- CenterWell (Dallas, TX)
- …ideally field sales with a focus on senior value-based care models or Medicare Advantage. + In-depth knowledge of senior healthcare market dynamics. + Exceptional ... communication and interpersonal skills, with the ability to engage and build rapport with diverse stakeholders, including seniors, caregivers, and licensed agents. + Strong consultative selling skills, with a demonstrated ability to understand client needs,… more
- HCA Healthcare (Irving, TX)
- …+ You will maintain a thorough working knowledge of the rules of Medicare , Medicaid, and private payer regulations and processes. You will possess a thorough ... understanding of managed-care concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or… more
- Baylor Scott & White Health (Plano, TX)
- …whose service is billed as an independent billing provider, as recognized by Medicare and Medicaid within the healthcare systems, and in accordance with the ... appropriate board. The Advanced Practice Provider provides medical care based upon the scope of practice as delineated by the supervising physician. Typically provides care to adult and pediatric cardiovascular and cardiothoracic surgery patients in settings… more
- AccentCare, Inc. (Temple, TX)
- …Records (EMR) preferred. Knowledge of accepted professional standards and practice, Medicare Conditions of Participation, and federal, state, and local regulatory ... requirements. Demonstrates excellent observation, nursing judgement, and communication skills. Must be a licensed driver with an automobile in good working order. Come As You Are At AccentCare, our care is most compassionate when we empathize and engage with… 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
- 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
- Molina Healthcare (TX)
- …various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to, fee-for ... service, capitation and various forms of risk, ASO, etc. **PREFERRED EDUCATION** : Bachelor's Degree in a related field or an equivalent combination of education and experience **PREFERRED EXPERIENCE** : * 3+ years experience in managed healthcare… more
- Insight Global (Houston, TX)
- …to case management and utilization review, including updates driven by Medicare guidelines. Support the upcoming Post-Acute Discharge Platform project, including ... integration with multi-vendor solutions such as Roundtrip. Engage in productive conversations with third-party vendors to support platform integrations. Participate in biweekly 1:1s with leadership and analyst team meetings to coordinate cross-functional… more
- Houston Methodist (Nassau Bay, TX)
- …knowledge of electronic health record software (EPIC preferred) + Knowledge of Medicare , Medicaid, and managed care reimbursement methodologies + Ability to manage ... multiple tasks at one time + Mid-level medical terminology and knowledge of insurance requirements for physician visits and procedures + Ability to manage a fast-paced environment + Ability to flex hours and work/day assignments to meet needs related to… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …Skills** Required: Must be familiar with laws and regulations governing Medicare billing practices, medical billing systems, and claims processing. Preferred: ... IDX/EPIC, PC skills, and understanding of billing invoice activity such as credits, debits, adjustments, contractual agreements, etc. **Other** Required: N/A Preferred: N/A **Working Environment:** Office **About Us** Start your career journey and become a… more