The Insurance Patient Account Representative is an extension of a client’s business office staff.. This position will be on a hybrid schedule working two days in either the Lewisville, TX or San Antonio, TX offices and three days from home.. Appeals & Denials. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event.. If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline.
This unique opportunity is at a prestigious facility looking to hire a traveling therapist. This exciting area offers many recreational activities. As a premier travel therapy company, Host Healthcare offers top pay, excellent benefits, and personalized service. The ideal candidate for this position will be dedicated to providing patients with the highest level of service. The ideal candidate will also be knowledgeable in Medicare, Medicaid, and private insurance, as well as the ability to complete relevant insurance documentations.
We are seeking a skilled and compassionate Clinical Care Coordinator to join our team in the Telemetry nursing department.. Medication Administration and Management : Accurately administer medications, monitor patients' responses, and maintain up-to-date records of medication administration.. Collaboration and Communication : Work closely with the interdisciplinary healthcare team to coordinate patient care, communicate effectively with patients and families, and provide education on self-care and disease management.. Educational Background : Bachelor's degree in Nursing (BSN) from an accredited institution.. Skills and Abilities : Excellent communication and interpersonal skills, ability to work effectively in a fast-paced environment, and strong commitment to patient safety and satisfaction.
Works under the direct supervision of the Coding Director.. Will perform any or a combination of the following types of coding education and audit: Basic ancillary services, Emergency Room services, Hospital Observation, Ambulatory surgery, Inpatient Admission.. Accrediting bodies include, but not limited to, the Centers for Medicare and Medicaid Services (CMS), Agency for Healthcare Research and Quality (AHRQ), National Committee for Quality Assurance (NCQA) that promotes Healthcare Effectiveness Data and Information Set (HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC).. Credential(s) from other licensing bodies shall be accepted on a case by case basis and upon managerial discretion, with the approval of the Director of Revenue Integrity-Coding].. Licensure as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), and/or Registered Nurse(s) (RN) are highly preferred.
CentroMed is 501(c) (3) non-profit organization that provides healthcare for all populations is a primary care provider and Federally Qualified Health Center (FQHC) with multiple locations throughout San Antonio and the New Braunfels area.. Determine patient eligibility for participation in special programs (i.e., Methodist Healthcare Ministries, and others).. Demonstrate an excellent understanding of insurance (especially Medicaid, Medicare, and CHIP) and eligibility (Methodist Homeless) programs.. To include the use of TMHP and Availity to verify current insurance status.. Perform intake interview on all new patients using a standard registration form and confirm homelessness.
Our client, a fast-growing and dynamic food manufacturer, is seeking a Quality Assurance (QA) Manager to take ownership of the plant's quality and food safety programs.. Be the Expert: Serve as the go-to authority for audits, customer relations, and regulatory compliance, including BRC certification.. Oversee all food safety programs, including SQF, HACCP, GMPs, SSOPs, sanitation, and pest control.. Maintain BRC certification standards, ensuring annual audit readiness and successfully leading BRC audits.. BRC / SQF Expertise: Proven experience leading and passing BRC / SQF audits, with the ability to maintain all program elements year-round.
Licensed Practical / Vocational Nurse – LPN/LVN Night Shifts We are one of the largest private duty nursing companies in the nation and growing!. 24/7 Local support from operators and clinicians Aveanna has a tablet in each patient’s home allowing for electronic documentation Career Pathing with opportunities for skill advancement Weekly and/or Daily Pay Employee Stock Purchase Plan with 15% discount Employee Relief Fund *Benefit eligibility can vary and is dependent upon employment status and employment location We consider it both a privilege and an honor when we welcome a new patient into our Aveanna family.. Our homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Licensed Practical / Vocational Nurses (LPN/LVN)s works together to make sure we achieve outstanding clinical outcomes.. Qualifications Must have and maintain an active, unencumbered license (LPN/LVN) in the state in which the clinician will practice Compact licenses must be transferred to your state of residence within 90 days Current CPR certification (with hands-on component)- Aveanna can assist in obtaining this requirement after hire, if necessary.. TB skin test (current within last 12 months) Six months prior hands-on nursing experience preferred but not required Must have reliable transportation Aveanna Healthcare is an Equal Opportunity Employer and encourages applicants from diverse backgrounds to apply.
SQF Practitioner Certificate Preferred.. Monitor food processing procedures by all plant personnel to ensure regulatory compliance while producing premium full-cooked sous vide products. Assist with food safety and quality audits performed by regulatory agencies (USDA, FDA, Health Department, Virginia Department of Agriculture, Military Veterinary Command) and third-party certifying auditing companies, and customers' audits. Make quality related recommendations to Sr QA Manager to enhance all of Cuisine Solutions plants' ability to produce high quality sous-vide cooked products. Oversee some or all pre-requisite programs (maintenance, supplier approval, pest control, sanitation, environmental and product testing, allergen programs
Clinical Research Nurse I- Full Time Permanent (Thursday- Saturday Night Shift) 100% on site San Antonio TX. We are currently seeking a Clinical Research Nurse I to join our diverse and dynamic team. As a Clinical Research Nurse I at ICON, you will play a pivotal role in supporting the execution of clinical trials, ensuring adherence to protocol requirements, and providing compassionate patient care throughout the research process. Title: Clinical Research Nurse I. Global Employee Assistance Programme, LifeWorks, offering 24-hour access to a global network of over 80,000 independent specialized professionals who are there to support you and your family's well-being.
Provide skilled nursing care, including wound care, medication administration, and IV therapy. Accurately document patient care using electronic health record (EHR) systems. Current Registered Nurse (RN) license in the state of practice. Home Health Nurse certification preferred. Understanding of Medicare and Medicaid guidelines for home health services
Demonstrates practical application of all policies and procedures relative to safety and the pillars of Methodist Excellence to include: Applicable quality core measures, infection prevention, fall prevention, medication administration safety, hourly rounding, and AIDET principles.. Methodist Hospital Atascosa became part of the Methodist Healthcare System family in July 2017.. Methodist Hospital Atascosa has been nationally recognized as a Five-Star rated facility by the Centers for Medicaid and Medicare Services and by its grade A Leapfrog Hospital Safety score.. The hospital is also a recipient of the Excellence in Patient Safety Across the Board Award and is designated as a Level IV trauma center and Ambulatory Services Sleep Center.. Beyond offering Methodist-quality emergency care, our comprehensive services have expanded into orthopedics, cardiology, sports medicine and urology, and will continue to grow as the area's needs increase.
Clinical Research Nurse I- Full Time Permanent (Thursday- Saturday Night Shift) 100% on site San Antonio TX. ICON plc is a world-leading healthcare intelligence and clinical research organization.. We are currently seeking a Clinical Research Nurse I to join our diverse and dynamic team.. As a Clinical Research Nurse I at ICON, you will play a pivotal role in supporting the execution of clinical trials, ensuring adherence to protocol requirements, and providing compassionate patient care throughout the research process.. + Global Employee Assistance Programme, LifeWorks, offering 24-hour access to a global network of over 80,000 independent specialized professionals who are there to support you and your family's well-being.
Serves as Monitor/Telemetry Tech for the unit as needed.. With over 900 beds, Methodist Hospital offers a broad range of specialties including cardiology, oncology, bone marrow transplants, emergency medicine, neurosciences, maternity care, gynecology and orthopedics.. We are proud to be the largest provider of the lifesaving ECMO Program in San Antonio, are home to the largest robotics program in the world, and our Adult Blood Cancer and Stem Cell Transplant unit has become the first program to receive FACT Accreditation in North America.. As the flagship hospital, and most comprehensive medical care facility of Methodist Healthcare, we appreciate the support and recognition we receive from the community.. - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Patient Care Tech opening.
We are a recruitment agency looking for a skilled Medical Sales & Healthcare Recruiter with strong account management capabilities.. Full-Cycle Recruitment: Oversee the entire recruitment process for both medical sales and healthcare roles, from job posting to candidate placement.. Market Intelligence: Stay updated on trends in healthcare, medical sales, compensation standards, and competitor hiring practices to provide clients with informed, strategic insights.. Education: Bachelor's degree in Human Resources, Business, Healthcare Administration, or a related field.. Preferred Skills: Proficiency with Applicant Tracking Systems (ATS) or CRM Strong understanding of healthcare roles, medical sales, and relevant credentialing requirements.
If so, we want YOU to join our team as a Customer Service Specialist!. Handle 60+ inbound and outbound calls per day regarding billing, payments, medical claims, and coverage questions. Familiarity with Medicaid, Medicare, Workers' Compensation, and liability claims preferred. Basic understanding of medical terminology and the healthcare revenue cycle. Hours: Monday - Friday Various Shifts from: 8am- 5pm, 9am- 6pm, 10am- 7pm, 11am- 8pm
ERG is a leading U.S. based, privately held, independent clinical research site company, and provider of clinical development services with an expertise in early and late-stage neuroscience drug development. ERG has 340+ in-patient beds, a large and growing database of patients suffering from mental illness, neurological disorders, sleep disorders, addictions, Acute and Chronic Pain, diabetes and other illnesses as well as normal healthy volunteers who participate in trials for the advancement of medicine. The Unit Clinician assists with the conduct of clinical trials through dispensing investigational drugs, the collection of biological samples, performing venipuncture, electrocardiograms, tube labeling, sample processing, documenting in subject charts, and other related tasks in accordance with the doctor’s written orders. Perform basic lab procedures including but not limited to preparation of specimen tubes and labels, blood specimen collection, centrifuge operation, storing and shipping of lab specimens, accountability of specimens and notification of courier for specimen pick-ups. Valid License as an LPN, RN, or Paramedic in the state of practice; maintain current license.
Competitive pay & weekly paychecks. Undergraduate degree preferred in Business, Marketing, Management, Communications, Public Relations and Healthcare Administration. As a Recruiter 1: (after you successfully complete 3 months of training) you will become a salaried employee and will be paid an annual base salary of $50,000 plus weekly commission with a Cost of Living Adjustment of $2,500.. Health and Wellness Medical/Prescription, Dental, Vision, Health Advocacy (company paid if enrolled Medical) and Health Advocate Employee Assistance Program. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities.
Working under legally required physician supervision, which is provided by the Company’s Medical Director and Associate Medical Directors, the Nurse Practitioner (NP), considered an Advanced Practice Registered Nurse (APRN) performs physical exams and provides medical evaluations of volunteers screening for studies and of subjects during the course of study participation as needed.. The NP also evaluates adverse events reported by study subjects and/or research staff and then communicates findings to the Principal Investigator.. Serves as a Sub-Investigator on assigned clinical research trials.. Required: Bachelors or Master’s Degree and completion of an American Medical Association-approved Nurse Practitioner program.. Current “Nurse Practitioner Permit” (license) through the Texas Board of Nursing.
Manages the Plan’s Provider Contracting functions and team members.. Implements cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region.. Develops and implements contracting strategies to comply with state, federal, NCQA, HEDIS initiatives and regulations.. 7+ years' experience in Healthcare Administration, Managed Care, Provider Contracting and/or Provider Services, including 2+ years in a direct or matrix leadership position. Working experience with, and strong knowledge of, various managed healthcare provider compensation and VBP methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to; fee-for service, capitation and various forms of risk, ASO, etc.