- Humana (Dallas, TX)
- …field sales community events, as well as, visiting prospects in their homes. Our ** Medicare Sales Field Agents** sell individual health plan products and educate ... part of our caring community and help us put health first** Total compensation package (base pay +commission with...on experience and location. Are you passionate about the Medicare population, looking for an opportunity to work in… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents Humana at Administrative… more
- Humana (Austin, TX)
- … first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works ... clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate about contributing… more
- Molina Healthcare (Austin, TX)
- …medical director, and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews quality referred ... requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the denial process. + Monitors appropriate care and services… more
- Guidehouse (Lewisville, TX)
- …TX offices and three days from home ._** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare /Medicaid + Insurance Follow-up + Customer ... Leave + 401(k) Retirement Plan + Basic Life & Supplemental Life + Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts + Short-Term &… more
- BAYADA Home Health Care (Austin, TX)
- …Manager. The OASIS and Coding Review Manager provides support to all BAYADA Home Health Care Medicare service offices by monitoring Outcome and ... and OASIS review . + Knowledge of OASIS, Home Care and Medicare regulations + Excellent...from 8:30am-5:00pm. _Medicare, Coder, OASIS Review , Utilization Review , Quality Assurance, Remote, Home Health… more
- BAYADA Home Health Care (Austin, TX)
- …consideration. OASIS Review , Utilization Review , Quality Assurance, Remote, Home Health Coding, Coder, Medicare **As an accredited, regulated, ... considered, there is no flexibility around this requirement.** BAYADA Home Health Care has an immediate opening...Medicare PDGM billing model and CMS guidelines. + Review and communicate OASIS edit recommendations to each clinician… more
- HCA Healthcare (Austin, TX)
- …health , public nursing or acute hospital nursing experience + Familiar with Medicare home health regulations, documentation requirements, ICD-10 coding ... providing patients with quality care during their recovery at home . We are Medicare certified. Our patients...you to apply for our RN Home Health opening. Our team will promptly review … more
- CenterWell (League City, TX)
- …available patient information related to the case, including disciplines required, to determine home health or hospice needs. Accountable to ensure patients meet ... and long-term disability, life insurance and many other opportunities. **About Us** About CenterWell Home Health : CenterWell Home Health specializes in… more
- HCA Healthcare (Irving, TX)
- **Description** This position is incentive eligible. **Introduction** Looking for an experienced Home Health Sales Rep to cover NE Dallas, Plano, McKinney, ... areas. Do you have the career opportunities as a Home Health Account Sales Representative NE Dallas...providing patients with quality care during their recovery at home . We are Medicare certified. Our patients… more