- CenterWell (Austin, TX)
- …identify educational opportunities. + Conduct research as needed. + Participate in Payer calls/chart reviews. + May participate in provider education programs on ... guidelines, healthcare regulations (including HIPAA, state and federal compliance), and payer requirements + Proficiency in Microsoft Office Suite (Word, Excel,… more
- Datavant (Austin, TX)
- …and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow ... + Review disagreements on APC/DRG changes with the appropriate manager . + Prepare the final reports for the coding...coding staff as needed and provides reports to the manager as directed. + Handle a high complexity of… more
- Urology Clinics of North Texas (Mesquite, TX)
- …Accounts Receivable Specialist Department: Central Billing Office Reports To: Oncology Billing Manager / Revenue Cycle Manager Location: Urology Clinics of North ... of Benefits (EOB) and initiate appeals when necessary. + Respond to payer requests for additional documentation or information. + Post account adjustments based… more
- Cardinal Health (Austin, TX)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... creation, editing, and approval of employee timecards in accordance with time-keeper manager responsibilities in addition to other standard HR responsibilities as a… more
- AccentCare, Inc. (Waco, TX)
- …and resolves payroll and billing questions under direction from the Client Service Manager * Functions as liaison for Field Supervisors in communication with ... payer Case Management teams * Supports recruiting and onboarding...client visits by Field Supervisor * Assists Client Service Manager in the presentation of staff training related to… more
- UTMB Health (Galveston, TX)
- …departmental leadership on productivity metrics, revenue cycle performance, and payer contracting * Establish divisional governance structure including clinical ... have access to divisional administrative support including an operations manager , participation in departmental strategic planning, and institutional resources for… more
- Houston Methodist (Houston, TX)
- …condition. The SW II LCSW position holds joint accountability with case manager , assuring that psychosocial and continuing care issues are addressed and treated ... care facilitation and needs for discharge planning. Works with case manager for routine discharge and anticipates/prevents and manages/elevates emergent situations… more
- ChenMed (Houston, TX)
- …+ Prescribes medication and treatment in accordance with patient condition, payer coverage/guidelines and industry standards. + Reviews PCP requests for external ... market. + Performs other related duties as assigned and modified at manager 's discretion. **ORGANIZATIONAL RELATIONSHIPS:** + Reports to: to Associate Chief Medical… more
- Oracle (Austin, TX)
- …bring products to market quickly, navigate the regulatory pathway and negotiate payer reimbursement and coverage. KEY OUTCOMES As a Senior Research Consultant, you ... which may include your details being shared with the hiring manager . **Responsibilities** An experienced professional who is responsible for applying scientific,… more
- Select Medical (Denton, TX)
- …committed to providing exceptional patient care **Responsibilities** The Director of Case Manager is responsible for the coordination of health care decisions by ... Clinical Interventions/Discharge and Care Planning Management; Fiscal Management; and Payer /Referral Management. **Qualifications** **Minimum Qualifications** + Current Licensure per… more
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