- Novo Nordisk Inc. (Baytown, TX)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... Requirements, Step Therapy, Coverage Gap, Copays, and Deductibles and the impact on customer decisions Demonstrates understanding of territory customer groups and affiliations such as IPAs, Medical Groups, Health Systems, and Local Clinics and uses this to… more
- Houston Methodist (Katy, TX)
- Medicare compliance experience is preferred** **Note: Office for this position is located at our Continuing Care Hospital:** **701 S. Fry Rd. Katy, TX 77450** **. ... (Hybrid position)** At Houston Methodist, the CBO Regulatory Compliance Specialist position is responsible for working with Houston Methodist's Corporate Central… more
- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** The Sales Training Specialist is responsible for developing and implementing an agent oversight program for internal and external agents through ... training, auditing, and monitoring. The Sales Training Specialist monitors and studies industry specific regulations that apply to the sales and marketing of… more
- TEKsystems (Houston, TX)
- …processing errors and denials. Payers include but are not limited to Medicare , Medicaid, Blue Cross, and commercial health insurance carriers. * Reduce outstanding ... payment activities in order to increase cash flow Day to Day Duties: - Each specialist will be assigned an inventory to work. New accounts assigned every day. - Work… more
- TEKsystems (Waco, TX)
- …processing errors and denials. Payers include but are not limited to Medicare , Medicaid, Blue Cross, and commercial health insurance carriers. + Reduce outstanding ... increase cash flow Day to Day Duties: - Each specialist will be assigned an inventory to work. New...+ Experience within Profee claims, facility claims, commercial claims, Medicare claims, managed Medicare claims &/or Medicaid… more
- Providence (TX)
- **Description** **Providence is calling a Senior Charge Description Master Specialist who will work remotely within our footprint states, AK, CA, OR, WA, TX, NM, or ... the PSJH System Revenue Integrity Chargemaster (RICDM) Dept. team, the Senior CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding… more
- Aveanna (Houston, TX)
- Regulatory Covg & Comp Specialist ApplyRefer a FriendBack Job Details Requisition #: 194725 Location: Houston, TX 77098 Category: Compliance Salary: $90,000 per year ... Position Details Position Overview The Regulatory Compliance and Coverage Specialist will report to the Director of Regulatory Compliance and Quality Review. The… more
- Elevance Health (Denison, TX)
- **IT Governance Specialist ** **Locations: IN-Indianapolis, MD-Baltimore, PA-Harrisburg, MA-Hingham, ME-Portland, NY-Syracuse, TX- Denison.** This position will work ... Elevance Health Companies, Inc. family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services… more
- Houston Methodist (Katy, TX)
- …of hospital billing and insurance follow up experience is required** Medicare experience is preferred** Epic experience is preferred** Hybrid position-location: 701 ... S Fry Rd 77450 (Katy)** At Houston Methodist, the Accounts Receivable Specialist position is responsible for billing and follow up of insurance or institutional… more
- UT Health (Houston, TX)
- Provider Services Specialist - Credentialing & Provider Enrollment **Location:** Houston, Texas **Category:** Healthcare Support Services McGovern Medical School at ... **Position Key Accountabilities:** 1. Responsible for submitting license updates to Medicare and Medicaid. Processes licensure list from UT System for update.… more
