- CVS Health (Austin, TX)
- …of clinical practice experience. Two (2) + years of experience in managed care ( Medicare and/or Medicaid) MD or DO; Board certification in an ABMS or AOA recognized ... state where we have an Integrated plan. Experience with managed care ( Medicare and Medicaid) utilization review preferred. **Education** MD (Doctor of Medicine) or… more
- Kelsey-Seybold Clinic (Porter, 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
- Gentiva (Athens, TX)
- …Manage clinical and administrative workflows, including referrals, DME pickups, Medicare eligibility, insurance verification, and patient benefit tracking + ... external providers + Ensure adherence to hospice industry regulations including Medicare , Medicaid, JCAHO, ACHC **About You** **Qualifications - What You'll Bring:**… more
- Catholic Health Initiatives (Bryan, TX)
- …Billing Coordinator referencing necessary pre-transport screening patient information, Medicare and Medicaid Laws/Guidelines updates, and other contractual ... with Billing Coordinator referencing necessary pre-transport screening patient information, Medicare and Medicaid Laws/Guidelines updates, and other contractual obligations… more
- Kelsey-Seybold Clinic (Richmond, 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
- HCA Healthcare (Conroe, TX)
- …public nursing or acute hospital nursing experience + Familiar with Medicare home health regulations, documentation requirements, ICD-10 coding and PPS (Strongly ... to providing patients with quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of a physician and our team… more
- HCA Healthcare (Austin, TX)
- …public nursing or acute hospital nursing experience + Familiar with Medicare home health regulations, documentation requirements, ICD-10 coding and PPS (Strongly ... to providing patients with quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of a physician and our team… more
- Houston Methodist (Houston, TX)
- …FUNCTIONS** + Assists the department in distributing required notices, including the Medicare Notice of Discharge to patients, securing signatures on the form from ... and answering questions regarding the appeal process + Distributes the Medicare Notice of Discharges to identified patients, including capturing patient and… more
- Prime Therapeutics (Austin, TX)
- …on the lookout for a Principal Solution Strategist to help lead the Medicare and Medicaid migrations for the JUDI program.** **Job Description** The Principal ... collaborative or independent problem solving **Preferred Qualifications** + PBM/health experience + Medicare , Medicaid, CMS background + Desire to be a SME + Work… 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