- HCA Healthcare (Fredericksburg, TX)
- …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... want to join an organization that invests in you as a Medical Records Specialist PRN? At Methodist Hospital Hill Country, you come first. HCA Healthcare has… more
- HCA Healthcare (Houston, TX)
- …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... to join an organization that invests in you as a Medical Insurance Claims Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million… more
- HCA Healthcare (Houston, TX)
- …**Introduction** Do you have the career opportunities as a Medical Collections Specialist you want with your current employer? We have an exciting opportunity ... on income. Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** Our teams… more
- University of Texas Rio Grande Valley (Edinburg, TX)
- …Information Posting NumberSRGV8412 Working TitlePRIOR AUTHORIZATION AND REFERRAL SPECIALIST Number of Vacancies1 LocationEdinburg, Texas DepartmentSchool of ... plans related to services for patient visits and procedures. + Verifies member eligibility and benefits via the health plan provider online portals or health plan… more
- Evolent (Austin, TX)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Specialist , Provider Data Management will be a dynamic role that will encompass overall ... You will work closely with teams such as Claims, Configuration, and Enrollment/ Eligibility to ensure timely and accurate data loads and claims processing occurs.… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... local and national coverage determinations + Comprehensive knowledge of Medicare, Medicaid , and Managed Care requirements + Comprehensive knowledge of community… more
- KPH Healthcare Services, Inc. (Longview, TX)
- **Overview** **Scope of Responsibilities:** The Intake Specialist is an experienced individual who is able to assist and manage the referral intake process. **Job ... any changes that possibly may occur within the Insurance Payor, Medicare, or Medicaid + Responsible for completing all mandatory and regulatory training programs +… more
- Molina Healthcare (TX)
- …+ Health claims processing background, including coordination of benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims ... and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution… more
- Molina Healthcare (TX)
- …+ Health claims processing background, including coordination of benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims ... and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution… more
- Ensono (Houston, TX)
- …policies, regulatory requirements, and industry best practices. The IAM Specialist will also be responsible for maintaining all necessary certifications ... required for system access and management, ensuring continued compliance and eligibility . + Collaborate with IT, security, and compliance teams to support… more