- Humana (Austin, TX)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Houston Methodist (Sugar Land, TX)
- …also performs the medical necessity check, to ensure compliance with Medicare guidelines. The Patient Access Associate position employs effective communication ... skills, promoting excellent customer service in every interaction. This position is also required to adhere to all departments, hospital, governmental and/or any other healthcare licensing agency requirements related to the Emergency Medical Treatment and… more
- Baylor Scott & White Health (Killeen, TX)
- …They are credentialed, privileged, and billed as an independent provider by Medicare and Medicaid. The Advanced Practice Provider offers medical care based on ... the supervising physician's scope of practice. These providers typically provide care to patients in an internal medicine, family medicine, geriatric or pediatric clinic. **Essential Functions of the Role** + Assess the physical and mental condition of… more
- Baylor Scott & White Health (Killeen, TX)
- …They are credentialed, privileged, and billed as an independent provider by Medicare and Medicaid. The Advanced Practice Provider offers medical care based on ... the supervising physician's scope of practice. These providers typically provide care to patients in an internal medicine, family medicine, geriatric or pediatric clinic. **Essential Functions of the Role** + Assesses the physical and mental condition of… more
- UTMB Health (Friendswood, TX)
- …information required for third party reimbursement. . Ensures compliance with Medicare and third-party coverage. . Communicates with patient, referral source, UTMB ... physician and clinical staff regarding any obstacle to access or authorization. **Salary Range:** Actual salary commensurate with experience or range if discussed and approved by the hiring authority. **Work Schedule:** On-site, Monday through Friday, 8am to… more
- Humana (Austin, TX)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Gentiva (Nacogdoches, TX)
- …patient may be appropriate for home health or hospice care; Medicare /Medicaid regulations; and interdisciplinary process; value based and/or accountable organization ... requirements + Meets mandatory continuing education requirements of Gentiva and licensing board. + Must be able to work efficiently with electronic medical record software. **Education/Experience:** + Minimum of Masters of Science in Nursing from an accredited… more
- Cognizant (Austin, TX)
- …with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims + Knowledge of Medicare / Medicaid payment and coverage guidelines and regulations. + 1 year of ... Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. + Must be able to work with minimal supervision. + Good skills at problem resolution specifically related to healthcare… more
- Texas Health Resources (Bedford, TX)
- …of each treatment session in accordance with departmental, JCAHO, Medicare , and other applicable regulatory guidelines. Professional Accountability . Utilizes ... available resources (equipment, support personnel, educational resources) to maximize efficiency and productivity and meet departmental needs. . Participates in orientation and training of students and new employees. Other duties as assigned. Entity… more
- CenterWell (San Antonio, TX)
- …of hands-on healthcare experience in a clinical setting, preferably within the Medicare population + Experience with Payor Portals + Proficient with Microsoft Office ... applications including Microsoft Word, Excel and Outlook + Proficient with medical terminology + Experience with Electronic Medical Records + Excellent professional communication abilities, at all levels within the organization and with patients, at all times… more