- Owens & Minor (Austin, TX)
- …**POSITION SUMMARY:** This representative will be required to request Medical documentation and assure received documentation meets insurance payer guidelines. ... including: + Prepayment audits/development letters + Post payment requests for documentation + Overpayment refund requests + Medical necessity documentation … more
- Prime Therapeutics (Austin, TX)
- …our passion and drives every decision we make. **Job Posting Title** Client Audit Specialist , Sr. - Remote **Job Description** The Client Audit Specialist Sr is ... regulatory, client, and/or functional audit expectations. The Client Audit Specialist Sr provides consultation and strategic advice regarding audit management… more
- Baylor Scott & White Health (Austin, TX)
- **JOB SUMMARY** The Internal Sales Specialist obtains new enrollments and facilitates community outreach in the assigned service area. **ESSENTIAL FUNCTIONS OF THE ... ROLE** Coordinates and conducts sales activities for Individual and Medicare Advantage plans to enroll prospective members into the health plan to increase… more
- Prime Therapeutics (Austin, TX)
- …our passion and drives every decision we make. **Job Posting Title** Client Audit Specialist , Sr. - Remote **Job Description** As a member of the Client Audit ... Management (CAM) team, the Client Audit Specialist , Sr is accountable for managing regulatory and/or client-initiated audits. This role maintains a thorough… more
- CVS Health (Austin, TX)
- …health care more personal, convenient and affordable. **Position Summary** The Health Survey Specialist plays a critical role within the DSNP team. The Health Survey ... Specialist outreaches DSNP members via phone to introduce the...work schedule to meet business needs **Preferred Qualifications** - Medicare /Medicaid/DSNP experience - Strong organizational skills, including effective verbal… more
- HealthEdge Software Inc (Austin, TX)
- **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits ... payment integrity, and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration… more
- HCA Healthcare (Austin, TX)
- …and understand the medical staff bylaws, Joint Commission, and Centers for Medicare and Medicaid Services (CMS) standards, and monitor the latest regulatory ... and procedures related to the functions of the department. + You will manage documentation systems for medical staff files. + You will maintain and distribute the… more