- Molina Healthcare (San Antonio, TX)
- …of benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge ... and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution… more
- Ascension Health (Austin, TX)
- …required. + Expertise in the Facets platform preferred. + Experience working with Texas Medicaid claims and Medicaid regulatory requirements is preferred. + ... to give back to your community _Benefit options and eligibility vary by position. Compensation varies based on factors...Human Services Commission. Perform routine and/or targeted audit of claims to ensure payment accuracy and adherence to state… more
- Cognizant (Austin, TX)
- …with a healthcare plan, not on behalf of provider or provider's office) Medicaid insurance customer service or claims processing Medicaid /Medicare Insurance ... **Provider Appeals & Grievances Specialist ** (remote) This is a remote position open...the desire to further their abilities and knowledge of Medicaid medical insurance processes as they will be responsible… more
- Actalent (Dallas, TX)
- …) + Experience in health claims processing, coordination of benefits, and eligibility + Familiarity with Medicaid and Medicare regulations + Strong written ... Job Title: Specialist , Appeals & GrievancesJob Summary: Responsible for reviewing...complaints. + Use internal systems to determine outcomes of claims appeals and grievances. + Review medical records and… more
- HCA Healthcare (El Paso, TX)
- …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... care like family! Jump-start your career as an Inpatient Coding Resolution Specialist today with Parallon. **Benefits** Parallon, offers a total rewards package that… more
- Cognizant (Austin, TX)
- …accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well as timely filing deadlines and ... based on the review of clinical documentation in accordance with Medicare, Medicaid , and third-party guidelines. . Effectively document and log claims /appeals… more
- Cardinal Health (Austin, TX)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist is responsible for processing insurance claims and billing. They ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- HCA Healthcare (Texas City, TX)
- …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... Submit your application for the opportunity below: Medical Insurance Collections Specialist Parallon **Benefits** Parallon, offers a total rewards package that… more