- Humana (Corpus Christi, TX)
- …Auditor ensures clinical documentation meets CMS regulations, OASIS accuracy, and Medicare Conditions of Participation. This role audits Start of Care, ... for compliance, accuracy, and completeness, helping reduce audit risk and billing delays. The auditor monitors QA metrics, identifies trends, and collaborates… more
- Molina Healthcare (Houston, TX)
- …and over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types of healthcare providers ... and Medicare programs as well as Marketplace + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems +… more
- HCA Healthcare (Plano, TX)
- …preferred, such as accounts receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical / billing , medical payment ... resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment… 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… more
- Catholic Health Initiatives (Houston, TX)
- …issues with patients and/or family members during initial evaluation. 3. Advises patients on insurance and billing issues and options. Serves as a resource for ... by informing the patient of the estimated patient portion during insurance verification. Responsible for establishing the hospital's financial expectation for the… more
- Abbott (Plano, TX)
- …of education and work experience + General knowledge of private insurance , Worker's Compensation and Medicare guidelinespertaining toProspective and ... similar work experience. **Preferred** **Qualifications** + Knowledge of private insurance , Worker's Compensation and Medicare guidelinespertaining toProspective… more
- Intermountain Health (Austin, TX)
- …cycle (Payment Posting, Billing , Follow-Up) required + Knowledge of Medicaid and Medicare billing regulations required + Two (2) years of experience in ... escalating in a timely manner + Advanced knowledge of Medical Terminology + Payment Handling + Effective written and...hospital or physician insurance related activities (Authorization, Billing , Follow-Up, Call-Center,… more
- Gentiva (Waco, TX)
- …Local Recognition Programs + Teammate Assistance Fund **Additional Full-Time Benefits:** + Medical , Dental, Vision Insurance + Mileage Reimbursement or Fleet ... helping them achieve the highest quality of life possible while managing complex medical needs. You will work autonomously in collaboration with the Palliative … more
- Cognizant (Austin, TX)
- …clinical denials including but not limited to referral, preauthorization, medical necessity, non-covered services, investigational/experimental and billing ... following benefits for this position, subject to applicable eligibility requirements: * Medical /Dental/Vision/Life Insurance * Paid holidays plus Paid Time Off *… more
- Providence (TX)
- …use of CDM Maintenance software and experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology. Knowledge ... including a retirement 401(k) Savings Plan with employer matching, health care benefits ( medical , dental, vision), life insurance , disability insurance , time… more