- Molina Healthcare (San Antonio, TX)
- …complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination, ... Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay… more
- CenterWell (Alice, TX)
- …primary care "on-call" program of CenterWell as needed. + Assures personal compliance with licensing, certification, and accrediting bodies. + Spend 100% of your ... two to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in… more
- CenterWell (Arlington, TX)
- …primary care "on-call" program of CenterWell as needed. + Assures personal compliance with licensing, certification, and accrediting bodies. + Spend 100% of your ... be screened for TB **Preferred Qualifications:** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of two to five… more
- CenterWell (El Paso, TX)
- …local primary care "on-call" program of Conviva as needed. + Assures personal compliance with licensing, certification, and accrediting bodies. + Spend 100% of your ... role, you will be required to be screened for TB **Preferred Qualifications:** + Medicare Provider Number + Medicaid Provider Number + Minimum of two to five years… more
- HCA Healthcare (Mckinney, TX)
- …charges to accounts. Communicates any charge related issues to Charge Master Manager /Analyst. SUPERVISOR: Practice Manager /Billing Manager DUTIES INCLUDE BUT ... edits through the electronic billing system. Communicates issues with department manager . Researches required information and maintains pending follow up on a… more
- Apex Health Solutions (Houston, TX)
- …technicians) in all aspects of pharmacy operations and services including Medicare part D oversight, coverage determination and re-determination (appeal) process, ... (internal and external). The pharmacy specialist will also work with the compliance department to perform frequent audits and provide exceptional customer service… more
- Humana (Austin, TX)
- …implementation of appropriate policies, protocols, and procedures which are in compliance with the most current accepted professional standards. o Provides dental ... the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. o Review dental… more
- HCA Healthcare (El Paso, TX)
- …Management Assistant (CMA) will work under the direction of the RN Case Manager or Social Worker to assist with facilitating patient discharges requiring post-acute ... not require licensed personnel. **Major Responsibilities:** + Coordinates with RN Case Manager and Social Worker for support needed. Communicates updates on progress… more
- HCA Healthcare (Round Rock, TX)
- …management assistant (CMA) will work under the direction of the RN case manager or social worker to assist with facilitating patient discharges requiring post-acute ... do in this role: + Coordinates with RN case manager and social worker for support needed. Communicates updates...including having the Patient Choice letter signed. + Monitors Medicare patient's planned discharge dates and delivers the Important… more
- HCA Healthcare (Irving, TX)
- …management assistant (CMA) will work under the direction of the RN case manager or social worker to assist with facilitating patient discharges requiring post-acute ... administrative support in Case Management functions. + Coordinates with RN case manager and social worker for support needed. Communicates updates on progress… more