- BrightSpring Health Services (Harlingen, 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
- HCA Healthcare (Irving, 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
- HCA Healthcare (Austin, 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
- UTMB Health (Galveston, TX)
- …commercial and government payers, including HMOs, PPOs, ACOs, and Medicaid/ Medicare Advantage plans. * Analyze reimbursement methodologies and contract performance ... terms, and regulatory compliance. * Knowledgeable of professional and hospital physician service compensation models issues and experience with fee schedule, case… more
- Kelsey-Seybold Clinic (Cypress, TX)
- …or Contact Center experience. Preferred: 2+ years of working in a physician , hospital, or medical office environment to include patient registration, appointment ... identify, understand and communicate plan details to patients with HMO, PPO, EPO, Medicare Advantage and other plans. 1+ years of cash handling or collections… more
- Highmark Health (Austin, TX)
- …system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare ... Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or auditing, as well as, education techniques and methods. (Internal… 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
- Cognizant (Austin, TX)
- …minimum of 2 years' claims processing experience is required. + Knowledge of physician practice and hospital coding, and medical terminology, CPT, HCPCA, ICD-10 + ... UB/institutional (CMS-1450) and/or professional (CMS 1500) claims. + Knowledge of Medicare /Medicaid payment and coverage guidelines and regulations. + Must be able… more
- CenterWell (Athens, TX)
- …summary / episode detail summary and Case Conference / 60 Day summary to the physician as task appears on the action screen. . Copy documentation and assist with ADR ... and be able to problem solve effectively. . Must possess knowledge of Medicare guidelines governing home health and hospice agencies. . Must have exceptional… more
- CenterWell (Lubbock, TX)
- …care plans and interpreting patient needs, while adhering to Company, physician , and/or health facility procedures/policies. + Manages the assignment of caregivers. ... final audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers… more