• Transplant Recovery Specialist

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Transplant Recovery Specialist position is responsible for supporting the organ procurement services required for transplantation and ... Organ Sharing (OPTN/UNOS) regulations and allocation policies. The Transplant Recovery Specialist position communicates with all members of the Organ Procurement… more
    Houston Methodist (07/08/25)
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  • Claims and Litigation Specialist

    Ascension Health (Austin, TX)
    …+ **Facility:** Ascension Care Management Insurance + **Salary:** $75,295.00 - $104,957.00 ( per year) Must reside in Austin, Texas **Benefits** Paid time off (PTO) ... to give back to your community _Benefit options and eligibility vary by position. Compensation varies based on factors...claims to ensure payment accuracy and adherence to state Medicaid guidelines. + Responsible for the comprehensive research and… more
    Ascension Health (08/29/25)
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  • Specialist , Appeals & Grievances

    Molina Healthcare (Fort Worth, 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 (08/30/25)
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  • Clinical Product Specialist

    Centene Corporation (Austin, TX)
    …fresh perspective on workplace flexibility. **Position Purpose:** The position will support the Medicaid and CHIP in the following capacity: + The role will include ... 10%, for team meetings. Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including:...forms of incentives. Benefits may be subject to program eligibility . Centene is an equal opportunity employer that is… more
    Centene Corporation (08/31/25)
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  • Patient Services Representative I

    University of Texas Rio Grande Valley (Edinburg, TX)
    …through the appropriate appointment workflows, including verifying patient insurance eligibility , scanning all necessary identification into the EMR system, and ... via email, computer, fax, and mail. + Verifies patient insurance eligibility and benefits through various payers, including commercial insurances, Medicaid more
    University of Texas Rio Grande Valley (08/26/25)
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  • LTSS Service Care Manager

    Centene Corporation (Dallas, TX)
    …Work from home and IN-PERSON member visits are required - 3 days per week** **Position Purpose:** Assists in developing, assessing, and coordinating holistic care ... ongoing long-term care plans/service plans and works to identify providers, specialist , and/or community resources needed for long-term care + Coordinates as… more
    Centene Corporation (08/30/25)
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  • Representative II, Accounts Receivable

    Cardinal Health (Austin, TX)
    …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... and properly resolves by follow-up & disposition. + Verifies patient eligibility with secondary insurance company when necessary. + Bills supplemental insurances… more
    Cardinal Health (08/24/25)
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  • Claims Processor (with Facets) - Healthcare Remote

    Cognizant (Austin, TX)
    …is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely and accurate adjudication of ... and/or professional (CMS 1500) claims * Knowledge of Medicare/ Medicaid payment and coverage guidelines and regulations. * 1...rate for this position is between $15.25 - $17.75 per hour depending on experience and other qualifications of… more
    Cognizant (08/26/25)
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