• Medicare Specialist

    HCA Healthcare (Pearland, TX)
    **Description** **Introduction** Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...will be responsible for all aspects of Medicare receivable processing , including but not limited to, billing collections, account… more
    HCA Healthcare (08/22/25)
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  • Senior Analyst, Risk Adjustment - Predictive…

    Molina Healthcare (San Antonio, TX)
    …equivalent discipline **Required Experience** + 3-5 Years of experience with healthcare -related data ( claims /encounters, provider, CMS/EDGE response files, etc. ... of programming experience in python to support automated data validation / processing at scale (functions and objects) **PHYSICAL DEMANDS** Working environment is… more
    Molina Healthcare (08/03/25)
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  • Analyst, Business Quality (Remote)

    Molina Healthcare (TX)
    …conducts research to resolve customer initiated issues related to core systems processing , and coordinates and manages project teams in the development of large ... + SQL expertise + Excel expertise + Medicare, Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting… more
    Molina Healthcare (08/10/25)
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  • Director, Enrollment (Duals) - REMOTE

    Molina Healthcare (San Antonio, TX)
    **Job Description** **Job Summary** Responsible for preparation, processing and maintenance of new members and re-enrollment. Processes and maintains health plan's ... rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database.… more
    Molina Healthcare (08/08/25)
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  • Manager, Enrollment - REMOTE

    Molina Healthcare (Austin, TX)
    **Job Description** **Job Summary** Responsible for preparation, processing and maintenance of new members and re-enrollment. Processes and maintains health plan's ... rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database.… more
    Molina Healthcare (08/01/25)
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  • Systems Analyst II- Hybrid

    Baylor Scott & White Health (Temple, TX)
    …for testing, validating, and ensuring the accuracy of EDI transactions related to healthcare claims . This role involves working closely with developers, business ... and communication skills. **Preferred Skills:** + Experience with **Medicaid/Medicare** claims processing . + Familiarity with **Agile/Scrum** methodologies. +… more
    Baylor Scott & White Health (08/13/25)
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  • Financial Operations Recovery Specialist Lead

    Elevance Health (Houston, TX)
    …+ Requires a HS diploma or equivalent and minimum of 4 years claims processing and/or customer service experience; or any combination of education ... higher level degree preferred. + Leadership experience in a claims processing environment preferred Please be advised...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
    Elevance Health (08/16/25)
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  • Field Reimbursement Manager - East Region

    Otsuka America Pharmaceutical Inc. (Austin, TX)
    …therapeutic areas. This role operates as a crucial liaison between healthcare providers (HCPs), internal teams, and external stakeholders to facilitate appropriate ... and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide… more
    Otsuka America Pharmaceutical Inc. (08/16/25)
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  • Accounting Clerk

    Robert Half Accountemps (Garland, TX)
    … setting is a plus). + Familiarity with medical billing, insurance claims processing , or accounts reconciliation highly desirable. + Technical Skills: ... financial operations, maintaining accurate records, and ensuring compliance with healthcare -specific regulations. This position is perfect for someone who thrives… more
    Robert Half Accountemps (08/09/25)
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  • Bookkeeper

    Robert Half Accountemps (Dallas, TX)
    …financial transactions, maintaining accurate records, and ensuring compliance with healthcare regulations. The ideal candidate has expertise in bookkeeping ... ledger. + Maintain complete and organized financial records in compliance with healthcare industry and accounting standards. + Process and reconcile daily cash… more
    Robert Half Accountemps (08/09/25)
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