- Humana (Austin, TX)
- …in navigating multiple computer tools/systems/screens + 2+ years of Medicare customer service experience or sales experience (virtual/telephonic preferred) + ... Demonstrated ability to understand and explain Medicare benefits and address the unique needs of ...protection. Please be aware that applicants selected for leader review may be asked to provide their social security… more
- Intermountain Health (Austin, TX)
- …HIM, PAS, and hospital finance staff as needed. + Prepares monthly Medicare and Medicaid settlement and policy reserve calculations using technically acceptable and ... and exception requests to appropriately maximize reimbursement. Interacts with Medicare Administrative Contractor, State Medicaid, and hospital personnel as needed.… more
- Providence (TX)
- …training, job aides and technical support for caregivers regarding Centers for Medicare and Medicaid Services (CMS) Medicare Secondary Payer reporting, ... + Act as a resource to fellow caregivers for Medicare Secondary Payer reporting of third-party claim payments and...focus topics to claims leaders based on trending analysis. Review claim files from a quality assurance perspective to… more
- CVS Health (Austin, TX)
- …**Key Responsibilities** : + Drafting and reviewing product filings: Draft Medicare Supplement and short-term limited duration health insurance products (policies, ... Stay abreast of changes in state and federal regulations related to Medicare supplement insurance. + Record Keeping: Maintain accurate records of product filings… more
- Fresenius Medical Center (Plano, TX)
- …teams to assure proper direction is obtained. + Assuring compliance with Medicare /Medicaid requirements and regulations by: + Maintaining current knowledge on ... Medicare , Federal, State and local regulations including reimbursement and...Manager, assuring proper chart documentation is established. + Physician, review of policies regarding chart/charge sheet. + Monitors adherence… more
- TEKsystems (Dallas, TX)
- …role will conduct collections activities which will entail contacting Medicare Administrative Contractors (MACs) to reconcile outstanding accounts receivable (debit ... resolve all unpaid or underpaid system debit balances on Medicare insurance claims; Actions include but are not limited...include but are not limited to remit and EOB review , calling payer(s) and clinics, rebilling claims, navigating payer… more
- CenterWell (San Antonio, TX)
- …defined by Clinical Leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. + Participates in potential ... role, you will be required to be screened for TB **Preferred Qualifications:** + Medicare Provider Number + Medicaid Provider Number + Minimum of two to five years… more
- Texas Health Resources (Arlington, TX)
- …. Obtain/verify physician order for therapy and validate for appropriateness. . Review available medical records and obtain pertinent medical history from therapist ... aspects of assessment and plan of care in accordance with departmental, TJC, Medicare , and other applicable regulatory guidelines. . Documents all aspects of each… more
- Aveanna Healthcare (Houston, TX)
- …screening for nutrition risk, conducting nutrition assessments, conducting Medicare reviews, working formula calculations, providing nutrition followup and ... indicated * Complete through clinical reviews to determine patient's eligibility for Medicare coverage of enteral supplies; complete Medicare forms for billing… more
- Prime Therapeutics (Austin, TX)
- …is responsible for receiving inbound and making outbound calls to qualified members to review the benefits of the MTM programs in addition to assisting the leaders ... in a manner that meets the specialized needs of the targeted population; for Medicare , is Centers for Medicare & Medicaid Services (CMS) compliant + Act… more