- Fresenius Medical Center (Tomball, TX)
- …(QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor patients' response to dialysis therapy. ... **LICENSES:** + HighSchooldiplomaorG.E.D. required. + Must meet Center for Medicaid/ Medicare Services (CMS)-approved state and/or national certification requirements within… more
- HCA Healthcare (Houston, TX)
- …liaison accounts and administer contracts in collection of third party accounts ( Medicare and Medicaid) + You will complete account reconciliation of accounts turned ... With over 30 years of pioneering experience in the industry, our physician partners offer exceptional outpatient care to over 800,000 patients in communities… more
- CenterWell (Mcallen, TX)
- …specialists and providers outside of the primary care physician 's office. The Referral Coordinator performs basic administrative/clerical/operational/customer ... of hands-on healthcare experience in a clinical setting, preferably within the Medicare population + Experience with Payor Portals + Proficient with Microsoft Office… more
- UTMB Health (Texas City, TX)
- …information required for third party reimbursement. . Ensures compliance with Medicare and third-party coverage. . Communicates with patient, referral source, UTMB ... physician and clinical staff regarding any obstacle to access or authorization. **Salary Range:** Actual salary commensurate with experience or range if discussed… more
- Sedgwick (Austin, TX)
- …medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review. ... principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. + Excellent oral… more
- Humana (Austin, TX)
- …plan of care from assessment findings in coordination with the beneficiary's physician and care team. + Coordinate, review, and approve medically necessary, ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- BrightSpring Health Services (Corpus Christi, TX)
- …with Company policies and procedures, state licensure and regulations, Medicaid and Medicare standards, as well as state reimbursement regulations + Leading case ... of care plan and services, analyses outcomes, OASIS and ICD9/10, medical records, and physician orders + Marketing of services in service area + Other duties as… more
- UTMB Health (Galveston, TX)
- …documents required for third party reimbursement. * Ensures compliance with Medicare and third-party coverage. * Communicates with patients, referral source, UTMB ... physician and clinical staff regarding any obstacles to access or authorization. * Fully dispositions each patient within the designated timeline. **Marginal or… more
- Molina Healthcare (Fort Worth, TX)
- …various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to, fee-for ... healthcare setting ideally in negotiating different provider contract types, ie, physician , group and hospital contracting, etc. To all current Molina employees:… more
- Houston Methodist (Houston, TX)
- …processing. + Demonstrates understanding of fundamentals of all payors, including Medicare , Medicaid and commercial payors, and applicable revenue cycle operations. ... a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities.… more