- Fresenius Medical Center (Houston, TX)
- …(QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor patients' response to dialysis therapy. ... the designated clinical application in an accurate and timely manner. + Review treatment sheets for completeness ensure nursing signatures are documented and ensure… more
- Novo Nordisk (Mission, TX)
- …Relationships Externally, the DCS maintain relationships with physicians, physician assistants, nurse practitioners, medical assistants, pharmacists, nurses and ... impact + Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage… more
- Cognizant (Austin, TX)
- …* A minimum of 2 years claim processing is required. * Knowledge of physician practice and hospital coding, and medical terminology, CPT, HCPCS, ICD-10 * Experience ... with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims * Knowledge of Medicare / Medicaid payment and coverage guidelines and regulations. * 1 year of… more
- BrightSpring Health Services (Harlingen, TX)
- …with Company policies and procedures, state licensure and regulations, Medicaid and Medicare standards, as well as state reimbursement regulations + Leading case ... meetings + Chairing committees as appropriate, safety, infection control, incident review , and human rights committees + Facilitating communication and serving as… more
- HCA Healthcare (Irving, TX)
- …to providing patients with quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of a physician and ... encourage you to apply for our PRN Home Health Aide opening. We review all applications. Qualified candidates will be contacted for interviews. **Unlock the… more
- UTMB Health (Galveston, TX)
- …commercial and government payers, including HMOs, PPOs, ACOs, and Medicaid/ Medicare Advantage plans. * Analyze reimbursement methodologies and contract performance ... and ongoing oversight. * Represent the organization in payer meetings, contract review sessions, and industry forums. * Provide leadership, mentorship, and guidance… more
- HCA Healthcare (Houston, TX)
- …to providing patients with quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of a physician and ... to apply for our Home Health Account Executive opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock… more
- Houston Methodist (The Woodlands, TX)
- …patient satisfaction and safety measures. **FINANCE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource use, ... service focus and application of positive language principles + Knowledge of Medicare , Medicaid and Managed Care requirements + Progressive knowledge of community… more
- Houston Methodist (Houston, TX)
- …practices through available resources such as conferences, internet-based learning, review and research of specific program materials, and/or professional journals. ... care regulatory and accreditation requirements (such as Centers for Medicare /Medicaid Services/CMS, CMS approved hospital accreditation organizations and State… more
- HCA Healthcare (Houston, TX)
- …liaison accounts and administer contracts in collection of third party accounts ( Medicare and Medicaid) + You will complete account reconciliation of accounts turned ... With over 30 years of pioneering experience in the industry, our physician partners offer exceptional outpatient care to over 800,000 patients in communities… more