Managed Care Jobs in Texas
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Search Results - Managed Care Jobs in Texas
Managed Care Contract Specialist with (Hospital Contract Modeling, Third Party Payer Negotiation,...
Macpower Digital Assets Edge Private Limited (MDA Edge)-Houston
for critical decision-making specific to hospital reimbursement and associated impacts.
Supports Managed Care Contract Administrators with identification of opportunities, risks, errors, etc. in payer reimbursement proposals and counter-proposals...
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Cleveland Healthcare-Cleveland (TX)
and Responsibilities:
1. Ensure that all cash received is deposited timely.
2. Verify insurance information of new admissions/re-admissions
3. Meeting with new admissions
4. Managed Care Authorizations (Initial/Subsequent)
5. Follow Resident trust fund procedures...
UphillGrowth Recruitment-Houston
for critical decision-making specific to hospital reimbursement and associated impacts.
Supports Managed Care Contract Administrators with identification of opportunities, risks, errors, etc. in payer reimbursement proposals and counter-proposals...
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Christus Health-Houston
Description
Summary:
Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care...
Integrated Resources, Inc-Houston
Managed Care Organization. To be the first point of contact for assistance or information regarding eligibility, benefits, authorizations, claims, referrals and/or any other Member/Provider needs. To assist and advocate for Members and/or Providers...
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Regency Integrated Health Services-George West
provided within the facility.
• Works in collaboration with the facility Director of Rehab to ensure the most appropriate assessment reference date (ARD) is utilized for Medicare/Managed Care Assessments.
• Tracks Skilled (MRA/MCO/MCG/MMP) customers...
Centene-Carlton (TX)
Doctor (JD) from an accredited law school, with a strong academic record and a state bar admission preferred
5+ years of experience in a leadership role required
10+ years of Medicare Managed Care Compliance experience required
Experience in the managed...
4 similar jobs: Afton, Ladonia, Houston, Mirando City
BJC HealthCare-St Louis
Barnes-Jewish Hospital and St. Louis Children’s Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country.
The BJC Managed Care department includes multiple functions...
Vibra Healthcare-Houston
COME BUILD YOUR CAREER WITH VIBRA HEALTHCARE!
We are seeking a Payor Relations Specialist to join our team!
Managed Care Experience Required.
10K BONUS!
Responsibilities
The Payor Relations Specialist is responsible for obtaining...
mindmatch.ai -
BJC HealthCare-St Louis
Barnes-Jewish Hospital and St. Louis Children’s Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country.
The BJC Managed Care department includes multiple functions...
Dallas Independent School District-Dallas
Provide consultation, review and guidance to other primary care and mental health care in the evaluation and treatment of children.
4. Administer the psychiatric operations of the Mental Health Services Center within district, state, federal, and managed...
appcast.io -
America's Best-Fort Worth
in accordance with National Vision protocol.
Processes and understands managed care plans while obtaining document information from the insurance company as needed.
Provides customers basic and accurate information.
Schedules and confirms appointments, follow...
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Valor Healthcare, Inc.-Copperas Cove
maintenance.
Evaluates patients’ records from medical providers outside the VA and works with these patients utilizing rules set forth by the VA for co-managed care.
Completes any and all clinical reminders “due” at the time of each patient visit.
Completes...
America's Best-Murphy (TX)
in accordance with National Vision protocol.
Processes and understands managed care plans while obtaining document information from the insurance company as needed.
Provides customers basic and accurate information.
Schedules and confirms appointments, follow...
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Christus Health-Tyler
through the Managed Care System. Prepares requests for authorization of services by ensuring form completion, eligibility, verification, benefits, etc. Accurately enter referral information into the computer system with a thorough understanding...
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