- Baylor Scott & White Health (Temple, TX)
- …service while verifying and preparing all patient accounts for inpatient and outpatient billing in order to maximize payment for Hospital and Clinic services from ... assists in collecting copayments and deductibles, and problem solves basic billing inquiries. **ESSENTIAL FUNCTIONS OF THE ROLE** OBTAINS/CONFIRMS AND ENTERS/UPDATES… more
- Catholic Health Initiatives (Houston, TX)
- …and/or family members during initial evaluation. 3. Advises patients on insurance and billing issues and options. Serves as a resource for patients and their family ... coverage gaps via alternative funding options. 9. Facilitates resolution of patient billing issues 10. Ensures payers are listed Accurately, pertaining to primary,… more
- Cognizant (Austin, TX)
- …clinical denials including but not limited to referral, preauthorization, medical necessity, non-covered services, investigational/experimental and billing ... the Health Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a valued member… more
- Kelsey-Seybold Clinic (Webster, TX)
- …and duties may be required:** + Ability to prescribe medications. + Obtain medical histories and perform physical assessments and examinations. + Diagnose, treat and ... other healthcare providers. + Understands reimbursement criteria and Endocrinology billing /coding. + Performs specific duties delineated by the managing physician.… more
- Gentiva (Woodville, TX)
- …helping them achieve the highest quality of life possible while managing complex medical needs. You will work autonomously in collaboration with the Palliative ... Medical Director, delivering exceptional care and guiding patients and...palliative medicine principles, home health, hospice care eligibility, and Medicare /Medicaid regulations. + Familiarity with the interdisciplinary care process.… more
- Humana (Corpus Christi, TX)
- …your skills to make an impact** CMS regulations, OASIS accuracy, and Medicare Conditions of Participation demand meticulous documentation. A QA Auditor will help ... care alignment. Timely QA review will reduce delays in billing and improve key performance indicators such as days...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Option Care Health (Houston, TX)
- …is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as the alternate ... a Home Health Agency. + Knowledgeable of documentation and billing requirements for home health/ infusion care goods and...Director of Nursing of the Home Health Agency for Medicare certified home health agencies in the absence of… more
- Houston Methodist (Houston, TX)
- …care payers include commercial payers, separate transplant contracts, Medicare Advantage, Medicaid Health Maintenance Organizations (HMOs), International, behavioral ... to finance, accounting, operations teams regarding interpretation of contracts and applied billing . + Utilizes a thorough understanding of managed care operations to… more
- Houston Methodist (Katy, TX)
- …Extensive knowledge of claims reimbursement and collection efforts for Managed Care, Medicare , Medicaid, Workers Comp, Commercial plans, etc.; knowledge of how to ... interpret a managed care contract, Medicare and Medicaid and Workers Compensation + Extensive knowledge of billing , collections, reimbursement, contractual… more
- CVS Health (TX)
- …and engaging on multiple platforms - Demonstrated understanding of insurance, Medicaid, Medicare billing requirements - Evidence of strong crisis intervention ... the MinuteClinic practice without the burden payor contracting, credentialing, and billing . - Opportunities to provide psychosocial support and education needed to… more