- Houston Methodist (Katy, TX)
- At Houston Methodist, the Payment Variance Specialist position is responsible for ensuring that all claims are paid at contracted rates by researching and resolving ... in order to address underpayments and denials in accordance with regulatory and contractual obligations. This includes contract content review, application of… more
- Jet Health (Fort Worth, TX)
- …balances. + Oversee the end-to-end billing process while ensuring accuracy, efficiency, and compliance with regulatory requirements. + Stay abreast of changes in ... Revenue Cycle Specialist Fort Worth, TX (http://maps.google.com/maps?q=4100+International+Plaza+Fort+Worth+TX+USA+76109) Job Type Full-time Description TheRevenue… more
- Highmark Health (Austin, TX)
- …Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but ... (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment… more
- Sumitomo Pharma (San Antonio, TX)
- …employee encounters is considered confidential. ** Compliance ** :Achieve and maintain Compliance with all applicable regulatory , legal and operational rules ... motivated, and experienced individual for the position of **MSPEC** Portfolio Specialist . The successful candidate will be responsible for compliantly driving… more
- Texas Health Resources (Bedford, TX)
- …rendered. . **Educates patients and/or families** about applicable legal, ethical, and compliance documents; ensures regulatory consents are signed by the ... **Admissions Specialist I** _We're looking for qualified_ **_Admissions Specialist_**...are completed correctly, particularly the MSPQ, Important Message from Medicare (IMM) and medical necessity checking (ABN and Letter… more
- Texas Health Resources (Denton, TX)
- …rendered. . **Educates patients and/or families** about applicable legal, ethical, and compliance documents; ensures regulatory consents are signed by the ... Admissions Specialist I _We're looking for qualified_ **_Admissions ...are completed correctly, particularly the MSPQ, Important Message from Medicare (IMM) and medical necessity checking (ABN and Letter… more
- Apex Health Solutions (Houston, TX)
- … Medicare enrollment or commercial eligibility; * Oversees associated regulatory reports including Demographic Reports, Monthly Membership Reports, Plan Payment ... aspects of these functional areas to ensure quality, production, and regulatory requirements are met. Essential Duties and Responsibilities include the following:… more
- TEKsystems (San Antonio, TX)
- …activities operating within strict federal credit guidelines and in full compliance with Sarbanes-Oxley regulatory requirements. 4. Researches and verifies ... Description: Job Description The healthcare collections specialist is responsible for research, analysis and resolution...and procedures. Specific Duties: 8. To develop, for each Medicare Insurance claim denial, a reasonable patient product use… more
- Banner Health (TX)
- …knowledge of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG), and Ambulatory Payment Classification (APC) or ... coding is accurate for proper reimbursement and that coding compliance is complete. Monitors coding work and trends, then...assessments. 6. Maintains a current knowledge in all coding regulatory updates, and in all software used for coding… more
- Conviva (Corpus Christi, TX)
- …departmental and physician budgets. + Assess, develop, and recommend strategies for compliance with regulatory requirements. + Develop and maintain an effective ... + 99% Leadership, 1% limited/occasional coverage + Build strong relationship with specialist , hospitalist, SNF and other providers to form a narrow network of… more