- BrightStar Care (Edinburg, TX)
- …AOTA standards, policies, and guidelines and state, federal, and other regulatory and payer requirements relevant to practice and service delivery * One year of ... appropriate experience as an occupational therapist * Strong interpersonal skills * Strong knowledge of occupational therapy principles, theory, methods and evidence-based practice * Excellent customer service skills and ability to deal tactfully with clients,… more
- Prime Therapeutics (Austin, TX)
- …understanding of healthcare-specific financial models, reimbursement systems, and payer -provider dynamics **Preferred Qualifications** + Master's degree in business ... (MBA) or health administration (MHA) or related area of study + People leadership experience + PBM experience Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all… more
- Houston Methodist (Houston, TX)
- …principles. + Knowledge of community resources and health care financial and payer issues, and eligibility for state, local and federal programs (acquired within ... 6 months of hire) + Collaboration, negotiation, and mediation skills + Progressive time management and prioritization skills + Demonstrates critical thinking skills at all times + Well versed in computer skills of the entire Microsoft Office Suite (Access,… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …substance registrations, board certifications, hospital privileges, and third party payer enrollments in good standing + Supervises residents and participates ... in teaching activities for medical students and/or residents + Engages in advancement of scientific knowledge through research and/or scholarship + Serves the academic community through participation in institutional governance, such as committee work and… more
- AdventHealth (Killeen, TX)
- …has been achieved and/or according to the standards of practice and payer guidelines. . Documents accurately, completely, and timely with legible handwriting. Uses ... measurable and objective terminology, following standards of practice, insurance guidelines and department /hospital policy and procedures. . Charges patients accurately, timely and legibly according to guidelines of the CPT code format, price file and… more
- AdventHealth (Killeen, TX)
- …benefit has been achieved and/or according to standards of practice and payer guidelines. . Documents accurately, completely, and timely with legible handwriting. ... Uses measurable and objective terminology following standards of practice, insurance guidelines and department/hospital policy and procedures. . Charges patient accurately, timely, and legibly according to guidelines of the CPT code format and following… 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
- HCA Healthcare (Mckinney, 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 (Irving, 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
- Elevance Health (Grand Prairie, TX)
- …understanding of healthcare dynamics, including service delivery, reimbursement models, and payer systems preferred. + Experience in healthcare finance or healthcare ... actuarial analytics preferred. + Substantial analytical experience in the healthcare industry preferred. + Advanced SQL & SAS skills. + Oracle Exadata experience preferred. + Familiarity with AI/ML frameworks. + Additional skills for success are Python,… more