- Cardinal Health (Austin, TX)
- …+ Collaborate with facility EHR's to gather data to support diagnosis and medical clearances + Identify advocacy opportunities as it pertains to patient specific ... regimens as insurance indicates + Discuss medication options with pharmacy/ physician and patient based on accessibility and availability (outpatient environment)… more
- Cognizant (Austin, TX)
- …experience. * Experience in the analysis and processing of claims for payments, utilization review /quality assurance procedures. * Must be able to work with ... 2 years claim processing is required. * Knowledge of physician practice and hospital coding, and medical ...of physician practice and hospital coding, and medical terminology, CPT, HCPCS, ICD-10 * Experience making payments… more
- Sedgwick (Irving, TX)
- …physician filings and decisions on appropriate treatments recommended by utilization review . + Maintains professional client relationships. **QUALIFICATIONS ... are properly documented and claims coding is correct. + May process low-level lifetime medical and/or defined period medical claims which include state and … more
- HCA Healthcare (Houston, 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 ... coverage as well as telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...an assigned group of patients, in coordination with the physician and the patient care team. The Occupational Therapist… more
- HCA Healthcare (Houston, 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 ... coverage as well as telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...an assigned group of patients, in coordination with the physician and the patient care team. The Occupational Therapist… more
- Elevance Health (Grand Prairie, TX)
- …of the care management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management ... providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires BA/BS in… more
- Elevance Health (Houston, TX)
- …effectiveness of the care management plan and modifies as necessary. Interfaces with Medical Directors and Physician Advisors on the development of care ... with providers, claims or service issues. + Assists with development of utilization /care management policies and procedures, chairs and schedules meetings, as well… more
- Cardinal Health (Austin, TX)
- …Networks works with over 11,500 providers across 1,500+ independent specialty physician practices and groups. Furthermore, this business unit leverages the strength ... projects, 360 Member Profiles and overall success of membership network with utilization and optimization of Salesforce keeping up to date outcomes and progress… more
- HCA Healthcare (Houston, 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
- Houston Methodist (Houston, TX)
- …and maintain the financial model in Excel. This position will also help review financial projections and assumptions associated with new capital projects and capital ... and efforts. Also leads requirements elicitation workshops. This includes the utilization of various methods design and development in conjunction with developers… more