• Medical Billing Specialist

    Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
    …to insurance companies in a timely manner. + Perform follow-up with Medicare, Medicaid , Medicaid , Managed Care, and Commercial insurance companies on unpaid ... Qualifications:** + Associate's degree preferred. + Understanding of Medicare, Medicaid eligibility requirements and commercial insurance payer payment methods. +… more
    Texas Tech University Health Sciences Center - El Paso (11/27/25)
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  • Patient Financial Counselor

    HCA Healthcare (Kingwood, TX)
    …patient + Demonstrates excellent customer service + In conjunction with the Medicaid Eligibility Staff visit all uninsured patients in-house + Provide estimates to ... Assistpatients with payment arrangements and in co-ordination with the Medicaid Eligibility Staffassistspatient with financial applications + Contact patient… more
    HCA Healthcare (11/26/25)
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  • Technology Solution Implementation Professional

    Humana (Austin, TX)
    …of the appropriate courses of action. **Role Description:** Support Medicaid Implementations and Operations in electronic transmissions set-up for state ... while minimizing disruption and mitigating risks + Experience with Medicare and/or Medicaid + Ability to coordinate with development and user teams to assess… more
    Humana (11/21/25)
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  • Medical Director - Nat'l IP UM Team

    Humana (Austin, TX)
    …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, Managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
    Humana (11/15/25)
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  • Utilization Management Nurse

    CenterWell (Austin, TX)
    …experience; + Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + ... BSN or bachelor's degree in a related field + Experience with Florida Medicaid + Experience with Physical Therapy, DME, Cardiac or Orthopedic procedures + Compact… more
    CenterWell (11/13/25)
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  • Associate Manager, Clinical Trial Reimbursement

    Abbott (Austin, TX)
    …+ Review clinical investigative plan and payer policies (Medicare, Medicare Advantage, Medicaid and Private Payer) to provide coverage and reimbursement guidance for ... future clinical trials. + Assist sites with Medicare, Medicare Advantage, Medicaid and Private Payor prior authorization, pre-determination, and appeal requests for… more
    Abbott (10/25/25)
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  • Director Governmental Reporting

    Houston Methodist (Houston, TX)
    …Federal Tax Returns Health and Human Services (HHS)/Centers for Medicare and Medicaid Services (CMS) reporting, Federal and State Charity Reporting, Federal tax ... regulations. **Preferred candidates will have the following:** Medicare and Medicaid Cost Reporting **PEOPLE ESSENTIAL FUNCTIONS** + Directs, develops and… more
    Houston Methodist (10/23/25)
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  • Compliance Analyst Principal - Remote

    Prime Therapeutics (Austin, TX)
    …client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid ) + Other duties as assigned **Education & Experience** + Bachelor's ... within a highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must...study, such as Juris Doctor + Medicare Part D, Medicaid , and/or Affordable Care Act knowledge and experience **Physical… more
    Prime Therapeutics (10/06/25)
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  • RN Clinical Supervisor - Hybrid Schedule

    Aveanna Healthcare (Addison, TX)
    …children, adolescents, and adults. Note: As an employer receiving Medicare and Medicaid funds, Aveanna employees must comply with all health-related requirements in ... Aveanna's supportive and dynamic environment! As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all… more
    Aveanna Healthcare (12/13/25)
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  • Audit & Reimbursement Senior

    Elevance Health (Houston, TX)
    …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior** ... Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services).… more
    Elevance Health (12/13/25)
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