- HCA Healthcare (Pasadena, TX)
- …Do you have the career opportunities as a Revenue Integrity Clinical Charge Review Analyst RN you want with your current employer? We have an exciting ... of colleagues. Do you want to work as a Revenue Integrity Clinical Charge Review Analyst RN where your passion for creating positive patient interactions is valued?… more
- HCA Healthcare (Houston, TX)
- …want to join an organization that invests in you as a Revenue Integrity Charge Review Analyst? At Parallon, you come first. HCA Healthcare has committed up to $300 ... opportunity to make a difference. We are looking for a dedicated Revenue Integrity Charge Review Analyst like you to be a part of our team. **Job Summary and… 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
- Intermountain Health (Austin, TX)
- …equivalent (GED) required + One (1) years of experience in hospital or physician back-end revenue cycle (Payment Posting, Billing, Follow-Up) required + Knowledge of ... Medicaid and Medicare billing regulations required + Two (2) years of...+ Two (2) years of experience in hospital or physician insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or… more
- Humana (Austin, TX)
- …group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or ... and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will...daily work. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, … more
- Humana (Austin, TX)
- …group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or ... us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, DME, skilled nursing facility and… more
- Fresenius Medical Center (Plano, TX)
- …set. + Nurse Manager, assuring proper chart documentation is established. + Physician , review of policies regarding chart/charge sheet. + Monitors adherence ... in the negotiation of third party and direct contracts. + Meets / reviews with Physician groups to review contract content. + Oversees centralized data base that… more
- Houston Methodist (Houston, TX)
- …reviews the filing of Federal and State Charity Report. + Directs the coordination, review and filing of Medicare and Medicaid cost reports and associated audits ... internal and external financial and governmental reporting requirements. Requirements include Medicare cost reports, Federal Tax Returns Health and Human Services… more
- Kelsey-Seybold Clinic (Houston, TX)
- …the direct supervision of a board-certified/board-eligible radiation oncologist. The Physician Assistant (PA) position functions as an advanced practice practitioner ... follow-up radiation oncology patients. + Order appropriate diagnostic studies + Review diagnostic test results and implement appropriate treatment. + Interpret and… more
- CenterWell (Dallas, TX)
- …manage and supervise the roles of the Center Medical Directors. + Identify physician recruitment needs and collaborate in the hiring and contracting of providers. + ... space and equipment and center needs. + Oversee daily operations of physician services. + Build strong relationship with specialist, hospitalist, SNF and other… more
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