- J&J Family of Companies (Fort Worth, TX)
- …and processes (ie, eligibility and benefit verification, pre-authorization, billing , coding, claims, and appeals/grievances); practice management; Medicare and ... Medicaid rules and regulations; OSHA; HIPAA; and state-specific clinical staff licensing / certification requirements for product compounding, admixture,… more
- Walgreens (Dallas, TX)
- …+ Fully abides to all compliance policies inclusive of participating in the billing and submission of claims to government- sponsored health care programs, including ... Medicare, Medicaid , and all other third-party payers, as well as the facilitating of prior authorizations on behalf of prescribers. + Works with the Pharmacy Manager… more
- Highmark Health (Austin, TX)
- …duties as specified. + Identify and report improper coordination of benefit billing practices through paid clams review. + Participate as pharmacy representative in ... formulary terminology + Pharmacy technicians must be familiar with multiple Medicaid drug benefit design offerings and rules/regulations across multiple states. They… more
- Baylor Scott & White Health (College Station, TX)
- …is credentialed and privileged, and whose service is billed as an independent billing provider, as recognized by Medicare and Medicaid within the healthcare ... systems, and in accordance with the appropriate board. The Advanced Practice Provider provides medical care based upon the scope of practice as delineated by the supervising physician. These providers typically provide care to patients in an internal medicine,… more
- Baylor Scott & White Health (College Station, TX)
- …is credentialed and privileged, and whose service is billed as an independent billing provider, as recognized by Medicare and Medicaid within the healthcare ... systems, and in accordance with the appropriate board. The Advanced Practice Provider provides medical care based upon the scope of practice as delineated by the supervising physician. These providers typically provide care to patients in an internal medicine,… more
- Cognizant (Austin, TX)
- …to referral, preauthorization, medical necessity, non-covered services, investigational/experimental and billing resulting in denials and/or delays in payment. . ... on the review of clinical documentation in accordance with Medicare, Medicaid , and third-party guidelines. . Effectively document and log claims/appeals information… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …eligibility and benefits through various payers, including commercial insurances, Medicaid , and Medicare. + Obtains the necessary prior authorizations, referrals, ... due on the account. + Educates the patient/responsible parties regarding billing processes, financial responsibilities, third party benefit information and, provides… more
- Fedcap (Carrollton, TX)
- …to individuals enrolled in the Community Living Assistance Support Services (CLASS) Medicaid Waiver program, administered by the Texas Department of Aging and ... assuring phone coverage when unavailable. + Completes monthly program reports and program billing forms and turns into CLASS Program Director as required. + Remains… more
- Baylor Scott & White Health (Temple, TX)
- …is credentialed and privileged, and whose service is billed as an independent billing provider, as recognized by Medicare and Medicaid within the healthcare ... systems, and in accordance with the appropriate board. The Advanced Practice Provider provides medical care based upon the scope of practice as delineated by the supervising physician. Inpatient Medicine providers typically work in a hospital setting and… more
- Baylor Scott & White Health (Plano, TX)
- …is credentialed and privileged, and whose service is billed as an independent billing provider, as recognized by Medicare and Medicaid within the healthcare ... systems, and in accordance with the appropriate board. The Advanced Practice Professional provides medical care based upon the scope of practice as delineated by the supervising physician. These providers work in a specialty clinic, and may specialize in… more