- CenterWell (Rockport, 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 \#nursepractitionercareers \#physicianassistantcareers \#LI-KB2 **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full… more
- Baylor Scott & White Health (College Station, 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. Inpatient Medicine providers work in a intensivist and critical care setting and manage patients by performing… more
- Baylor Scott & White Health (Plano, TX)
- …authority. They are credentialed, privileged, and billed as an independent provider by Medicare and Medicaid. This is in accordance with the appropriate board. The ... Advanced Practice Provider offers medical care based on the supervising physician's scope of practice. They typically care for adult and pediatric cardiovascular and cardiothoracic surgery patients outside the operating room. **Essential Functions of the… more
- Caris Life Sciences (Irving, TX)
- …cross-functional initiatives and manage timelines, resources, and deliverables. + Experience with Medicare Advantage plans and familiarity with Xifin is a plus. + ... Demonstrated ability to lead teams, manage change, and drive performance in a fast-paced environment. + Proficiency in Microsoft Office Suite (Excel, Word, Outlook, Access) and healthcare billing systems. + Strong interpersonal, communication, and… more
- Baylor Scott & White Health (Austin, 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. These providers typically provide care to patients in an internal medicine, family medicine, geriatric 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
- Apex Health Solutions (Houston, TX)
- …role. Health plan or managed care industry experience preferred (eg, Medicare Advantage, Medicaid, or commercial insurance). Strong understanding of GAAP, statutory ... accounting, and healthcare financial reporting. Experience with regulatory filings (eg, NAIC statements, CMS reporting) strongly preferred. Ability to manage competing priorities and deadlines in a dynamic environment. Proficiency with ERP/accounting systems… more
- Caris Life Sciences (Irving, TX)
- …Receivable Associate is responsible for reviewing outstanding denied claims with Medicare , Medicaid and Commercial insurance companies. This role involves following ... up with insurance companies to check claim status, reviewing medical records request and submitting required documentation to payors. **Job Responsibilities** + Review insurance denials and take appropriate action. + Check claims status via phone or poral. +… more
- Cardinal Health (Austin, TX)
- …and evaluating strategic opportunities for all lines of business including Medicare , Medicaid, and various commercial markets. Key responsibilities include managing ... the appeal process, analyzing data to identify pricing issues, ensuring regulatory compliance, maintaining communication with stakeholders like pharmacies and PSAO leadership, and improving the MAC appeals process. This role is critical for ensuring fair… more
- Baylor Scott & White Health (Dallas, 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. Inpatient Medicine providers typically work in a hospital setting and manage patients by performing duties to… more