- Humana (Austin, TX)
- …(DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus ... other commercial and Medicare Advantage value based programs. DVACO is a joint...Board + Leads strategic planning efforts to develop a specialist network within the ACO + Develops a health… more
- ChenMed (Houston, TX)
- …terminology, CPT, HCPCS and ICD coding desired + An understanding of the company 's patient population, including the complexities of Medicare programs + ... and complete tasks in a timely manner. + An understanding of the company 's patient population, including the complexities of Medicare programs + Detail-oriented… more
- ChenMed (Houston, TX)
- …terminology, CPT, HCPCS and ICD coding desired + An understanding of the company 's patient population, including the complexities of Medicare programs + ... and complete tasks in a timely manner. + An understanding of the company 's patient population, including the complexities of Medicare programs + Detail-oriented… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) responsible for promoting the achievement of ... all objectives delineated in the Utilization Review Nurse and Utilization Review Specialist Nurse job roles and is responsible for facilitating appropriate length of… more
- ChenMed (Houston, TX)
- …coaches and provides training to Care Coordinators; ensures they are following company processes. Training can also include other roles as needed. + Implements ... Checklist. + Communicates alternative/approvals to Referral Coordinator. + Follows up with MMD/ Specialist /MND if no response after 24hours. + Calls and follows up… more
- Banner Health (TX)
- …knowledge of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment ... regarding charge related issues, processes and programming. Participates in company -wide quality teams' initiatives to improve coding and clinical documentation.… more
- Adecco US, Inc. (Irving, TX)
- …join a winning culture and get your foot in the door with a company that values patient access, healthcare education, and strategic reimbursement support. If the FRM ... and appeals. + Deliver payer insights and education on Medicare and commercial insurance coverage. + Collaborate with physician...- 5:00 pm + Weekly paycheck + Dedicated Onboarding Specialist & Recruiter + Access to Adecco's Aspire Academy… more
- CVS Health (Austin, TX)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... applicable) to ensure the ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are… more
- 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 ... Care Financing Administration (HCFA), as well as company and applicable professional standards. 4. As assigned, compiles daily and monthly reports; tabulates data… 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 ... follow-up & disposition. + Verifies patient eligibility with secondary insurance company when necessary. + Bills supplemental insurances including all Medicaid… more