- Methodist Health System (Dallas, TX)
- …claims, and billing correspondence. Knowledgeable with payors; Managed Care, Commercial, Medicare , and Medicaid Strong leadership skills with experience in team ... building, coaching, and mentoring. Excellent communication, problem-solving, and analytical skills. Ability to work in a fast-paced environment and manage multiple priorities. Proficiency in healthcare billing software, systems and payer portals (eg, Epic,… more
- CenterWell (Fort Worth, TX)
- …experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in care, ensuring clinical ... indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals *Personally… more
- HCA Healthcare (Corpus Christi, TX)
- …leadership + Work with team members in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/edits + Assign interim DRGs for in-house ... lead, manager, international log) + Periodically works with manager to review individual work accomplishments, discuss work problems/barriers, discuss progress in… more
- Insight Global (Fort Worth, TX)
- …for pensions, annuities, investments and other sources - Social Security and Medicare Planning - Military and Federal Employee Benefits- Retirement planning and ... we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills… more
- Cognizant (Austin, TX)
- …team and collaborate with stakeholders and other teams. **Primary Responsibilities** : + Review claim system data and verify against UB or HCFA paper or EDI ... UB/institutional (CMS-1450) and/or professional (CMS 1500) claims. + Knowledge of Medicare /Medicaid payment and coverage guidelines and regulations. + Must be able… more
- Genesis Healthcare (Dallas, TX)
- …Clinical Operations Area Director in the timely completion of the annual merit review for therapy staff. 6. Assists Clinical Operations Area Director in the hiring ... and coordinates the timely completion of the annual merit review for therapy staff. 8. Assumes responsibility for hiring...period of one year. 5. A thorough knowledge of Medicare and third party billing is also required. Posted… more
- CenterWell (Arlington, TX)
- …quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities in care, ensuring clinical assessments ... indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals + Personally… more
- HCA Healthcare (Jourdanton, TX)
- …appropriate prescribing, route, method of administration, and length of therapy; includes review of allergy history on all patients and weight for weight-based ... requirements or regulation to include the following: The Joint Commission, Medicare , Medicaid, Texas State Board of Pharmacy, Drug Enforcement Agency, Federal… more
- Fresenius Medical Center (Olmito, TX)
- …state regulations, and accrediting agency standards where applicable. + Participate in review business and finances of the site, including financial reports, market ... as appropriate in accordance with company policy + Drive employee performance review and employee engagement/recognition activities for center + Participate in the… more
- Prime Therapeutics (Austin, TX)
- …Qualifications** + Previous experience with RxClaim + Previous experience with Medicare or Medicaid Every employee must understand, comply with and attest ... ranges from $81,000.00 - $138,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page… more
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