- Kelsey-Seybold Clinic (Houston, TX)
- …and refer patients to specialists and other healthcare providers. + Understands reimbursement criteria and neurology coding. + Performs specific duties delineated by ... and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with… more
- Kestra Medical Technologies, Inc (Houston, TX)
- …provides training, on-going product service and support, and assistance in the reimbursement process. ESSENTIAL DUTIES * Responsible for the sales and ongoing ... Federal Food and Drug Administration and under contract with Medicare . Kestra maintains a drug free workplace and testing...Federal Food and Drug Administration and under contract with Medicare . Kestra maintains a drug free workplace and testing… more
- NASCO (Austin, TX)
- …laws and regulations related to our products and services, including for our Medicare Advantage and ACA Exchanges business + Interacts with vendors and customers on ... on compliance issues, including related to HIPAA + Experience supporting Medicare Advantage and ACA Exchanges business **Required Training, Certification and… more
- Kelsey-Seybold Clinic (Cypress, TX)
- …patients to specialists and other healthcare providers. + Understands reimbursement criteria and Endocrinology billing/coding. + Performs specific duties delineated ... and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with… more
- Kelsey-Seybold Clinic (Webster, TX)
- …patient records, charts, and documents to support sound medical practice and reimbursement for services provided + Assist in development of clinical practice ... and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with… more
- Texas Health Resources (Fort Worth, TX)
- …assessment, plan of care, and re-certifications in accordance with departmental, TJC, Medicare , and other applicable regulatory guidelines + Documents all aspects of ... each treatment session in accordance with departmental, TJC, Medicare , and other applicable regulatory guidelines + Obtains physician signature on all plans care and… more
- Houston Methodist (The Woodlands, TX)
- …are medically necessary, communicating clinical information to payors to ensure reimbursement . **PEOPLE ESSENTIAL FUNCTIONS** + Communicates in an active, positive ... of timely disposition options to assure maximum benefits for patients and reimbursement for the hospital. + Applies approved utilization criteria to monitor… more
- Texas Health Resources (Arlington, TX)
- …Bad Debt reserves, Managed Care discounts, accrued liabilities and Medicare /Medicaid liabilities. Prepares the ambulatory/virtual channel annual operating budget and ... the finance lead will develop in depth knowledge of reimbursement trends and work with the THR CBO do...with the THR CBO do develop policies that maximize reimbursement . **Education** Bachelor's Degree Accounting, Finance or equivalent required… more
- Molina Healthcare (TX)
- …providers. Contract/Re-contracting with large scale entities involving custom reimbursement . Executes standardized Alternative Payment Method contracts. Issue ... attorney. * Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new reimbursement models from Corporate… more
- Gentiva (Houston, TX)
- …with acceptable standards in order to support sound medical practice and reimbursement for services provided. + Knowledgeable of Palliative Medicine Quality Measures ... patient may be appropriate for home health or hospice care; Medicare /Medicaid regulations; and interdisciplinary process. + Meets mandatory continuing education… more
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