- Cognizant (Austin, TX)
- …UB/institutional (CMS-1450) and/or professional (CMS 1500) claims. + Knowledge of Medicare /Medicaid payment and coverage guidelines and regulations. + Must be able ... to work with minimal supervision. + 1 year of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. + Excellent problem-solving skill in healthcare claims adjudication. + Ability… more
- CenterWell (San Antonio, TX)
- …+ Knowledge of HEDIS measures and quality indicators + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated ... care environment in a value-based relationship environment + Fluent in Spanish and English \#nursepractitionercareers \#physicianassistantcareers \#LI-KB2 **Scheduled Weekly Hours** 1 **Pay Range** The compensation range below reflects a good faith estimate of… 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
- CenterWell (Athens, TX)
- …and be able to problem solve effectively. . Must possess knowledge of Medicare guidelines governing home health and hospice agencies. . Must have exceptional ... customer service skills and be able to communicate well with referral sources, patients, family members, and agency employees. . Must be organized, detail-oriented, and possess effective communication skills both orally and in writing. . The ability to… more
- CenterWell (Lubbock, TX)
- …audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers ... to ensure the appropriateness of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. + Participates in sales and marketing initiatives. + Supervises all… more
- Molina Healthcare (San Antonio, TX)
- …type management responsibility. 5 years progressive experience supporting a Medicaid,. Medicare and Marketplace or large claims processing environment with ... multi-functional work units and tasks. Experience in Salesforce, EvolveNxt, SAP, Genesys Experience System Migrations **Preferred Experience** 6 - 8 years working in a claims processing system. Health care environment experience. To all current Molina… more
- HCA Healthcare (El Paso, TX)
- …guidelines Employee handbook, and standards of regulatory bodies (JACHO, Medicare , CARF, etc.) + Other duties as assigned. REQUIRED LICENSURE/CERTIFICATIONS ... + Licensed by the Texas State Board of Physical Therapy examiners + BCLS REQUIRED EDUCATION/EXPERIENCE MA in Physical Therapy/DPT Preferred PREFERRED EDUCATION, LICENSURE, CERTIFICATION, EXPERIENCE, SKILLS,KNOWLEDGEAND ABILITIES DPT preferred, functional… more
- HCA Healthcare (Dallas, TX)
- …and facility processes. . Prepares documentation for Notification of Non-covered Medicare Services or Advance Beneficiary notices to patients and follows practice ... procedures to maintain this documentation. . Determines OR time needed for the procedure and works with Facility to ensure procedure is scheduled, daily schedule is streamlined and arranges necessary anesthesia coverage, as determined through Facility… more
- STG International (Temple, TX)
- …responsible for completion and accuracy. 5. Assist in ensuring that Medicare patients have timely certifications/re-certifications signed by the attending physician. ... 6. Process admission and discharge records timely and accurately. 7. Verify diagnoses with Director of Nursing and record on admission record. 8. Audit medical records, as assigned. 9. Receive and file all diagnostic reports promptly and accurately. 10. Ensure… more
- Aveanna Healthcare (El Paso, TX)
- …Contractors, and Employees Residing in California As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements ... in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California (https://www.aveanna.com/CaliforniaPrivacyNotices.html) Apply more