- 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
- Oracle (Austin, TX)
- …all levels of the organization. 8. Strong knowledge of federal, state, and payer -specific regulations and policies. 9. Ability to work in a fast-paced environment ... and manage multiple priorities. **Responsibilities** Analyzes business needs to help ensure Oracle's solution meets the customer's objectives by combining industry best practices and product knowledge. Effectively applies Oracle's methodologies and policies… more
- Lilly (Houston, TX)
- …grow and own business outcomes. + Navigates the ever-changing healthcare environment and payer landscape to increase understanding of accounts and be able to impact ... key stakeholders to become trusted partners. + Utilizes appropriate business insight tools, data, and analytics to identify trends, priorities, opportunities, and potential obstacles. + Implements and adopts new technologies, including the integration of AI… 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
- 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
- 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
- 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
- Abbott (Plano, TX)
- …**and manages precertification and prior authorization requests** + **Understands payer -specific requirements and documentation standards** + **Tracks and follows up ... on pending authorizations to ensure** **timely** **approvals** + **Able to troubleshoot portal issues and escalate when necessary** The base pay for this position is $20.50 - $41.00 per hour. In specific locations, the pay range may vary from the range posted.… more
- Caris Life Sciences (Irving, TX)
- …market and competitive analysis to identify growth opportunities, customer needs, payer dynamics, and emerging trends in myeloid malignancy diagnostics. + Partner ... with Product Management, Medical Affairs, and Commercial Strategy to align marketing plans with clinical data releases, product updates, and pipeline priorities. Brand Positioning & Messaging: + Create compelling, clinically accurate messaging that… more
- HCA Healthcare (Plano, 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