- CenterWell (Austin, TX)
- …and Specialty Care to lead strategy and execution for our referral management, payer prior authorization, and specialist network solutions. This role is critical to ... shaping how our patients and care teams experience internal and external specialty care. The ideal candidate combines strong business acumen, deep customer empathy, and a proven ability to create measurable value in highly matrixed healthcare settings. You… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …faculty on-boarding including but not limited to: EMR access, payer enrollment, provider templates, and Values-Based Culture integration. + Professionally ... and effectively interact with all levels of TTUHSC El Paso executive leadership and with PLFSOM Administration, physicians, administrative support staff, patients and members of the community. + Assist with development and execute departmental contracts and… more
- Deloitte (Fort Worth, TX)
- …experience * Experience in Epic integration is preferred + Experience with Payer /Provider applications + Experience with ANSI transactions + Experienced in ITIL ... service methodology or Service NOW + Familiarity with HIPAA and other regulations + Basic knowledge of messaging formats used in healthcare integration (HL7, EDI, CSV, XML, etc.) + Experience working in the US health care domain and managed care setup +… more
- US Physical Therapy (Houston, TX)
- …federal regulations + Comply with all clinic policies, HIPAA regulations, and payer guidelines + Participate in staff meetings, in-services, and continuing education ... as required **Preferred** + Outpatient orthopedic experience + Experience with manual therapy techniques and therapeutic exercise progression + Familiarity with EMR documentation systems + Spanish-speaking (preferred but not required) **Physical Requirements**… more
- HCA Healthcare (Dallas, TX)
- …an educational resource to patients, families, interdisciplinary team members, payer representatives, and other parties as appropriate regarding behavioral ... services** + **Performs utilization review as assigned** + **Participates in developing department goals/objectives and clinical programming** + **Reviews, coaches and assists with training of new staff/interns as assigned within approved practice and program… more
- HCA Healthcare (Lewisville, TX)
- …thorough working knowledge of the rules of Medicare, Medicaid, and private payer regulations and processes. You will possess a thorough understanding of managed-care ... concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or psychosocial needs. + You… more
- HCA Healthcare (Live Oak, TX)
- …thorough working knowledge of the rules of Medicare, Medicaid, and private payer regulations and processes. You will possess a thorough understanding of managed-care ... concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or psychosocial needs. + You… more
- Omnicell (Fort Worth, TX)
- …assistance with completion of required documentation to establish third-party payer data transmittal. . Communicate necessary customer actions, including deposit ... verifications, write-off approvals, and completion of necessary forms and documentation. . Communicate any issues that may arise, including claims disputes. . Oversee development and communication of customer reports. . Partner with Onboarding team to… more
- HCA Healthcare (San Antonio, TX)
- …an educational resource to patients, families, interdisciplinary team members, payer representatives, and other parties as appropriate regarding behavioral services. ... + Reviews, coaches, and assists with training of new staff/interns as assigned within approved practice and program guidelines. + Participates in developing department goals/objectives and clinical programming. Performs utilization review as assigned. +… more
- HCA Healthcare (Fort Worth, TX)
- …thorough working knowledge of the rules of Medicare, Medicaid, and private payer regulations and processes. You will possess a thorough understanding of managed-care ... concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or psychosocial needs. + You… more