- 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
- Advancial (Houston, TX)
- …to verify the identity of a caller. Be a liaison for bill payer support, fraud support, and debit/credit card support. Answer questions related to Skip-A-Payments, ... and create loan payoff letter for members or third parties. + Open new accounts, checking, certificates, money markets, IRA or CD accounts. Verify eligibility for new account and processes through ChexSystems prior to opening new accounts. Work with members of… more
- Fresenius Medical Center (Plano, TX)
- …medical records to determine accurate required abstracting elements (facility/client/ payer specific elements) including appropriate ESRD designation. Reviews medical ... records for the determination of accurate assignment of all documented ICD-10 codes for diagnoses and procedures. + Uses discretion, experience and specialized coding training to accurately assign ICD-10 codes to patient medical records. + Demonstrates ability… more
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