Medicare jobs in Houston, Texas - Page 3Create job alerts

Job Description • Provide direct patient care assistance in the patient's residence under the direction and supervision of the RN and according to the Plan of Care, • Effectively communicate with the Interdisciplinary Team to ensure patients and their families receive the alleviating care, comfort and compassion they deserve, • Perform or assist patient/family with home safety and activities including, but not limited to, light housekeeping and assistance with meals, • Appropriately document and monitor adequate nutrition intake, temperature, pulse, respiration, skin and basic elements of body functioning and changes, • Provide compassionate communication and emotional support to the patient, family and other employees, • Assure for compliance with local, state and federal laws, Medicare regulations and organizational policies and procedures, • Complete annual educational requirements

Job DescriptionBenefits • Paid Time Off & Paid Company Holidays, • Medical, Dental, Vision & Life Insurance, • Flexible Spending Account (FSA), • 403(b) Retirement Plan with Company Match, • Short-Term & Long-Term Disability, • $0 Copay for Legacy Provider visits, • $0 Copay for prescriptions filled at Legacy Pharmacies, • Travel Insurance & Pet Insurance, • Subsidized Gym Membership, • Be the friendly face that welcomes new patients, guiding them through the admission process with ease., • Use cutting-edge technology to assess eligibility, ensuring everyone gets the care they deserve., • Enhance the patient experience by applying precision in insurance billing and advanced coding., • Be an advocate for community health by addressing and resolving patient inquiries with empathy.Key Responsibilities, • Use agile methodologies to determine client eligibility, ensuring compliance with all protocols., • Verify clients' payer sources innovatively, including Medicaid, Medicare, or third-party insurance., • Efficiently register clients into the CPCDMS using the latest technology., • Ensure all paperwork is meticulously completed and digitally entered., • Keep eligibility files updated, using a data-driven approach., • Champion the renewal eligibility process, ensuring smooth client support., • Schedule and confirm eligibility appointments, orchestrating initial service scheduling., • Provide clients with comprehensive lists of required eligibility documentation., • Participate actively in our Performance Improvement Program., • Foster a culture of respect and dignity for all patients and employees., • Collaborate effectively within dynamic team environments., • Engage in safety training and adhere to safety protocols., • Maintain workspace and technology standards in line with Legacy's expectations., • Implement strategic exposure control plans for health safety., • Master protective barrier equipment and techniques., • Commit to annual educational advancements., • Embrace travel for training and coverage, fostering a mindset of continuous improvement., • Contribute to additional impactful duties as assigned.Minimum Qualifications, • High School Diploma or GED with a strong foundation in medical knowledge., • 3-5 years of experience in medical billing is preferred., • Training or background in ICD-A / CPT codes for enhanced billing precision., • Proficiency in bookkeeping and accounting terminology, with a tech-savvy approach., • Experience with digital systems and office technology., • Ability to take initiative and perform well under pressure in a fast-paced environment., • Bilingual capabilities are preferred to support our diverse community. Powered by JazzHR zVHWjik0yw

Job DescriptionAt EMC Behavioral Health, we believe mental health begins with passionate care, intentional connection and the power of evidence-based practice. Guided by our mission to deliver the highest quality, client-centered care and our vision to equip individuals with innovative tools for lasting mental wellness, we serve as a trusted partner to clients, families, and communities seeking meaningful change. If your driven by purpose, energized by advocacy, and committed to ensuring that care is both clinically sound and deeply human, you will find your calling here at EMC. Position Summary: The Utilization Specialist is a key driver of EMC's clinical excellence, ensuring each client receives timely, appropriate, and medically necessary care. This role seamlessly integrates care coordination, clinical assessment, and utilization management to support strong recovery outcomes, uphold regulatory and payer requirements, and strengthen overall operational efficiency. We're seeking a clinically grounded professional with sharp analytical insight, exceptional communication skills, and a genuine commitment to serving diverse populations within a dynamic behavioral health setting. What You'll Do: In this high-impact role, you will help ensure clients receive the right care at the right time while supporting EMC's commitment to clinical excellence. Your responsibilities will include: Care Coordination & Client Support: • Coordinate appointments, therapy sessions, referrals, and supportive services, • Monitor client progress, medication adherence, and engagement in programming, • Partner with families, caregivers, and interdisciplinary teams to ensure continuity of careClinical Assessment & Treatment Planning:, • Conduct comprehensive initial and ongoing assessments, • Support clients with the individualized recovery plans and evidence-based coping strategies, • Serve as an internal resource on medical necessity, utilization workflows, and clinical best practicesUtilization Review & Case Management:, • Lead prior authorizations, concurrent reviews, and discharge planning, • Ensure full compliance with payer guidelines, authorization limits, Medicaid/Medicare rules, and regulatory requirements, • Coach and train team members on documentation, compliance standards, and evolving regulations, • Review utilization trends and recommend process improvements or efficienciesDocumentation, Reporting & Compliance:, • Maintain accurate, timely documentation in the EHR and complete required assessments (CANS/ANSA), • Prepare and submit monthly utilization and outcomes reports, • Participate in monthly UM meetings, audits, and continuous quality improvement initiatives, • Consistently uphold HIPAA and all state/federal behavioral health regulationsAdditional Responsibilities:, • Respond to call-outs, client emergencies and inquiries in alignment with protocols, including occasional after-hours support, • Support clinic outreach through community engagement, referral coordination, and collaboration with external partners, • Bachelor’s degree in psychology, sociology, criminal justice, education or other related field (Master’s degree preferred), • Active QMHP certification and HIPAA training, • CANS/ANSA certification (or willing to obtain), • At least one year experience in behavioral health, case management or a clinical support role (2-3 years in a utilization management role preferred), • Strong understanding of managed care, medical necessity criteria, and Medicaid authorizations, • Excellent documentation, assessment and critical-thinking skills, • Mission-driven and committed to compassionate, high-quality care, • A confident communicator who builds rapport easily, • Detail-oriented, organized, and comfortable balancing multiple priorities, • Skilled at blending clinical judgment and operational decision-making, • Dedicated to ethical practice and ongoing professional developmentWhy Join EMC Behavioral Health:, • Make a meaningful difference in clients' lives every day, • Join a collaborative, supportive clinical team, • Access opportunities for professional growth, mentorship, and certification, • Be a part of a mission-driven organization that truly values quality, compassion, and innovation Schedule & Work Environment:, • Full-time, Monday-Friday with limited on-call responsibilities, • Hybrid clinical/administrative position in an outpatient behavioral health setting, • 2 days onsite in our Northwest Houston office, • Requires regular use of EHR systems, reporting tools, and standard office equipmentCompensation & Benefits:, • $52,000 to $65,000 per year, depending on education and experience, • Group Health insurance options, both employee and employer paid Powered by JazzHR ocAkLPqIXS

Job DescriptionSalary: $17-$20/ per hour depending on experience About us: Senior Psych Care provides fully integrative behavioral health services to the long-term care patient, at their facility. Services include individual, family, and group therapies; along with diagnostic evaluation and collaborative intervention between the therapy team and the psychiatric team. Our multi-disciplinary team realizes that older adults have special physical, emotional, and social needs. The psychiatrist leads a team of nurse practitioners, physician assistants, and psychotherapists (LCSW, PhD/PsyD), take a comprehensive approach to diagnosis and treatment. Job Description: ThePatient Care Coordinator works within the Referral Department and is primarily responsible for securing referral paperwork from nursing homes and creating and maintaining the schedule for Psychology and Psychiatry providers. Essential Duties and Responsibilities: • Verifying patients insurance coverage with Medicare, Medicaid and Managed Care Organizations., • Obtaining pre-authorizations from Managed Care Organizations., • Answer incoming and make outgoing calls to secure referrals and authorizations from providers and insurance companies., • Ensure that referrals are addressed accurately and in a timely fashion., • Ensure all authorizations are properly documented in the system., • Scanning documents into the EMR system. Qualifications: • A minimum of 2 years experience with Medical Insurance Processes., • Experience verifying patients insurance coverage with Medicare, Medicaid and Managed Care Organizations., • Experience obtaining pre-authorizations from Managed Care Organizations., • Able to multi-task, personable, and have excellent customer service skills., • Self-starter with a positive teamwork attitude, well organized and detail oriented., • Strong working knowledge of Outlook, MS Word and MS Excel required; advanced skills in MS Excel preferred. What we offer: • Competitive salary, commensurate with experience, • Comprehensive benefits package including:, • Medical, • Dental, • Vision, • Short and Long Term Disability, • Life Insurance, • 401 (k), • Paid Time Off

Job DescriptionBenefits: • Dental insurance, • Health insurance, • Opportunity for advancement, • Training & development At Your Legacy Legal Care, we are committed to providing exceptional legal services that honor the values and priorities of our clients. We are seeking a highly skilled and motivated legal professional to join our team. Our firm specializes in estate planning, elder law, and probate, and we take pride in offering compassionate and personalized service to each and every client. The ideal candidate will possess a strong background in these areas, with a passion for helping individuals and families secure their futures. Key Responsibilities: • Client Representation: Provide expert legal advice and representation to clients in matters related to estate planning, including wills, trusts, powers of attorney, and healthcare directives., • Elder Law Focus: Address the unique legal challenges faced by elderly clients, including long-term care planning, guardianship, Medicare/Medicaid issues, and elder abuse prevention., • Probate and Estate Administration: Assist clients in navigating the probate process, ensuring efficient administration of estates, resolution of disputes, and compliance with legal requirements., • Legal Research and Analysis: Conduct thorough legal research and analysis to support case strategies and ensure compliance with all applicable laws and regulations., • Document Drafting and Review: Prepare, review, and revise legal documents with accuracy and attention to detail to ensure they meet clients' needs and legal standards., • Client Communication and Relationship Management: Develop and maintain strong relationships with clients through clear communication, timely updates, and empathetic understanding of their circumstances., • Collaboration and Teamwork: Work collaboratively with colleagues and support staff to deliver comprehensive legal solutions, share knowledge, and enhance the overall effectiveness of the firm., • Continuing Legal Education: Stay up-to-date with developments in estate planning, elder law, and probate to maintain expertise and provide clients with the most current and effective legal counsel.Qualifications:, • A Juris Doctor (JD) degree from an accredited law school., • Active membership in the state bar association., • Proven experience in estate planning, elder law, and probate., • Excellent analytical, organizational, and communication skills., • Strong ethical standards and professional integrity., • Ability to manage multiple priorities and work effectively under pressure., • Demonstrated commitment to client service and achieving favorable outcomes.At Your Legacy Legal Care, we value diversity and are dedicated to creating an inclusive environment for all employees. We offer competitive compensation packages, opportunities for professional growth, and a supportive work environment. If you are passionate about making a difference in the lives of clients through expert legal services, we encourage you to consider joining our team.

Job DescriptionBenefits • Paid Time Off & Paid Company Holidays, • Medical, Dental, Vision & Life Insurance, • Flexible Spending Account (FSA), • 403(b) Retirement Plan with Company Match, • Short-Term & Long-Term Disability, • $0 Copay for Legacy Provider visits, • $0 Copay for prescriptions filled at Legacy Pharmacies, • Travel Insurance & Pet Insurance, • Subsidized Gym Membership, • Paid Malpractice Insurance (Occurrence-Based), • CME Reimbursement + CME Time, • Qualified FQHC Loan Repayment and other programs paying up to $180K, • National Health Service Corps (NHSC) – Pays up to $50,000 for every 2 years of service at an FQHC, • Texas Physician Education Loan Repayment Program (PELRP) – Pays up to $180,000, • Embrace the opportunity to revolutionize clinical care for adults with infectious diseases, focusing on HIV and related conditions., • Work in a collaborative environment that thrives on relationships and teamwork, where your voice matters., • Enjoy a work-life balance that prioritizes both your professional fulfillment and personal well-being., • Be part of a mission-driven team committed to impactful community health outcomes., • Access growth opportunities, including mentorship and personal development programs.Key Responsibilities, • Deliver specialty care and primary care for HIV patients and other infectious conditions with a focus on innovation., • Develop and update clinical guidelines, setting best practices in the field of infectious diseases., • Utilize cutting-edge technology to manage and treat infectious health issues effectively., • Prescribe treatments that integrate the latest healthcare advancements for optimal patient outcomes., • Leverage data-driven approaches to collect, record, and analyze patient information., • Enhance patient understanding by articulating complex procedures and test results through digital tools., • Continuously monitor patient conditions and adapt treatment strategies for improved outcomes., • Provide expert consultations to fellow providers, fostering a culture of knowledge sharing., • Strategize during infectious disease outbreaks to create resilient healthcare responses., • Report diseases and collaborate with public health organizations to make a community impact., • Supervise and mentor mid-level providers and students, nurturing future healthcare leaders., • Contribute expertise to research projects, driving groundbreaking discoveries in the field., • Perform robust data analyses and interpretations to fuel continuous improvement., • Advise patients on health and illness prevention using innovative approaches., • Engage in additional duties with a mindset for disrupting and evolving healthcare practices.Minimum Qualifications, • MD or DO with completion of an Infectious Disease Fellowship, ready to lead in pioneering care., • Active participation in Medicare, Medicaid, and other reimbursement programs to ensure broad access to care., • Minimum of 2 years of experience in Infectious Disease, with a preference for those embracing innovative practices., • A commitment to performing duties to a high standard, driven by a vision for excellence., • Agility in managing multiple deadlines and prioritizing tasks with a focus on transformative outcomes. Powered by JazzHR II1xgWkKeQ

Job DescriptionDescriptionWe are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager - Risk Adjustment and enable us to continue to scale in the healthcare industry. *Requires travel to provider sites in surrounding areas *May be open to considering Level I Specialists based on experience and skills Our Values: • Put Patients First, • Empower Entrepreneurial Provider and Care Teams, • Operate with Integrity & Excellence, • Be Innovative, • Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company, • Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC), • Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines, • Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation, • Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing, • Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements., • Provides recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives., • Trains, mentors and supports new employees during the orientation process. Functions as a resource to existing staff for projects and daily work., • Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager., • Required Certification/Licensure: Must possess and maintain AAPC or AHIMA certification - Certified Coding Specialist (CCS-P), CCS, or CPC., • 3-5+ years of experience in risk adjustment coding and/or billing experience required, • Reliable transportation/Valid Driver’s License/Must be able to travel up to 75% of work time, if applicable., • PC skills and experience using Microsoft applications such as Word, Excel, and Outlook, • Excellent presentation, verbal and written communication skills, and ability to collaborate, • Must possess the ability to educate and train provider office staff members, • Proficiency with healthcare coding software and Electronic Health Records (EHR) systems.You're great for this role if:, • Strong billing knowledge and/or Certified Professional Biller (CPB) through APPC, • Certified Risk Adjustment Coder (CRC) and/or Risk Adjustment coding experience, • Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage, • Strong PowerPoint and public speaking experience, • Ability to work independently and collaborate in a team setting, • Experience with Monday.com, • The total pay range for this role is $75,000 - $85,000 per year. This salary range represents our national target range for this role., • This role follows a hybrid work structure where the expectation is to work on the field and at home on a weekly basis. This position requires up to 75% travel to provider offices in the surrounding areas in Beaumont. The home office is located at 19500 TX-249, Suite 570, Houston, TX 77070.

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Provide sales coverage and develop best possible market penetration for all products to present and prospective accounts in his/her assigned territory in accordance with company's policies and programs. Provide greater access to health insurance, by providing education and assistance to Medicare individuals. Distribute health education materials and arrange for health screenings. Provide Facilitated Enrollment, help facilitate the continuance of health insurance, and offer assistance with recertification. • Identify prospective enrollees and determine eligibility for participation in the Advantage Medicare product, • Understand and apply all policies and procedures pertaining to: Disclosures and provisions of the Advantage Medicare product, enrollment and disenrollment, • Develop a presence in the local community to help generate enrollments, • Conduct home visits and personalized appointments as needed to complete the enrollment process, • Market Advantage on-site at hospitals, senior centers, assisted living facilities, community events and other sites as designated, • Understand the covered benefits, non-covered benefits, exclusions and exemptions, • Assist members in accessing health care, transportation needs and other services or issues as they occur and pertain to members, • Keep informed and adhere to current information pertaining to marketing activity guidelines set forth by various regulatory agencies—this includes providing enrollees with all corresponding materials and documentation, • Keep alert to competitive products and marketing practices, and to keep management informed concerning them, • Conduct and participate in telemarketing/outreach efforts as required, • Attend and participate in sales meetings, training programs, conventions, and special events, • Complete applications in a timely and accurate manner, • Submit special reports regarding the operation of the territory, acceptance or rejection of products, and competitive conditions beneficial to other Marketing representatives and company operations, • Performs other duties as assigned Bilingual in Spanish preferred: Specific language skills by some plans may be required State Accident and Health Insurance Agent License Upon Hire required: Current state driver's license Upon Hire requiredPay Range: $47,400.00 - $80,800.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Job Description Position:Nurse Practitioner (Vascular & Endovascular Surgery Centers)Location:Houston, TX (and at our other locations in the Greater Houston area)Schedule:Full-Time and Part-Time positionsSalary:Competitive Salary & Bonus ProgramBenefits:Health, Dental, Vision, EAP, 401(k), FSA, Costco, AAA, etc. ABOUT US With a growing network of locations, both the Vascular Institutes and California Foot & Ankle Centers (CALFAC) provide comprehensive care and surgery, including advanced wound care and amputation-prevention therapies, lower extremity peripheral nerve surgery, vascular medicine, and reconstructive surgery. We have been serving patients for over 60 years, building a loyal patient base keeping our clinic and surgery center locations busy with little to no marketing during that time. Our highly-competent doctors and medical staff all believe in giving a caring approach to each patient, as well as our utilizing the most modern technology available. Further, we conduct clinical trials and research at all of our locations. As a part of our team, you will be welcome in working with us for years to come as we do good work in our communities. We value team building, and our staff oftimes engages in after work activities in order to build relationships and play an essential role in our community. JOB BRIEF We are seeking experienced Nurse Practitioners for our interventional radiology centers in the Dallas-Fort Worth area. See for locations. Most work will be normal business hours. But sometimes weekend work will be required, based on when procedures are scheduled. As a member of our team, we all provide a high level of efficient patient care, while always presenting a caring, ethical, and professional experience for the patients, doctors and other team members. ESSENTIAL RESPONSIBILITIES • Consultation: Obtain thorough patient history, performs focused physical examination, formulates treatment plan and documents findings in the patient's electronic medical record, • Demonstrates basic understanding of venous ultrasound and basic surgical skill, • Review pre-procedure instructions, explains procedure and review procedural risks and benefits with the patient, • Obtain vascular access and perform conservative therapy evaluation, microsurgical phlebectomy, ultrasound guided sclerotherapy and visual sclerotherapy, • Maintain prompt and timely communication with the referring clinicians and patients (i.e. sends follow up letters, thank you letter and returns patients calls), • Educate and counsel patients and distribute educational materials, • Document within the Electronic Medical Record (EMR) and complete other necessary documents, • Demonstrate actions of a team player-assist peers with documentation and case load, provides vacation coverage for peers and offer overall support when appropriate, • Demonstrate pride in our high-quality care of our patients, and respect for fellow teammates. EDUCATIONAL REQUIREMENTS • Minimum of 2 years of experience in a physician's office or hospital setting, • Current Texas RN license/registration by the National Council Licensure Examination - Registered Nurses (NCFLEX-RN), • Current Texas Advance Practice Nurse Prescriber License (Including all associated requirements for medical education, testing and logging of CME. bASIC KNOWLEDGE and Experience • Minimum of 2 years of experience in a physician's office or hospital setting, • Experienced in diagnosis and treatment of common medical conditions, • Ability to make independent decisions regarding patient care, • Basic working knowledge of managed care and Medicare population, • Procedural experience; preferably assisting Interventional Radiologists, • Skilled in surgical techniques, • Excellent communication skills PROFESSIONALISM □ Must have strong organizational and time management skills □ Ability to work on multiple tasks and meet deadlines □ Ability to work independently with minimal supervision □ Excellent communication skills □ Detail-oriented a must □ Ability to maintain strict confidentiality as required □ Be a team player □ Drive: Self-starter with initiative to assist in practice development, and to create motivation within the clinic team □ Collaboration: Ability to work within a team setting and leverage strengths of other to accomplish objectives □ Interpersonal skills: Approachable, able to establish rapport easily, demonstrates empathy and active listening skills PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit, stand, walk, speak, hear, use hands, handle documents, bend and stoop as needed, and reach with hands and arms. The position requires use of keyboard and computer regularly. Strong vision abilities to perform extensive computer-related work. Job Posted by ApplicantPro

Job Description About Advantmed Advantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers. We drive market leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners. Our solutions focus on identifying, managing, and documenting risk and quality performance, and the proactive clinical engagement of high acuity populations. The building B.L.O.C.K.S. of our team’s success! Bring the fun Leverage together for better Outperform yourself Care at every touchpoint Keep your word. Keep it real Stay curious & listen well Primary Purpose: We are seeking a highly skilled and compassionate Nurse Practitioner to join our Advantmed provider network. In this role, you will be responsible for conducting in-home wellness risk adjustment assessments for Medicare and other populations. Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care. NP Responsibilities: • Perform annual wellness visits and health assessments on a population with chronic conditions, • Deliver patient health education opportunities, • Assist in closing quality care gaps (i.e. screenings and labs), • An enthusiastic collaborator contributing to the enhancement of care delivery, • Providers are expected to commit a minimum of 30 hours per month Locations: NP Qualifications: • Must have a valid unencumbered NP License for the state you will be working in, • Previous in-home Risk Assessment experience preferred, • 3 years patient care experience preferred (primary care/adult/geriatric, EMR) Advantmed offers: • Competitive wages (contractor per diem, per completed in-home assessment rate ~$100), • Paid mileage, • Flexible work schedule, • Evening and weekend availability, • Dedicated coordinator support, • Advanced member scheduling coverage, • State of art technology

Job DescriptionBenefits: • 401(k), • Bonus based on performance, • Paid time off, • Competitive Compensation, • Great Work Environment Responsibilities • Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare, • Note and process all necessary forms from the insurance, • Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures, • Work with doctors offices and hospitals to obtain charge information and billing details, • Enter all billing and payment information into the system properly and without errors, • Follow up with clients and payments, as needed, • Answer phones, assist clients with questions, take messages, and screen calls, • Maintains the highest level of confidentialityQualifications, • Strong customer service skills, • Previous experience with medical coding or billing desired, • Strong organization skills, • Excellent attention to detail, • IN PERSON- NON-REMOTE POSITION, • MUST HAVE ANESTHESIA BILLING EXPERIENCE.

Job Description URGENTLY SEEKING A CENTRAL INTAKE REGISTERED NURSE ABOUT ST. DOMINIC VILLAGE, A SENIOR CARE COMMUNITY: St. Dominic Village is one of the leading senior care providers in the Greater Houston area. We are a faith-based, non-profit, continuing care retirement community dedicated to Caring for Our Elders with the Compassion of Christ. As a ministry of the Archdiocese of Galveston-Houston, St. Dominic Village provides a seamless continuum of care, comprised of short-term rehabilitation, skilled nursing care, assisted living, independent living, the Archbishop Joseph A. Fiorenza Priest Retirement Residence, and respite care services. Job Overview We are seeking a dedicated and compassionate Central Intake Nurse to join our healthcare team. The ideal candidate will have experience in long term care/skilled nursing facility. Responsibilities and Duties • Facilitate admissions for incoming Skilled Nursing patients (does not include direct patient care), • Verify and enter physician orders, • Identify level of care needed, • Receive and give verbal orders accurately, • Review clinical documentation to determine Skilled Nursing placement, • Exceptional interpersonal and customer service skills, • Ability to communicate clearly with medical providers, • Work closely with referring hospitals, physicians, skilled nursing facilities, patients, and families, • Current license as a licensed RN from the Texas State Board of Nursing, • Minimum of 3 years Skilled nursing facility experience, • Good verbal and written communication skills, • Basic computer knowledge, • Ability to effectively problem solve, • Excellent customer service skills, • Competitive Salary, • Medical, Dental, Vision, • Employer Paid Life Insurance Policy 1.5 times salary up $50, • Free Parking

Job Description Dean's Professional Services is now hiring a qualified Medical Insurance Specialist to work for a Facility in Houston, TX. We are on a mission to create care that is more convenient and professional, with solutions that are value-based. To accomplish this, we are looking for individuals who share our sense of excellence and are ready to embrace new opportunities. Position Summary: The Medical Insurance Specialist is responsible for managing claims submission, denial resolution, payment posting, and aged accounts receivable (A/R) follow-up. This role supports accurate and timely revenue cycle operations while ensuring compliance with payer requirements and organizational policies. Key Responsibilities: • Proficient in handling insurance appeals, denials, and Explanation of Benefits (EOB) follow-up., • Demonstrated expertise in Medicare and Medicaid policies, procedures, and billing requirements., • Ensures accurate claim resolution and timely reimbursement through effective communication and follow-up with payers., • Maintains comprehensive understanding of payer guidelines and regulatory compliance standards., • Assist with aged A/R cleanup for accounts over 30/60/90+ days., • Maintain documentation of billing activities, claim status, and payer communications., • Collaborate with team members and other departments to support efficient revenue cycle processes., • High school diploma or GED required; Associate's degree in healthcare administration, billing, or related field preferred., • 2+ years of experience in medical billing and revenue cycle management., • Knowledge of Medicaid, Medicare, and commercial insurance billing practices., • Strong organizational and problem-solving skills with attention to detail., • Excellent communication and customer service skills., • Proficiency in billing software and Microsoft Office (Excel, Word, Outlook)., • EPIC (REQUIRED), • FQHC (Preferred), • Familiarity with denial management and claims reconciliation processes., • Ability to handle sensitive patient information with professionalism and confidentiality., • Strong analytical skills to identify billing errors and resolve issues., • Schedule/Shift: 8-hour shifts, must be flexible., • Starting at $21.00/Hourly (Based on Experience) + benefits., • Full benefits: healthcare, dental, vision, and 401k program. #HC123

Job Description Calling all candidates who want to be part of a fun and growing team! Paradigm Healthcare is seeking a motivated LVN/RN to join our team as MDS Coordinator! Job Duties • Maintain the current MDS status of each resident, in accordance with applicable federal and state laws, rules, and regulations as well as the facility’s policies and procedures, • Schedule residents for appropriate OBRA, Medicare PPS, and/or Medicaid required assessments and communicate the schedule to all other departments and families, as required, • Monitor clinical systems for changes in resident condition that may affect the MDS process and scheduling and respond to changes in resident’s condition by coordinating MDS reassessment and re-evaluation of the plan of care, • Strategically set assessment reference date (ARD), in conjunction with the interdisciplinary team, to capture needs, care, and services delivered to most accurately reflect the status of the resident, • Complete sections of MDS and CAAs accurately in accordance with policies, procedures, and guidelines, • Coordinate and attend daily Casemix Meetings, weekly Utilization Review Meetings, and monthly Triple Check Meetings, • Maintain assessments on the active clinical record for a minimum period of 15 months per Federal Regulations, • Electronically transmit MDS data to the state in accordance with regulation and facility standards, policies, and procedures, • Have knowledge of and utilize the facility’s written policies and procedures that govern the day-to-day functions of the nursing service department, • Participate in facility surveys (inspections) made by authorized government agencies as necessary or as may be directed, • Participate in developing, evaluating, revising, and implementing a plan of care for each resident to achieve and maintain the highest practicable level of wellbeing possible., • Report any known or suspected unauthorized attempt to access the facility’s information system, • Provide education to residents/families/caregivers when the need arises, or as directed by Administration and/or physician, • Provides prompt emergency support measures, including CPR, in accordance with physician orders, resident/family wishes, advance directives, and facility policies and procedures. Benefits • Dental insurance, • Health insurance, • Life insurance, • Paid time off, • Referral program, • Vision insurance Required Education and Experience • Must possess a current, unencumbered, active license to practice as a Licensed Vocational Nurse or Registered Nurse in the State, • A Registered Nurse License is preferred., • 2 years’ experience in Long-Term Care experience preferred., • Six (6) months of experience in rehabilitative and restorative nursing practices preferred., • 2 years’ experience in RAI process completion preferred., • Must possess the ability to make independent decisions when circumstances warrant such action., • Must be able to demonstrate leadership, organizational skills, and maintain a positive and professional attitude., • Strong utilization knowledge of Point Click Care, preferred., • Computer literacy skills (Microsoft Outlook, Microsoft Office, Internet)., • Ability to work well under pressure, meet deadlines and handle multiple tasks simultaneously. Paradigm Healthcare was founded on the belief that by empowering each other, we can achieve more and provide better care to every patient we serve. We believe in taking a fundamental and basic human approach to our business, keeping it simple, real and to the point. We believe that by building an empowered team who knows the value they hold, we can provide an unparalleled level of care to the residents who count on us.

Job DescriptionFind your perfect career fit with FYZICAL, an innovative company that is committed to your growth and success, when you join us at our Missouri City, TX location as our newest Physical Therapist (PT)! Are you a Physical Therapist with visions of providing cutting-edge services to your clients? Do you have great ideas that have been stifled by traditional PT practices? If so, this is the last stop on your job search. We are part of the world's fastest-growing physical therapy company and are looking for an innovator like you to add to our quality team at our Missouri City, TX, location! Our independent practices are headed by supportive leaders who are dedicated to building quality teams that work together to achieve success. Here, you will have the freedom to bypass traditional treatments, using our state-of-the-art technology to determine the best path for each patient's personalized plan. We provide the tools and continued education you need to increase your knowledge base, gain a new and unique perspective of the PT field and successfully grow your career. In our Physical Therapist (PT) role, your valued contributions to the community will make a lasting impact on the entire PT industry. If being on the leading edge of an industry you love is your goal, apply today for our Full Time Physical Therapist (PT) job opening! Salary: $90K-$95KResponsibilities • Perform new-patient evaluations/exams; assess physical activity limitations; diagnose patients., • Plan, prepare and administer skilled physical therapy treatment plans in accordance with physician orders, referrals, prescriptions, current standards of care, and by assessing and interpreting evaluations, records, and test results of patients., • Measure and track treatment effectiveness., • Educate patients and encourage continuation of home exercise programs that improve the patient’s overall health., • Provide patient care and related activities, in accordance with skill level and deemed appropriate by the Texas State Code of Laws and other governing entities such as Medicare., • Utilize timely patient flow in accordance with scheduled appointment times., • Promptly and thoroughly document and maintain clinical and administrative records, including but not limited to, daily notes, weekly reports, initial evaluations, treatment progress and responses, and discharge summaries., • Maintain confidentiality of patient personal health information in accordance with HIPAA compliance., • Adhere to company’s guidelines for billing of clinical and non-clinical services., • Adhere to the clinic mission, policies, standards, and goals., • Participate in educational workshops and presentations for community education and referral sources.Required Skills, • Graduation from an accredited PT program and current PT license in TX, • Able to create and implement outpatient balance and vestibular rehabilitation-setting treatment plans, • Ability to work efficiently/effectively in an autonomous environment, • 1+ year(s) of outpatient neuro/ortho center or vestibular rehab experience, • Must be self-motivated with a willingness to learn, • Passion for working with vestibular, balance, neurological, and fall-risk patient population, • Prefer at least one year working in outpatient neurological or orthopedic center, or previous vestibular rehab experience Benefits • Paid time off, • Continue education, • Opportunities for advancement

Job Description MDS Coordinator - RN or LVN The Buckingham is seeking a detail-oriented and knowledgeable MDS Coordinator, either with an RN (Registered Nurse) or LVN (Licensed Vocational Nurse) qualification, to join our skilled nursing facility team. The MDS Coordinator is pivotal in ensuring the accuracy of resident care plans and maintaining compliance with federal and state regulations. This role involves conducting assessments, coordinating interdisciplinary team participation, and fostering an environment of quality care for all residents. Key Responsibilities: • Coordinate and manage the Minimum Data Set (MDS) process to ensure compliance with all governmental regulations., • Conduct resident assessments and interviews to gather accurate and comprehensive data required for the MDS., • Collaborate with multidisciplinary teams to develop and update individualized resident care plans., • Ensure timely completion and submission of all MDS assessments and supporting documentation., • Regularly review and analyze data to identify trends and areas for care quality improvement., • Participate in care plan meetings with residents and their families to discuss care strategies., • Provide education and training to staff on MDS processes and the regulatory requirements., • Act as a resource for staff, residents, and families regarding resident care and assessment procedures. Qualifications: • Current and valid Texas RN or LVN license., • Previous experience in MDS coordination and long-term care settings preferred., • Strong understanding of Medicare and other reimbursement guidelines., • Detail-oriented with excellent organizational and time-management skills., • Proficiency in using MDS software and electronic health records., • Strong communication and interpersonal skills to effectively interact with staff, residents, and families., • Ability to work collaboratively in a team environment while also independently managing responsibilities. What We Offer: • Competitive salary and benefits package., • Opportunities for professional development and career advancement., • A supportive and inclusive work environment focused on the highest standards of resident care. Join our dedicated team and contribute to enhanced care experiences for our residents. If you are passionate about quality care and have the necessary nursing qualifications and experience, we encourage you to apply for this rewarding opportunity.

Job DescriptionBenefits: • Entry level, • Opportunity for advancement, • Paid time off Job Summary: Independence Marketing Group is seeking a highly organized and customer-focused Contracting Specialist - Administrative Assistant to join our team. In this role, you will be the main point of contact for our agents, ensuring a smooth and efficient contracting experience. You will handle communications, manage documentation, and provide support throughout the contracting process. If you are detail-oriented, enjoy working in a fast-paced environment, and have a passion for helping others succeed, we encourage you to apply. Key Responsibilities: • Customer Communication: Manage inbound and outbound calls and emails from agents, providing clear and courteous assistance during the contracting process., • Documentation Management: Organize and maintain both physical and electronic records, ensuring all paperwork is accurate and up-to-date., • Contracting Support: Serve as a knowledgeable resource for agents on carrier contracting and certification requirements., • Agent Onboarding: Guide new agents through the onboarding process, making it smooth and straightforward., • Problem Resolution: Address agent inquiries and resolve issues promptly via phone, email, and online meetings., • Core Values Alignment: Demonstrate our company's values in all interactions and decisions., • Adaptability: Work both independently and collaboratively, adapting to new systems and processes as needed.Qualifications:, • Bilingual Required: Fluent in both English and Spanish to communicate effectively with our diverse agent base., • Customer Service Experience: 1-2 years in customer service, account management, or a similar field is preferred but not mandatory., • Technical Skills: Proficiency in CRM systems, Microsoft Office, and Adobe software, with a willingness to learn new technologies., • Attention to Detail: Strong organizational skills and attention to accuracy., • Self-Starter and Team Player: Ability to work independently with minimal supervision and collaborate effectively with colleagues., • Preferred Experience: Experience with Medicare or insurance contracting is a plus.Why Join Independence Marketing Group? We offer more than just a jobwe offer a collaborative and supportive work environment where your contributions are valued. We invest in our team members' growth and success, ensuring a fulfilling career path.

Job Description Clinical Liaison VIPC, Hospice Location: Houston, TX Position: Clinical Liaison VIPC, Hospice Job ID: 2025-71841 Position Type: Full-Time Remote/Virtual Position: No Coverage Area: GIP for Greater Heights area - Memorial Hermann Clinical Liaison VIPC Salary: $90-110K DOE Schedule: Mon - Fri / limited on-call Offer Based on Years of Experience Responsibilities Reimagining Your Career in Hospice Caring for others is more than what you do — it’s who you are. At AccentCare, you’ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care. We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we’re building together. Be the Best Inpatient Hospice Clinical Liaison Registered Nurse RN You Can Be If you meet these qualifications, we want to meet you! • One (1) year of RN experience in local market with a strong knowledge of governmental home health regulations, Medicare requirements, and care plan development techniques, • Previous medical sales experience preferred Required Certifications and Licensures: • Licensed RN currently licensed as a registered nurse in the state of agency operation Caring for others starts with caring for you. We’re committed to fostering a purpose-driven workplace where you feel supported, and that means prioritizing your physical, financial and mental well-being. Our benefits include: • Medical, dental, and vision coverage, • Paid time off and paid holidays, • Professional development opportunities, • Company-matching 401(k), • Flexible spending and health savings accounts, • Wellness offerings such as an employee assistance program, pet insurance, and access to Calm, a meditation, sleep, and relaxation app, • Programs to celebrate achievements, milestones, and fellow employees, • Company store credit for your first AccentCare-branded scrubs for patient-facing employees, • And more! Qualifications Come As You Are • At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.

Job Description Now Hiring: Licensed Insurance / Health Plan Specialists - Galleria Area Dean's Professional Services has partnered with a respected nonprofit healthcare coverage organization serving communities across Texas. We're seeking experienced and licensed Insurance/Health Plan Specialists who are passionate about healthcare access, customer service, and supporting underserved populations. What You'll Be Doing: • Retain membership across healthcare insurance product lines (Medicaid, CHIP, Medicare, etc.), • Handle inbound and outbound calls and emails with members, potential members, and brokers, • Assist with recertification processes, new applications, and broker support, • Conduct outreach through marketing campaigns to build and maintain enrollment, • Provide expert knowledge of available health plan options, • Ensure compliance with all regulatory and privacy standards (HIPAA, CMS, etc.), • Maintain consistent availability and adherence to schedule to support call volume What We're Looking For: • Must be licensed with the Texas Department of Insurance (Life and Health license required), • Minimum 2 years of experience in Medicaid, CHIP, healthcare insurance, or related field, • High School Diploma or GED required, • Strong background in customer service, especially in healthcare or nonprofit settings, • Sales experience and call center experience preferred, • Bilingual Spanish-speaking candidates highly preferred, • Proficiency in Microsoft Word and Excel, • Excellent verbal and written communication skills Job Details: • Starting Pay Rate: $22/hr + (based on experience), • Schedule: Monday - Friday | 8 AM - 5 PM, • Benefits: Full package - Medical, Dental, Vision, 401(k), • Type: Full-Time | Temp-to-Hire Join a team committed to transforming healthcare through accessible, compassionate, and value-based service. Apply now at:

Job DescriptionBenefits: • 401(k), • Company parties, • Competitive salary, • Dental insurance, • Free food & snacks, • Health insurance, • Paid time off Key Responsibilities: • Manage incoming referrals and initiate the intake process, • Verify insurance and obtain authorizations, • Communicate with physicians, hospitals, and case managers, • Enter patient and physician information into Kinnser (WellSky), • Work closely with the Patient Care Coordinator to ensure staffing needs are met, • Coordinate with clinical staff to ensure timely admissions, • Ensure all documentation meets Medicare and agency standards, • Required to be ON-Call on a rotating shift. Qualifications: • 12 years of intake experience in home health care, • Strong working knowledge of AIDEN/AIDA and Kinnser/WellSky, • Excellent communication and organizational skills, • Ability to manage multiple tasks in a fast-paced environment, • Bilingual a plus! Why Join Us? • Supportive team environment, • Opportunities for growth and training, • Make a difference in patients lives every day

Job Description Onsite - Houston, TX and surrounding areas PARS Therapy is seeking a compassionate and skilled Occupational Therapist to join our home health care team in Houston, TX. In this role, you will partner closely with patients on their recovery journey, helping them regain independence and improve their quality of life within the comfort of their own homes. As a key member of our care team, you will focus on restoring mobility, enhancing functional abilities, and supporting long-term wellness. Your work will involve promoting health, preventing disability, and delivering hands-on interventions tailored to each patient's unique needs. Provide skilled services to homebound clients who qualify for Medicare coverage. Essential Job Functions • Evaluating patient conditions and creating individualized treatment plans, • Implementing therapeutic strategies to improve daily living and motor skills, • Educating patients and families on techniques to support recovery and independence, • Collaborating with interdisciplinary team members to ensure comprehensive care, • Multiple major medical plans (Medical, Dental & Vision), • Spousal insurance options, • 401(k) plans available, • Paid Time Off (PTO), • Active Occupational Therapy license in the state of Texas (required), • Current professional liability insurance for practice in Texas (required), • Graduate degree or higher in Occupational Therapy from an accredited program, • Previous experience in home health or rehabilitation settings preferred, • Strong interpersonal skills with the ability to effectively manage a variety of patient personalities, • Up-to-date knowledge of evidence-based treatment practices and therapeutic techniques F3j60hkEWR

Job Description Onsite - Central Houston, TX and surrounding areas PARS Therapy is seeking a compassionate and skilled Occupational Therapist to join our home health care team in Houston, TX. In this role, you will partner closely with patients on their recovery journey, helping them regain independence and improve their quality of life within the comfort of their own homes. As a key member of our care team, you will focus on restoring mobility, enhancing functional abilities, and supporting long-term wellness. Your work will involve promoting health, preventing disability, and delivering hands-on interventions tailored to each patient's unique needs. Provide skilled services to homebound clients who qualify for Medicare coverage. Essential Job Functions • Evaluating patient conditions and creating individualized treatment plans, • Implementing therapeutic strategies to improve daily living and motor skills, • Educating patients and families on techniques to support recovery and independence, • Collaborating with interdisciplinary team members to ensure comprehensive care, • Multiple major medical plans (Medical, Dental & Vision), • Spousal insurance options, • 401(k) plans available, • Paid Time Off (PTO), • Active Occupational Therapy license in the state of Texas (required), • Current professional liability insurance for practice in Texas (required), • Graduate degree or higher in Occupational Therapy from an accredited program, • Previous experience in home health or rehabilitation settings preferred, • Strong interpersonal skills with the ability to effectively manage a variety of patient personalities, • Up-to-date knowledge of evidence-based treatment practices and therapeutic techniques N7xkeMKld8