- Catholic Health Initiatives (Bryan, TX)
- …obtaining pre-certification reference number, approved length of stay, and utilization review company contact person and telephone number 13. Notify hospital Case ... regarding insurance plan changes/COB order, out of network plans, and Medicare supplemental plans that require pre-certification 14. Contact physician's on scheduled… more
- Fresenius Medical Center (Houston, TX)
- …the designated clinical application in an accurate and timely manner. + Review treatment sheets for completeness ensure nursing signatures are documented and ensure ... School diploma or GED required. + Must meet Center for Medicaid/ Medicare Services (CMS)-approved state and/or national certification requirements within the required… more
- Fresenius Medical Center (Houston, TX)
- …the designated clinical application in an accurate and timely manner. + Review treatment sheets for completeness, ensure nursing signatures are documented, and ... **LICENSES:** + HighSchooldiplomaorG.E.D. required. + Must meet Center for Medicaid/ Medicare Services (CMS)-approved state and/or national certification requirements within… more
- Humana (Austin, TX)
- …meet required timelines. + Submits required documents to state agencies for review and approval. + Regularly meet with Humana Healthy Horizons Medicaid markets ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Actalent (Dallas, TX)
- …to grow within managed care + Gain experience working with Medicare REQUIREMENTS: + California pharmacy technician license OR national pharmacy technician ... determination requests submitted from providers and determine if a pharmacist review is required + Obtain verbal authorizations and request detailed clinical… more
- HCA Healthcare (El Paso, TX)
- …Employee Handbook and standards of regulatory bodies (The Joint Commission, Medicare , CARF, etc) + Demonstrates Customer Service/AIDET principles and behaviors ... we encourage you to apply for our COTA Rehab PRN opening. We review all applications. Qualified candidates will be contacted for interviews. **Unlock the… more
- Novo Nordisk (Mission, TX)
- …impact + Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications + Bachelor's or equivalent degree, and/or… more
- Humana (Austin, TX)
- …across our tax accounting operations. **Key Responsibilities** + Lead the preparation, review , and analysis of the company's quarterly and annual income tax ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- CenterWell (Austin, TX)
- …services. Able to navigate healthcare options; care services post-acute offerings, Medicare coverage, billing issues, as well as accessing healthcare resources. + ... Health, Hospice, and Palliative Care Services. + Assist with clinical eligibility review for alternate services + Participates in special projects and performs other… more
- Humana (Houston, TX)
- …vendor relationships (eg, CDP, marketing automation tools). 5. Technical Oversight: + Review architecture decisions, code quality, and system design. + Stay ahead of ... are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. **Equal… more