- Aveanna Healthcare (Dallas, TX)
- …of commercial and state payers relevant to your open balances. * Review each payer's specific guidelines (rates, filing/appeal deadlines, forms, etc.) as needed. ... be prepared to come into the office periodically. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in… more
- Erickson Living (Dallas, TX)
- …transmission. + Maintaining and sharing expertise and knowledge related to Medicare Reimbursement. + Partnering with departments, including therapy and finance, to ... processes, including but not limited to MDS, RAPs, Care Planning, and Utilization Review . + Experience documenting in an Electronic Medical Record (EMR) preferred. +… more
- CVS Health (Austin, TX)
- …and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement ... and developing yourself and others) skills **Required Qualifications** * Commercial, Medicare , and/or Medicaid knowledge * 5+ years related experience, proven and… more
- HCA Healthcare (Austin, TX)
- …processes. . You will prepare documentation for Notification of Non-covered Medicare Services or Advance Beneficiary notices to patients and follows practice ... encourage you to apply for our Surgery Scheduler opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock… more
- HCA Healthcare (San Antonio, TX)
- …to providing patients with quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of a physician and our team ... for our Home Health Account Executive opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. **Unlock… more
- HCA Healthcare (El Paso, TX)
- …guidelines Employee handbook, and standards of regulatory bodies (JACHO, Medicare , CARF, etc.) + Other duties as assigned. REQUIRED LICENSURE/CERTIFICATIONS ... we encourage you to apply for our Physical Therapist PRN opening. We review all applications. Qualified candidates will be contacted for interviews. **Unlock the… more
- Evolent (Austin, TX)
- …from authoritative sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food and Drug Administration (FDA), and ... prior authorization lists, facilitating timely decision-making for clinical and business review teams. + Demonstrate strong analytical abilities, with a proven track… more
- Molina Healthcare (Austin, TX)
- …contract language for compliance with Corporate standards and regulatory requirements and review revised language with assigned MHI attorney. * Participates in fee ... various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to: Value Based… more
- UTMB Health (Galveston, TX)
- …plan of care that encompasses evidence-based practice guidelines, practice protocols, Medicare , Medicaid, and other state and federal regulations. + Prescribes ... manner to ensure all services are accurately accounted for and available for review by the interdisciplinary team + Adheres to internal controls established for the… more
- Humana (Austin, TX)
- …Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more