- 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
- Kelly Services (Coppell, TX)
- …insurance benefits, deductibles, and eligibility with a variety of payers including Medicare , Medicaid , HMO, PPO, and third-party plans. + Communicate with ... patients regarding coverage, billing concerns, and payment options. + Submit and follow up on prior authorizations and clean claims. + Process referrals and ensure documentation is complete and accurate. + Enter and maintain accurate demographic, insurance,… more
- Elara Caring (Richardson, TX)
- …years of experience in fast-paced office is preferred + Working knowledge of Medicare / Medicaid , home care benefits, and applicable state policies and procedures ... preferred + Excellent computer and communication skills, with ability to work in fast-paced environment + Passion for patient care + Must have a dependable vehicle, a valid driver's license, and current auto insurance in accordance with the laws of the State… more
- Healthfirst (TX)
- …+ Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of Centers for Medicare & Medicaid Services (CMS) or New York State + Department of ... Health (NYSDOH) regulations governing medical management in managed care + Relevant clinical work experience + Intermediate Outlook, Basic Word, Excel, PowerPoint, Adobe Acrobat skills. + Demonstrated critical thinking and assessment skills to ensure member… more
- Oracle (Austin, TX)
- …enable our clients' to track compliance with the requirements of the Centers for Medicare & Medicaid Services (CMS) and The Joint Commission (TJC). The ... compliance rate of the CMS and TJC measures by clients identified with these dashboards helps in tracking that the provider patients are receiving highest quality of care. In addition to improving patient care, the successful regulatory submission of the… more
- Texas Health Resources (Arlington, TX)
- …Nurses (AACN). We are proud to be rated 5 stars by the Centers for Medicare & Medicaid Services (CMS). Our specialties include coronary artery bypass grafting ... (CABG), valve surgeries, Impella and intra-aortic balloon pump (IABP) support, and various lung procedures. We also provide comprehensive cardiac care, including treatment for heart failure, cardiomyopathies, acute myocardial infarction (AMI), and post-cardiac… more
- HCA Healthcare (Fort Worth, 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
- 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
- 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