- Cardinal Health (Austin, TX)
- …client's field team + First point of contact for escalated cases from physician offices + Perform other activities related to internal initiatives as assigned ... with long- and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial plans while planning for various… more
- Houston Methodist (The Woodlands, TX)
- …service focus and application of positive language principles + Knowledge of Medicare , Medicaid and Managed Care requirements + Progressive knowledge of community ... services; wellness services; an outpatient laboratory; and several other multispecialty physician practices. In January 2022, Houston Methodist The Woodlands opened… more
- Houston Methodist (Houston, TX)
- …quality and length of stay. + Address patient complaints, conducts physician education regarding discharge planning, progression of care, documentation of ... improvement, and Medicare Conditions of Participation. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Ensures a safe and effective working environment; monitors and/or… more
- Gentiva (Austin, TX)
- …of palliative medicine principles, home health, hospice care eligibility, and Medicare /Medicaid regulations. + Familiarity with the interdisciplinary care process. + ... as required by state law. + Collaborative agreement with supervising physician (or willingness to establish). + Part B Provider certification. +… more
- UTMB Health (Galveston, TX)
- …informationrequiredfor third party reimbursement. + Ensures compliance with Medicare andthird-partycoverage. + Communicates with patient, referral source, UTMB ... physician and clinical staffregardingany obstacle to access or authorization. **Salary Range:** Actual salarycommensuratewith experience or range if discussed and… more
- Catholic Health Initiatives (Bryan, TX)
- …and Medicare supplemental plans that require pre-certification 14. Contact physician 's on scheduled patients, to notify them of authorization requirements and ... any possible financial holds 15. Analyze reports to ensure admission dates for patient type changes are accurate in order for the account to appear on insurance verification reports 16. Maintain and update reference notebooks on insurance companies, employers,… more
- Houston Methodist (The Woodlands, TX)
- …position also performs the medical necessity check, to ensure compliance with Medicare guidelines, and regularly works in multiple areas (eg, emergency department ... services; wellness services; an outpatient laboratory; and several other multispecialty physician practices. In January 2022, Houston Methodist The Woodlands opened… more
- CenterWell (Corpus Christi, TX)
- …assigned Center(s). * 3+ years of operational leadership experience within a multi- physician office or clinical group, including front of house management and ... experience * Basic knowledge of Population Health Strategy * Familiarity with Medicare * Experience managing a budget of $500,000 **Work Schedule:** Full Time… more
- HCA Healthcare (Houston, TX)
- …to providing patients with quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of a physician and ... our team of professionals develop an individualized plan of care. Our professionals include registered nurses, licensed practical nurses, therapists, and social workers. We provide the care you need in the comfort of your own home to restore your independence.… more
- Option Care Health (Austin, TX)
- …of treatment in response to changing patient status or consultation with referring physician to establish revised patient plan of care, within scope of practice._ + ... as indicated by location and service line including governmental payers (ie, Medicare , Medicaid). + Provider NPI will be credentialed in association with the… more