- CenterWell (Austin, TX)
- …**Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- Houston Methodist (Houston, TX)
- …claims processing. + Demonstrates understanding of fundamentals of all payors, including Medicare , Medicaid and commercial payors, and applicable revenue cycle ... operations. + Maintains strict confidentiality of patients, employees and hospital information at all times. Ensures protection of private health and personal information. Adheres to all Health Insurance Portability and Accountability Act (HIPAA) and Payment… more
- Elara Caring (Dallas, TX)
- …etc.) + Excellent verbal and written communication skills. + Experience with Medicare / Medicaid home health care benefits, policies and procedures is preferred. ... You will report to the Clinical Program Supervisor. _This is not a comprehensive list of all job_ responsibilities _; a full_ _job description_ _will be provided._ _We value the unique skills of veterans and military spouses. We encourage applications from… more
- Gentiva (San Angelo, TX)
- …+ Familiarity with LCD criteria and hospice documentation requirements + Knowledge of Medicare , Medicaid , ACHC, and other regulatory guidelines + Strong oral and ... written communication skills + Compassionate and sensitive to end-of-life issues impacting patients and families + Ability to provide emotional support during times of crisis + Flexible and adaptable with ability to manage diverse tasks efficiently + Effective… more
- Elara Caring (Conroe, TX)
- …years of experience as LPN preferred + Possession of working knowledge of Medicare / Medicaid home health care benefits, policies and procedures preferred + ... Positive attitude + Dedication to quality patient care + Strong communication skills + Reliable transportation to perform job duties Apply with Elara Caring today! _This is not a comprehensive list of all job duties; a full job description will be provided._… more
- BrightSpring Health Services (Irving, TX)
- …in the healthcare market* Experience working with all payer types, including Medicare , Medicaid and commercial insurance companies* Knowledge of insurance ... verification and pre-certification procedures* Understands the scope of services that Amerita can provide* Strong verbal and written communication skills About our Line of Business Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion… 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
- HCA Healthcare (El Paso, TX)
- …spiritual. + 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… more
- Cognizant (Austin, TX)
- …billing, with strong knowledge of RARC and CARC codes. . Expertise in Medicare , Medicaid , Managed Care, and Commercial payer processes. . Deep understanding ... of federal/state billing guidelines and reimbursement methodologies. . Strong analytical and problem-solving skills to identify and resolve denial root causes. . Proficiency in Excel for data analysis and reporting. . Excellent verbal and written communication… more