- 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
- Boehringer Ingelheim (Harlingen, TX)
- …top plans for customers. Engages customers in comprehensive discussions on the payer environment, co-pays, and formulary access. Works with Managed Care Area ... Managers to generate and sustain support for products on MCO formularies. Develops and influences an extended team to pull-through MCO decisions. Delivers on "continuation of care" model, including discharge protocol, treatment algorithms, disease management,… more
- San Antonio Behavioral Health (San Antonio, TX)
- …of reimbursement systems, the ability to educate patients and families regarding payer requirements / coverage for post-acute care services and the ability to ... effectively advocate on behalf of the patient to obtain authorizations for continued care as appropriate. + Demonstrate knowledge and ability to conduct psychotherapy groups based on a CBT, DBT, and trauma models. + Provides accurate, timely and appropriate… more
- Select Medical (Denton, TX)
- …Planning + Care Planning Management + Fiscal Management + Payer /Referral Management **Qualifications** **Minimum Qualifications** + Current Licensure per state ... guidelines in clinical or related discipline OR a Bachelor's or Master's in a health or human services discipline. **Preferred Qualifications** + Previous experience in Case Management and Discharge Planning preferred. + CCM Certification Preferred.… 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
- Advancial (Dallas, TX)
- …Mobile App, Online Membership Application, Zelle, Member to Member Transfers, Bill Payer , Payments, Transfers, Chat, Video Chat, SMS Text Delivery, Mobile Wallets, ... Remote Deposit, and Lending Portal on a daily basis. This includes handling member questions and feedback professionally, and researching member accounts. This includes answering calls and responding to CRM cases. + Assist with testing, QA, and implementation… more
- HCA Healthcare (San Antonio, 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
- Moore County Hospital District (Dumas, TX)
- …are reviewed and revised to maintain compliance with regulatory and payer agencies. EDUCATIONAL/EXPERIENCE REQUIREMENTS: Ability to read and comprehend simple ... instructions, short correspondence, and memos. Ability to read and write simple correspondence. Experience in Medicare and Medicaid billing. High school graduate or equivalent preferred. EXPERIENCE REQUIREMENTS: 3 years of business operations experience… more
- San Antonio Behavioral Health (San Antonio, TX)
- …Word and Excel. + Has knowledge of governmental and managed care payer requirements. + Demonstrates understanding of the various "Self-Pay" account classifications ... and their applicable patient statement processes. + Understands the data elements required to generate a clean bill. + Understands the importance of maintaining confidentiality; able to maintain confidentiality under HIPAA standards. + Must have the ability to… more
- Datavant (Austin, TX)
- …and closing. + **Cross-Functional Collaboration** + Partner closely with Payer Operations, Provider Commercial, Product, Commercial Operations, Marketing, and Client ... Success teams to refine solution positioning, develop compelling proposals, and ensure client satisfaction. + Provide market feedback and insights to influence product roadmap and go-to-market approaches. + **Relationship Management** + Establish and maintain… more