- Kelsey-Seybold Clinic (Spring, 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
- Texas Health Resources (Cleburne, TX)
- …of each treatment session in accordance with departmental, Joint Commision, Medicare , and other applicable regulatory guidelines. + documents assessments of ... patient understanding of education provided in accordance with departmental, JCAHO, Medicare , and other applicable regulatory guidelines. At Texas Health Cleburne we… more
- Danaher Corporation (Dallas, TX)
- …+ Communicate regional and local coverage and reimbursement issues for Medicare , Medicaid and Commercial payers through internal meetings, payer research, and ... (preferred) + Demonstrated knowledge of all payer segments (eg Commercial, Medicare , Medicaid) + Demonstrated and presentation skills Travel, Motor Vehicle Record… more
- Texas Health Resources (Stephenville, TX)
- …aspects of each treatment session in accordance with departmental, JCAHO, Medicare , and other applicable regulatory guidelines. + documents assessments of education ... understanding of education provided in accordance with departmental, JCAHO, Medicare , and other applicable regulatory guidelines. At Texas Health Stephenville… more
- Sedgwick (Austin, TX)
- …limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Secures and disposes of salvage. + Reports claims to the ... principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. + Excellent oral… more
- 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
- MD Anderson Cancer Center (Houston, TX)
- …the laboratory in which he/she is working complies with the CAP, JCAHO, FDA, Medicare , and CLIA regulations for accreditation. . Must be able to identify and solve ... service. Administrative . Must assure compliance with standards of CAP, JCAHO, FDA, Medicare , and CLIA. . Must give theoretical guidance and technical assistance to… more
- Health Care Service Corporation (Richardson, TX)
- …+ Experience in the Agile methodology + Good understanding of Medicare /Medicaid Healthcare data + Demonstrate mentality of building well architected applications ... Experience in Healthcare Claim or Enrollment functions. + Experience supporting Medicare technology platforms \#INCR \#LI-BS1 \#LI-Hybrid **Are you being referred to… more
- Health Care Service Corporation (Richardson, TX)
- …the program requirements as required by the applicable state Medicaid or Medicare requirements. Manage the preparation and readiness for on-going audits. Represent ... ensure ROI. **PREFERRED JOB REQUIREMENTS** **:** + Knowledge of Medicaid and/or Medicare health plan and PBM operations. + Additional degrees or credentials outside… 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