- Molina Healthcare (Dallas, TX)
- …Highly Qualified Candidates Will Have the Following Experience: + Background Training + Managed Care background and/or is familiar with Medicare and Medicaid. + ... Process based, + Able to build forms and trainings in Canva, Snag-It, PowerPoint, Visio, Process Mapping, Excel for tracking and training results and resources, One-Note, SharePoint (Able to Be the Administrator), Teams Channels + Bilingual is a plus! (Spanish… more
- Actalent (Houston, TX)
- …months for extension. Hard Skills: + Two (2) years of work experience in retail, managed care , or clinical pharmacy + Doctor of Pharmacy (PharmD) or Bachelor of ... Science Pharmacy degree + Current pharmacist license in good standing with the State Board of Pharmacy in the State where the position is located Work Site :This is a fully remote position. Work Environment: + These are fully remote work-from-home positions,… more
- Molina Healthcare (Houston, TX)
- …to interpret healthcare data and translate insights into program improvements. + Managed Care experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : * ... PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification and/or comparable coursework desired. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a… more
- Centene Corporation (Austin, TX)
- …Call center/customer service experience. Experience in healthcare environment (pharmacy operations, managed care , pharmacy hospitals and or pharmacy retail ... settings) **License/Certification:** Pharmacy technician certification preferred Pay Range: $19.04 - $32.35 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition… more
- Actalent (Texas City, TX)
- …Skills + Certified Pharmacy Technician (CPhT). + Experience in pharmacy operations, appeals, managed care , claims processing, and handling denials. + Strong data ... entry and customer service capabilities. + Proficient in computer systems and applications. + Ability to work independently in a remote environment. Additional Skills & Qualifications + National Pharmacy Technician Certification (CPhT) preferred; required for… more
- Molina Healthcare (Austin, TX)
- …claims experience, OR one year of customer service/provider service experience in a managed care or healthcare environment. + Strong verbal and written ... communication skills. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal… more
- Molina Healthcare (Fort Worth, TX)
- …**X** **PE** **R** **I** **E** **N** **C** **E:** + Min. 2 years operational managed care experience (call center, appeals or claims environment). + Health ... claims processing background, including coordination of benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals and denials. + Strong… more
- TEKsystems (Dallas, TX)
- …balances from both government and non-government entities. Basic knowledge of Commercial, Managed Care , Medicare and Medicaid insurance is preferable. Schedule: ... 8:00am-4:30pm CST - CANDIDATES MUST SIT IN CST Job Description: * Researches each account using company patient accounting applications and internet resources that are made available. * Conducts appropriate account activity on uncollected account balances with… more
- Elevance Health (Houston, TX)
- …in areas with strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard arrangements that ... require a high level of negotiation skills** . **Fee schedules** **may be customized.** PRIMARY DUTIES: + Serves as key resource for other contracting staff and provides mentoring and on-the-job training and development. + Works independently and requires high… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …the EMR and billing system + Receives incoming calls + Verifies and updates managed care plan and/or insurance information into patient account + Scans ... accurately all necessary paperwork, forms an patient information into correct file folder in EHR plus other duties + Cashier and prepares daily deposits + Responsible for collecting patients co-payments, payment for services rendered, and/or outstanding… more