- HCA Healthcare (Austin, 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
- Medtronic (San Antonio, TX)
- …business trends and report performance results across sales channels, product lines, payer groups, etc. + Review department metrics with leadership team to help ... ensure consistent performance, high level of productivity, and achievement of business goals for the Commercial Organization + Identify and track data necessary to develop and refine business forecasting and product utilization models and as well as to develop… more
- Oracle (Austin, TX)
- …(registration types, visit classes, and encounter mapping) + Insurance, payer , and financial class configuration (eligibility verification rules, coverage mapping) ... + Rules, alerts, and validations to support accurate and compliant patient intake + Integration and dependency awareness with downstream billing and clinical systems + Experience designing and configuring Registration workflows that ensure accurate patient… more
- 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
- HCA Healthcare (San Antonio, TX)
- …not limited to: Meditech, Orders Management System, Call Center Equipment (phones, etc.), payer websites. **In this role you will:** + Requests, obtains and follows ... up on authorization requests + Processes Phoned and/or faxed requests processed in a prompt and timely manner + Stat requests and interdepartmental scheduling processed promptly; + Contacts the facilities, physicians' offices and/or insurance companies to… more
- HCA Healthcare (Dallas, 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
- Datavant (Austin, TX)
- …and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, 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… more
- CenterWell (Austin, TX)
- …verbal/written communication and presentation skills + Advanced knowledge with Payer requirements, ADR requests, Denials, Appeals, RAC/ZPIC and CERT responses ... + Must be able to work well independently and in a team environment + Excellent communication and organization skills + Strong attention to detail + Healthcare industry experience preferred + Must read, write and speak fluent English + Must have good and… more
- Cognizant (Austin, TX)
- …or healthcare technology sales Strong understanding of healthcare RCM EMRPM platforms payer provider dynamics and digital health trends Proven success in negotiating ... complex contracts and managing multistakeholder relationships Proficiency in CRM tools eg Salesforce partner portals and performance analytics platforms Excellent communication presentation and executive engagement skills Willingness to travel for partner… more
- HCA Healthcare (Fort Worth, 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. **What qualifications you will need:** . Basic Cardiac Life Support must be obtained within 30 days of employment start date .… more
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