- Houston Methodist (Houston, TX)
- …improvements, patient satisfaction. **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with the physician and all members of the interprofessional healthcare team to ... engagement, ie peer-to-peer accountability. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource… more
- Evolent (Austin, TX)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** . Serve ... as the Physician match reviewer in Advanced Imaging cases, that do...rationale for standard and expedited appeals. . Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Evolent (Austin, TX)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve ... as the Physician match reviewer in Imaging cases, that do not...rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- HCA Healthcare (Aledo, TX)
- …+ Work the unbilled alert and comp census reports daily. + Work the Medicare 72 hour and Medicaid 24 hour reports to identify Compliance overlapping accounts. ... Transfer charges when appropriate. + Work all related Medicare APC edits that appear on the bill alert...HCA Healthcare's 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main… more
- Cardinal Health (Austin, TX)
- …Summary** Senior executive leader responsible for leading all aspects of Navista's Physician Office's revenue cycle, managed care and value based care programs and ... responsibilities include optimizing the revenue cycle to create financial stability to physician offices, develop short and long term strategic plans for manage care… more
- Kestra Medical Technologies, Inc (Dallas, TX)
- …all tasks and communication related to intake and processing of prescriptions and/or physician work orders, as well as patient information concerning the rental of ... in Southlake, TX. ESSENTIAL DUTIES: + Coordinate with sales representatives, physician 's office, and applicable internal/external personnel in regard to medical… more
- Methodist Health System (Dallas, TX)
- …terms and programs, eg, managed care, primary care physician , physician specialties, Accountable Care Organization (ACO), Medicare , Medicaid, etc. ... on understanding and meeting the needs of our customers by providing physician referrals and/or information about services, programs, and events via the phone,… more
- Houston Methodist (Katy, TX)
- …competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, ... Practice and performs associated actions upon non-compliance (ie, focal point review requirements, disaster plan, in services, influenza immunization, wage and hour,… more
- Evolent (Austin, TX)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as, aids and acts as ... the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Houston Methodist (Houston, TX)
- …is responsible for supporting accurate billing and coding compliance with Medicare and third-party payments and internal policies. Responsibilities for this position ... **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with revenue integrity teams to review provider services and provide effective education and feedback. Coordinates… more