- Banner Health (TX)
- …and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health ... least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), Certified… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …ensuring compliance with any relevant rules or regulations (including HIPAA,Medicaid, Medicare , and specific 3rd Party Payors) + Collaborate with appropriate teams ... compliance roles + Current CPC (Certified Profressional Coder), CCS (Certified Coding Specialist ), or CBCS (Certified Billing and Coding Specialist ) **Does this… more
- Molina Healthcare (San Antonio, TX)
- …(LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical ... or other health care or management certification. * Leadership experience. * Medicaid/ Medicare population experience. To all current Molina employees: If you are… more
- University of Texas Rio Grande Valley (Mcallen, 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
- Community Health Systems (Corsicana, 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
- Merck (Austin, TX)
- **Job Description** **Oncology Sales Representative / Specialist ** Grow and accelerate your career with our Oncology Sales organization and join a team that's driven ... Leader, Key Account Manager, Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, and more. **Qualifications:** **Minimum Requirements:** +… 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
- 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
- CenterWell (Corpus Christi, TX)
- …indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals *Personally ... primary care including health promotion & prevention, disease management, effective specialist & hospital co-management, and complex care management *Spend 20-30% of… more
- Aveanna Healthcare (Allen, TX)
- …Program + Employee Relief Fund + Employee Resource Groups Operations Specialist Qualifications: + Payroll and/or human resources experience preferred + Knowledge ... Contractors, and Employees Residing in California As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements… more