- Molina Healthcare (Houston, TX)
- …* Customer/provider experience in a managed care organization (Medicaid, Medicare , Marketplace and/or other government-sponsored program), or medical ... the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** *...a health care related vocational program (ie, certified coder, billing , or medical assistant). To all current… more
- Providence (TX)
- …use of CDM Maintenance software and experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology. Knowledge ... ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. The CDM Specialist acts as… more
- Humana (Austin, TX)
- …Intelligence Engineer position will be supporting BI work for our Medicare organizations. **Senior Business Intelligence Engineer** : + Develops and maintains ... complex data sets within large organizations + Experience working with Claims, Billing and Reconciliation or related healthcare data + Expertise in Microsoft Office… more
- Intermountain Health (Austin, TX)
- … Billing , Follow-Up, Collections) required + Knowledge of Medicaid and Medicare billing regulations required **Physical Requirements** + Operate computers and ... + Understanding Coordination of Benefits + Understanding EOB + Understanding Medical Terminology + Payment Handling + Effective written and verbal communication… more
- Deloitte (Dallas, TX)
- …for improvement, and tracks progress. Job Duties and Responsibilities: + Analyze medical records for inpatient and outpatient service areas for accuracy of coding ... and documentation to ensure regulatory compliance + Apply knowledge of medical terminology, disease conditions and procedures to evaluate clinical documents +… more
- Houston Methodist (The Woodlands, TX)
- …of the required co-pay, deductibles and co-insurance. This position also performs the medical necessity check, to ensure compliance with Medicare guidelines, and ... and/or any other healthcare licensing agency requirements related to the Emergency Medical Treatment and Labor Act (EMTALA) and the Health Insurance Portability and… more
- Houston Methodist (Houston, TX)
- …of the required co-pay, deductibles and co-insurance. This position also performs the medical necessity check, to ensure compliance with Medicare guidelines. The ... and/or any other healthcare licensing agency requirements related to the Emergency Medical Treatment and Labor Act (EMTALA) and the Health Insurance Portability and… more
- Baylor Scott & White Health (Mesquite, TX)
- …is credentialed and privileged, and whose service is billed as an independent billing provider, as recognized by Medicare and Medicaid within the healthcare ... - 5pm with some weekends **JOB SUMMARY** The NP Medical Specialty is a licensed, certified, non-physician healthcare provider...with the appropriate board. The Advanced Practice Provider provides medical care based upon the scope of practice as… more
- Baylor Scott & White Health (Dallas, TX)
- …is credentialed and privileged, and whose service is billed as an independent billing provider, as recognized by Medicare and Medicaid within the healthcare ... **JOB SUMMARY** The NP Medical Specialty is a licensed, certified, non-physician healthcare...with the appropriate board. The Advanced Practice Provider provides medical care based upon the scope of practice as… 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 ... and in accordance with the appropriate board. The Advanced Practice Professional provides medical care based upon the scope of practice as delineated by the… more