- Humana (Austin, TX)
- …Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Understands department, ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more
- AccentCare, Inc. (San Antonio, TX)
- …Team Operations Coordinator and Receptionist). + Responsible for ensuring that required pre- billing documentation is submitted by field staff and uploaded by Team ... national office in maintaining hospice liability, property, fidelity, compensation, etc. insurance policies and packages; renewals annually. + Act as office manager… more
- CVS Health (Austin, TX)
- …various systems to verify accuracy of claim payment, member eligibility data, billing /payment status, and prior to initiation of the appeal process. + Coordinates ... + Understands and can respond to Executive complaints and appeals, Department of Insurance , Department of Health or Attorney General complaints or appeals on behalf… more
- Highmark Health (Austin, TX)
- …authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. ... specified. + Identify and report improper coordination of benefit billing practices through paid clams review. + Participate as...across multiple states. They must also be familiar with Medicare drug benefit design offerings that may differ by… more
- Genesis Healthcare (Denton, TX)
- …care experience and one year of management experience. 7. A thorough knowledge of Medicare and third party billing is also required. Genesis HealthCare, Inc. and ... Powerback is the place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time team members. We offer Dental and… more
- Genesis Healthcare (Kerrville, TX)
- …eligible for licensure as required in the state of practice 3. Thorough knowledge of Medicare and third party billing required 4. Must have good verbal and ... Powerback is the place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time team members. We offer Dental and… more
- US Anesthesia Partners (Austin, TX)
- …communication skills. + Ability to prioritize work. + In-depth knowledge of Medicare , Medicaid, Workers Compensation guidelines and billing standards. + Revenue ... in weekly meetings with vendor partners. + Maintains working knowledge of insurance carriers, keeping up to date and disseminating new policies and procedures.… more