- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …territory plans through partnerships with internal and external stakeholders + Review and educate offices on payer policies, including prior authorization ... in rare disease + Strong knowledge of Centers for Medicare & Medicaid Services (CMS) policies and processes, especially... & Medicaid Services (CMS) policies and processes, especially Medicare Part D + Experience in "Buy and Bill"… more
- Cardinal Health (Austin, TX)
- …about long and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial medical and pharmacy plans while ... High School diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Cardinal Health (Austin, TX)
- …a call center or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies and guidelines for coverage, preferred + ... Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred + Clear understanding of...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Kelsey-Seybold Clinic (Stafford, TX)
- …of clinical practice guidelines/standards in support of quality palliative care + Timely review , oversight, and documentation of patient care by team NP (s) or RN ... and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with… more
- Aveanna Healthcare (Dallas, TX)
- …of care, and uphold communication standards within the office. + Payroll Assistance: Review weekly timesheets, audit payroll files, and serve as the primary contact ... skills are a PLUS. Note: As an employer receiving Medicare and Medicaid funds, Aveanna employees must comply with...Aveanna's supportive and dynamic environment! As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- Aveanna Healthcare (Fort Worth, TX)
- …home. + Support recruitment, training, and validation of clinical staff. + Review physicians' orders and update care plans and documentation as necessary. ... to infants, children, adolescents, and/or adults. Note: As an employer receiving Medicare and Medicaid funds, Aveanna employees must comply with all health-related… more
- HCA Healthcare (Aledo, TX)
- …+ Work the unbilled alert and comp census reports daily. + Work the Medicare 72 hour and Medicaid 24 hour reports to identify Compliance overlapping accounts. ... Transfer charges when appropriate. + Work all related Medicare APC edits that appear on the bill alert...to apply for our Billing Specialist opening. We promptly review all applications. Highly qualified candidates will be contacted… more
- Insight Global (Richardson, TX)
- …Project Manager to work on regulatory and compliance projects tied to medicare /medicaid inititiaves. - Direct and coordinate resources to ensure project progressed ... we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills… more
- MD Anderson Cancer Center (Houston, TX)
- …technical and administrative levels. . Must be able to visually review , evaluate and correctly interpret medical records, patient data, patient specimens ... he/she is working complies with the CAP, JCAHO, FDA, Medicare , and CLIA regulations for accreditation. . Must be...Must assure compliance with standards of CAP, JCAHO, FDA, Medicare , and CLIA. . Must give theoretical guidance and… more
- HCA Healthcare (Austin, TX)
- …public nursing or acute hospital nursing experience + Familiar with Medicare home health regulations, documentation requirements, ICD-10 coding and PPS (Strongly ... quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of...our RN Home Health opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more