- Gentiva (San Antonio, TX)
- …operations, ensuring compliance with state, federal, and accreditation standards (CMS, Medicare , Joint Commission, etc.) + Provide clinical oversight and ensure ... operations leadership + Strong understanding of hospice regulations, compliance, and Medicare conditions of participation + Proven ability to manage teams, budgets,… more
- Houston Methodist (Houston, TX)
- …and written communication. + Identifies denial trends and notifies supervisor and/or manager to prevent future denials and further delay in payments. Collaborates ... and provides support to other team members as advised by the manager and/or supervisor. **SERVICE ESSENTIAL FUNCTIONS** + Completes special projects to improve… more
- Somatus (Dallas, TX)
- …of 3 weeks' Vacation (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being ... care team, specifically under the guidance of RN Care Manager and act as an advocate guiding them through...from an accredited college preferred. + Experience working with Medicare , Medicaid or Special Needs populations. + Medical Assistant,… more
- Gentiva (Nacogdoches, TX)
- …relationships with supportive care team (eg, Social Worker and RN Care Manager ), as applicable, and involve team (internally and externally) when patient's care ... with acceptable standards in order to support sound medical practice and reimbursement for services provided. + Knowledgeable of Palliative Medicine Quality Measures… more
- Elara Caring (Brownwood, TX)
- …compliance with all federal, state, and local regulations along with current Medicare , Medicaid, and third-party reimbursement regulations and changes. + Assures ... to make a difference + Competitive compensation package + Tuition reimbursement for full-time staff and continuing education opportunities for all employees… more
- Banner Health (TX)
- …information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or ... and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health… more
- Highmark Health (Austin, TX)
- …topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles ... system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare… more
- Gentiva (Bellaire, TX)
- …activity within the designated service area. + Maintain compliance with the Medicare Hospice Conditions of Participation 5% volunteer requirement. + Assess patient ... Assistance Fund **Additional Full-Time Benefits:** + Medical, Dental, Vision Insurance + Mileage Reimbursement or Fleet Vehicle Program + Generous Paid Time Off + 7… more
- HCA Healthcare (Houston, TX)
- …collections for patient services. Under the supervision of the Business Office Manager /Business Office Supervisor, you will obtain payment from third party payers ... and self-pay accounts to enhance cash flow and gather reimbursement based on established contracts. **What you will do in this role:** + You will perform follow up… more