- Fresenius Medical Center (El Paso, TX)
- …all insurers and private pay business. Assures that patients and families understand payer benefits. + Develops and maintains an extensive knowledge of the dialysis ... business and the support services provided by the clinics and within the community. + Develops and maintains knowledge of the local market as well as industry trends in order to monitor and quickly react to changes which may impact the company and the patient… more
- Highmark Health (Austin, TX)
- …analytics, or customer analytics. + Experience in **healthcare** , payer /provider environment, or other regulated industries (preferred). + Proventrack ... recordanalyzing complex customer and campaign datasets from CRM, CDP, web/app analytics, and marketing automation platforms. + Experience with Adobe Web SDK or Tealium/Freshpaintevent instrumentation. + Background in behavioral science, marketing science, or… more
- Elevance Health (Grand Prairie, TX)
- …external environment and internal strategy, and reports on care provider and payer insights. + Builds and facilitates relationships among key stakeholders to solve ... complex problems. + Proposes opportunities to improve results based on continuous needs assessment, grounded in real world operational experience. + Responsible for the development, implementation, and monitoring of project activities, including creating… more
- Datavant (Austin, TX)
- …and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. In this ... role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare… more
- Gentiva (Beaumont, TX)
- …sources, and the care team * Assist with referrals, regulatory documentation, and payer compliance * Travel to various Gentiva hospice locations as assigned to fill ... urgent needs **Schedule & Travel:** This role typically follows a Monday-Friday schedule, with occasional on-call responsibilities. Travel is required and may include: + Option 1: Overnight travel required to cities within a 100-mile radius. + Option 2:… more
- Providence (TX)
- …job related details + Communicate any coding updates published in third-party payer newsletters and bulletins and provider manuals to coding and reimbursement staff ... + Assists management in identifying and creating standardized workflows + Reviews EMR templates and identifies areas of improvement for provider documentation + Attends and presents at regional meetings as needed **Required qualifications for this position… more
- Aveanna Healthcare (Dallas, TX)
- …identify root cause corrections. Preferences Healthcare and insurance payer knowledge/experience is preferred. Professional coding certifications strongly preferred. ... Other Skills/Abilities Must be able to adhere to confidentiality standards and professional boundaries at all times Attention to detail Time Management Ability to remain calm and professional in stressful situations Strong commitment to excellence… more
- Select Medical (Houston, TX)
- …business development team + Collect co-pays from patients, manage payer approvals and conduct insurance authorizations and verifications **Qualifications** **Minimum ... Qualifications:** + High School Diploma/GED required + 1 Year of Medical Office Experience + Insurance Verification Experience **Preferred Qualifications:** + Bilingual **Additional Data** _Go Anywhere with Us! 1900 centers in 39 states offering internal… more
- HCA Healthcare (Dallas, TX)
- …the established chain of command + Makes appropriate referrals to third party payer , disease and case management programs for recurring patients and patients with ... chronic disease states + Facilitates patient throughput with an ongoing focus on an effective care transition, quality and efficiency + Documents professional recommendations, discharge plan, care coordination interventions, and case management activities to… more
- Houston Methodist (Baytown, TX)
- …benchmarks. May also be assigned to additional responsibilities; such as payer reimbursement analysis and financial reconciliation. **PEOPLE ESSENTIAL FUNCTIONS** + ... Interacts with all levels within the department, other institutional departments, and across the organization as well as outside companies to resolve problems/errors or questions regarding basic accounting reconciliation items or financial performance in a… more
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