- 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 ... of the individual selected **Pay Basis:** Monthly **Work Location:** El Paso ** Preferred Qualifications:** + 5 years of relevant audit experience in physician or… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …or equivalent. Preferred Education Bi-lingual (English/Spanish) Licenses/Certifications Preferred : Completion of Medical Office Specialist certificate ... and benefits through various payers, including commercial insurances, Medicaid, and Medicare . + Obtains the necessary prior authorizations, referrals, and other… 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
- 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
- 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
- UTMB Health (Galveston, TX)
- …by consistently exceeding expectations in customer service and patient care. ** Preferred Qualifications:** Radiation oncology or oncology experience is preferred ... distributed and authorized deferments, + Registration including eligibility, demographics and Medicare and third party coverage, communicates any obstacle to access… 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 ... experience in billing compliance + Experience working in teaching environment preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + N/A **LICENSES AND… 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 ... or an Associate's degree in a health care field. Requires Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) or Certified Professional Coder (CPC)… more
- Molina Healthcare (San Antonio, TX)
- …(LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical ... program proficiency, and ability to navigate online portals and databases. Preferred Qualifications * Certified Case Manager (CCM), Certified Professional in… more
- Aveanna Healthcare (Allen, TX)
- …Operations Specialist Qualifications: + Payroll and/or human resources experience preferred + Knowledge of Microsoft Office Suite, proficient in Word and Excel ... Contractors, and Employees Residing in California As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements… more