- Houston Methodist (The Woodlands, TX)
- …if needed, and informs management of the possible need for issuing Medicare Hospital Initiated Notice of Non-coverage. + Applies approved utilization criteria to ... and application of positive language principles + Comprehensive knowledge of Medicare , Medicaid and Managed Care requirements + Comprehensive knowledge of community… more
- HCA Healthcare (Fort Worth, TX)
- …with the patient, including having the Patient Choice letter signed. + Monitors Medicare patient's planned discharge dates and delivers the Important Medicare ... Message (IMM) to the patient per facility policy. + Delivers the Beneficiary Notice to patients identified as being in the BPCI-A program (Bundle Payment hospitals only). + Obtains physician signature on required Case Management documents and forms. + Based on… more
- Humana (Austin, TX)
- …in dental benefits industry issues preferred o Knowledge and experience in Medicare and Medicaid dental programs preferred **Additional Information** o The Dental ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Humana (Austin, TX)
- …experience in revenue cycle management (related to billing, coding, collections for Medicare and Medicaid claims) + Experience with Auditing and monitoring of ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- HCA Healthcare (Pasadena, TX)
- …with the patient, including having the Patient Choice letter signed. . Monitors Medicare patient's planned discharge dates and delivers the Important Medicare ... Message (IMM) to the patient per facility policy. **What qualifications you will need:** + Associate Degree preferred. + Medical knowledge and terminology required. + Minimum of one year experience in a healthcare setting required. + Healthcare professional… more
- Kelsey-Seybold Clinic (Houston, TX)
- …and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with ... achieved an overall rating of 5-out-of-5-stars as part of the Centers for Medicare and Medicaid CMS annual assessment for eight consecutive years, including 2024.… more
- Molina Healthcare (Fort Worth, TX)
- …oversight of processes that track, evaluate, and submit encounter deletions for Medicare Advantage, ACA, and Medicaid lines of business. This role has ... minimum in Director level role or above. + Extensive understanding of Medicare Advantage, ACA and Medicaid risk adjustment processes, including encounter data… more
- Humana (Austin, TX)
- …are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. **Equal ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- CVS Health (Austin, TX)
- …medical costs and provides an unmatched experience for adults on Medicare in medically underserved communities. By providing holistic, comprehensive and integrated ... health platform to support the delivery of high quality care to the Medicare population. As a Senior Product Manager within the Patient Experience and Service… more
- HCA Healthcare (Pearland, TX)
- …+ Plans, directs and implements month-end closing process + Prepares monthly Medicare /Medicaid Exhibits and contractual journal entries. + Assists in the completion ... assists in annual physical inventory. + Coordinates, reviews and assists in completing Medicare Year End and Internal Audit work papers. + Performs review and… more