- Caris Life Sciences (Irving, TX)
- …and accurate, follow up on requests, and apply acquired knowledge of Medicare , Medicaid , and other Third-Party Payer requirements **Job Responsibilities** + ... Proficient in and exceeding job responsibilities of Verification/ Authorization Personnel -Specialist either through Caris or with a former employer in a similar industry. + Identify ways to improve and promote quality and monitor your own work to ensure… 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 (San Antonio, 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
- Option Care Health (Sugar Land, TX)
- …as indicated by location and service line including governmental payers (ie, Medicare , Medicaid ). + Provider NPI will be credentialed in association ... with the Tax ID and group NPI as related to Option Care Infusion Suites and assigns benefits from payers to Option Care Infusion Suites for revenue cycle efficiency. + Key role in advocating for operational and clinical initiatives as directed. + Follows… more
- HCA Healthcare (San Antonio, TX)
- …of care of the organization and meets the requirements or regulations of JACHO, Medicare , Medicaid , and appropriate licensing or certified boards. The lead is ... responsible for the quality of therapy service provided to patients and other customers. **What qualifications you will need:** + Clinical degree in Physical, Occupational or Speech Therapy + Experience: 1 Year in hospital therapy setting + Physical Therapy… 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
- Elara Caring (Conroe, TX)
- …branch locations to meet patient needs. + Ensures compliance of current Medicare , Medicaid , and third-party reimbursement regulations and changes. Identifies and ... reports potential payment/coverage problems. + Supervises and coordinates utilization review activities. + Participates in strategic development of Key Accounts, including participation in weekly, monthly, and quarterly review meetings, as needed. + Ensures… more
- CenterWell (Houston, TX)
- …for TB. **** **Preferred Qualifications** + Active and unrestricted DEA license. + Medicare & Medicaid Provider Number. + Bilingual in English/Spanish, with the ... ability to speak, read, and write in both languages without limitations or assistance. **Additional Information** + Guaranteed base salary + quarterly bonus. + Excellent benefits package - health insurance effective on your first day of employment. + CME… more
- HCA Healthcare (Live Oak, 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
- KPH Healthcare Services, Inc. (Longview, TX)
- …plans and any changes that possibly may occur within the Insurance Payor, Medicare , or Medicaid + Responsible for completing all mandatory and regulatory ... training programs + Perform other duties as assigned **Qualifications** **Educational Requirements:** + High School Diploma or Equivalent **Experience Preferred:** + One year of intake experience and/or training; or equivalent combination of education and… more