- Evolent (Austin, TX)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or… more
- Texas Health Resources (Arlington, TX)
- …healthcare setting **REQUIRED** or **Licenses and Certifications** CCS - Certified Coding Specialist Upon Hire **REQUIRED** or Other CIC - Certified Inpatient Coder ... that require ICD-10-CM/PCS code and MS-DRG assignment for proper billing complex ( Medicare , high dollars, long LOS and high CMI) inpatient records. . Abstracts… more
- Community Health Systems (Victoria, TX)
- …appointments across multiple departments, including diagnostic tests, procedures, and specialist consultations. + Ensures appointments are scheduled based on ... diagnostic tests. + Verifies the medical necessity of scheduled tests for Medicare patients and ensures compliance with payer requirements. + Refers uninsured and… more
- UTMB Health (League City, TX)
- …distributed and authorized deferments, + Registration including eligibility, demographics and Medicare and third party coverage, communicates any obstacle to access ... specialty procedures and + Successful completion of all Patient Services Specialist training including refresh training. **Salary Range:** Actual salary commensurate… more
- Houston Methodist (Houston, TX)
- …is responsible for supporting accurate billing and coding compliance with Medicare and third-party payments and internal policies. Responsibilities for this position ... in Healthcare Research Compliance (HCCA) **OR** + CCS-P - Certified Coding Specialist Physician-based (AHIMA) **OR** + CPC-H - Certified Professional Coder -… more
- University of Texas Rio Grande Valley (Edinburg, TX)
- …and benefits through various payers, including commercial insurances, Medicaid, and Medicare . + Obtains the necessary prior authorizations, referrals, and other ... Education Bi-lingual (English/Spanish) Licenses/Certifications Preferred: Completion of Medical Office Specialist certificate program or Medical Administrative Assistant or closely… more
- CenterWell (Vernon, TX)
- …+ Complete End of Period claim workflow as part of Billing Specialist responsibilities. This includes confirming all orders are signed appropriately and coordinating ... and be able to problem solve effectively. + Must possess knowledge of Medicare guidelines governing home health and hospice agencies. + Must have exceptional… more
- Cognizant (Austin, TX)
- …is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely and accurate adjudication of ... with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims * Knowledge of Medicare / Medicaid payment and coverage guidelines and regulations. * 1 year of… more
- Cardinal Health (Austin, TX)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... regulations, or third party policy. + Updates patient files for insurance information, Medicare status, and other changes as necessary or required. + Keeps email… more
- Humana (Austin, TX)
- …the team as a Senior Product Manager working anywhere in the US. As a Specialist in NBA Execution, you'll play a hands-on role in translating strategy into real-time ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more