Marketing Managers, and the ... Regional Medical Liaisons in shared accounts + Coordinates with Reimbursement Access Value team to support open access to...degree (eg MPH, MBA, PharmD, etc.) 7+ years of healthcare sales and/or marketing experience or related experience in… more
- Kelsey-Seybold Clinic (Houston, TX)
- …health and nutrition + Screen and refer patients to specialists and other healthcare providers. + Understands reimbursement criteria and neurology coding. + ... and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with… more
- NASCO (Austin, TX)
- …+ Serves as the legal subject matter expert on federal and state healthcare laws and regulations, including HIPAA + Provides legal guidance on privacy and ... laws and regulations related to our products and services, including for our Medicare Advantage and ACA Exchanges business + Interacts with vendors and customers on… more
- Kelsey-Seybold Clinic (Cypress, TX)
- …and nutrition + Screen and refer patients to specialists and other healthcare providers. + Understands reimbursement criteria and Endocrinology billing/coding. + ... and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with… more
- Texas Health Resources (Arlington, TX)
- …skills. The finance lead must have the knowledge of product pricing, provider reimbursement and financial requirements specific to healthcare . The finance lead ... Bad Debt reserves, Managed Care discounts, accrued liabilities and Medicare /Medicaid liabilities. Prepares the ambulatory/virtual channel annual operating budget and… more
- Texas Health Resources (Denton, TX)
- …1 Year Relevant Customer Service experience required. * 2 Years Professional office/ healthcare experience preferred. Licenses and Certifications * CHAA - Certified ... Healthcare Access Associate Upon Hire preferred. * CPI -...pre-certification for applicable tests and/or procedures. These efforts maximize reimbursement for services rendered. * Educates patients and/or families… more
- Texas Health Resources (Arlington, TX)
- …1 Year Relevant Customer Service experience required. * 2 Years Professional office/ healthcare experience preferred. Licenses and Certifications * CHAA - Certified ... Healthcare Access Associate Upon Hire preferred. * CPI -...pre-certification for applicable tests and/or procedures. These efforts maximize reimbursement for services rendered. * Educates patients and/or families… more
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