- AccentCare, Inc. (TX)
- …gathering, tracking, and completing new and re-credentialing applications of our medical providers with health plans, including Medicare /Medicaid and Commercial ... 2+ years of relevant credentialing experience within healthcare required + Medicaid/ Medicare PECOS enrollment experience required + Availity experience preferred +… more
- Molina Healthcare (San Antonio, TX)
- …and Medicare programs as well as Marketplace. + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems. + ... waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and... review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing… more
- Amgen (San Antonio, TX)
- …knowledge of medical insurance terminology + Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare ... the products are covered under the benefit design (Commercial, Medicare , Medicaid) + Serve as a payer expert for...in managed care, clinical support, and/or sales + Strong medical reimbursement experience and/or Specialty Pharmacy and Buy &… more
- Cardinal Health (Austin, TX)
- …Administration, Business, or related field preferred + 5+ years of experience in medical billing and insurance follow-up, with 2+ years in a leadership ... or supervisory role preferred. + Strong understanding of medical billing practices, payer guidelines, and reimbursement methodologies (commercial, Medicare ,… more
- Catholic Health Initiatives (Bryan, TX)
- … Coordinator referencing necessary pre-transport screening patient information, Medicare and Medicaid Laws/Guidelines updates, and other contractual obligations ... Billing Coordinator referencing necessary pre-transport screening patient information, Medicare and Medicaid Laws/Guidelines updates, and other contractual obligations… more
- Highmark Health (Austin, TX)
- …all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, ... billing and documentation related to DRGs, APCs, CPTs and...in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine… more
- Gentiva (Fort Worth, TX)
- …optimize patient outcomes. + Ensure all clinical documentation meets standards to support medical practice and billing compliance. + Monitor and report on ... families, and care teams. + Facilitate access to treatments, services, and durable medical equipment as needed per care plan. + Participate in evening and weekend… more
- Houston Methodist (Houston, TX)
- …performance, as assigned. + Demonstrates expertise of all payors, including Medicare , Medicaid and commercial payors, and applicable department's revenue cycle ... goals. **FINANCE ESSENTIAL FUNCTIONS** + Expedites and maximizes payment of insurance medical claims by contacting third party payors and patients. This includes… more
- HCA Healthcare (San Antonio, TX)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- Caris Life Sciences (Irving, TX)
- …and strong organizational skills. + Basic experience using computer software, including medical billing software. + Proficient in Microsoft Office Suite, ... Receivable Associate is responsible for reviewing outstanding denied claims with Medicare , Medicaid and Commercial insurance companies. This role involves following… more