- Kelly Services (Coppell, TX)
- …benefits, deductibles, and eligibility with a variety of payers including Medicare, Medicaid , HMO, PPO, and third-party plans. + Communicate with patients regarding ... coverage, billing concerns, and payment options. + Submit and follow...accurate. + Enter and maintain accurate demographic, insurance, and billing information. + Identify and correct front-end billing… more
- HCA Healthcare (Dallas, TX)
- …and maintained timely and that accurate charging and coding is reported with patient billing . **In this role you will:** + Analyze all facility and Supply Chain ... needed. + Stays abreast of current regulations and industry charging and billing guidelines. + Assist with the standardization process for facilities. + Coordinate… more
- Cardinal Health (Austin, TX)
- …and manages compliance audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services. This ... documentation and coding related to physician or hospital (inpatient and outpatient) billing and/or medical necessity reviews. + Prepares written reports of audit… more
- HCA Healthcare (Kingwood, TX)
- …patient + Demonstrates excellent customer service + In conjunction with the Medicaid Eligibility Staff visit all uninsured patients in-house + Provide estimates to ... Assistpatients with payment arrangements and in co-ordination with the Medicaid Eligibility Staffassistspatient with financial applications + Contact patient… more
- Molina Healthcare (Houston, TX)
- …according to the SIU's standards. Position must have thorough knowledge of Medicaid /Medicare/Marketplace health coverage audit policies and be able to apply them in ... providers and recipients. The position will review claims data, medical records, and billing data from all types of healthcare providers that bill Medicaid… more
- Humana (Austin, TX)
- …Principal coordinates, implements, and manages oversight of the company's Medicare/ Medicaid Stars Program for aligned areas. The Stars Improvement Principal ... Operations encompasses critical functions including care coordination, quality measurement, billing , claims processing, and customer service, each essential to… more
- Catholic Health Initiatives (Bryan, TX)
- …computer software required for daily operations. 1. Consults with Billing Coordinator referencing necessary pre-transport screening patient information, Medicare and ... Medicaid Laws/Guidelines updates, and other contractual obligations for services....computer software required for daily operations. 1. Consults with Billing Coordinator referencing necessary pre-transport screening patient information, Medicare… more
- Molina Healthcare (Dallas, TX)
- …accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). M-F from 8am - 4:30pm EST will require to work 1 ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of… more
- Molina Healthcare (Houston, TX)
- …accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for the comprehensive ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of… more
- Molina Healthcare (Houston, TX)
- …with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Manages team responsible for the ... Anesthesia, high-dollar complicated claims, COB and DRG/RCC pricing). * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of… more