- Caris Life Sciences (Irving, TX)
- …follow up on requests, and apply acquired knowledge of Medicare, Medicaid , and other Third-Party Payer requirements **Job Responsibilities** + Proficient in ... and exceeding job responsibilities of Verification/ Authorization Personnel -Specialist either through Caris or with a former employer in a similar industry. + Identify ways to improve and promote quality and monitor your own work to ensure quality standards… more
- Caris Life Sciences (Irving, TX)
- …Associate is responsible for reviewing outstanding denied claims with Medicare, Medicaid and Commercial insurance companies. This role involves following up with ... insurance companies to check claim status, reviewing medical records request and submitting required documentation to payors. **Job Responsibilities** + Review insurance denials and take appropriate action. + Check claims status via phone or poral. + Submit… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence ... Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing … more
- Humana (Austin, TX)
- …and other reference sources. Medical Directors will learn North Central region state Medicaid requirements (currently VA, KY, OH, IN, WI) and will understand how to ... an inpatient and/or outpatient environment and/or related to care of a Medicaid population (TANF and expansion populations). + Current and ongoing Board… more
- Prime Therapeutics (Austin, TX)
- …we make. **Job Posting Title** VP Government Programs - Medicare & Managed Medicaid (REMOTE) **Job Description** The Vice President Government Programs - Medicare & ... Managed Medicaid is responsible for the development, administration, and execution...+ Provide leadership and oversight to the Medicare and Medicaid teams and ensure the development and execution of… more
- HCA Healthcare (San Antonio, TX)
- …and integrity. We care like family! Jump-start your career as a Medicaid Eligibility Advocate today with Parallon at Methodist Hospital. **Benefits** Parallonl ... Eligibility for benefits may vary by location._** Come join our team as a Medicaid Eligibility Advocate. We care for our community! Just last year, HCA Healthcare… more
- Humana (Austin, TX)
- …Senior Market Finance Professional supports more than half of Humana's Medicaid business, providing technical financial analysis and data-driven insights to drive ... with Market CFOs, clinical teams, and provider engagement teams, focusing on Medicaid claims and premium analytics across multiple states, including established and… more
- HCA Healthcare (San Antonio, TX)
- …Do you want to join an organization that invests in you as a Medicaid Eligibility Advocate? At Parallon, you come first. HCA Healthcare has committed up to ... make a difference. We are looking for a dedicated Medicaid Eligibility Advocate like you to be a part...part of our team. **Job Summary and Qualifications** The Medicaid Eligibility Advocate is responsible for conducting eligibility screenings,… more
- HCA Healthcare (Austin, TX)
- …8:00am - 4:30pm** **Introduction** Do you have the career opportunities as a Medicaid Eligibility Advocate you want with your current employer? We have an exciting ... committed, caring group of colleagues. Do you want to work as a Medicaid Eligibility Advocate where your passion for creating positive patient interactions is… more
- Deloitte (Dallas, TX)
- …services to public sector clients + Support engagements focused on Medicaid reimbursement, including actuarial rate development across managed care and ... fee-for-service, Medicaid policy, budget forecasting and fiscal analyses, and risk...plan/insurance company experience + 1+ year(s) of experience with Medicaid managed care capitation rate development and/or fee-for-service rate… more
