- Centene Corporation (Austin, TX)
- …and personal assistance/social services, and providing patient advocacy and education to Medicaid members * Experience in FIELD-BASED Social Worker or Case Managers ... role in-patient behavioral health hospital, community health, outpatient mental health, substance abuse/ detox recovery treatment, or state social services settings (MHAs, LIDDA) is preferred. **Member visits are in Alice, TX, Bishop, TX, Bentonville, TX, Agua… more
- Centene Corporation (Dallas, TX)
- …medical and social services, and providing patient advocacy and education to Medicaid members * Experience in FIELD-BASED Social Worker or Case Managers role ... in-patient hospital, community health, outpatient mental health, or state social services settings (MHAs, LIDDA) is preferred. Pay Range: $26.50 - $47.59 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance,… more
- Genesis Healthcare (TX)
- …professional license (ie Physical Therapist) *Must have Medicare and State-specific Medicaid experience (as applicable). *Must be willing to travel as this ... position requires an onsite presence the majority of the time. Benefits *Variable compensation plans *Tuition, Travel, and Wireless Service Discounts *Employee Assistance Program to support mental health *Employee Foundation to financially assist through… more
- Elara Caring (Texarkana, TX)
- …+ Home Care industry experience is preferred + Knowledge of Medicare and Medicaid , home health care benefits, policies and procedures + Excellent computer and ... communication skills, with ability to work in fast-paced environment + Reliable transportation to perform job responsibilities You will report to the Branch Director, Alternative Branch Director, or Regional Branch Director. _This is not a comprehensive list… more
- Molina Healthcare (TX)
- …and processing. This role will focus on identifying, reviewing, and validating Medicaid secondary payments to ensure alignment with internal configuration rules and ... adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed care is required, and a background in payment integrity-either… more
- Molina Healthcare (San Antonio, TX)
- …Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, ... + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, including experience in… more
- HCA Healthcare (Tomball, TX)
- …guidelines in all interactions with the patient + In conjunction with the Medicaid Eligibility Staff visit all uninsured patients in-house + Provide estimates to ... + Assist patients with payment arrangements and in co-ordination with the Medicaid Eligibility Staff assists patient with financial applications + Contact patient… more
- HCA Healthcare (Mckinney, TX)
- …charges to accounts. Communicates any charge related issues to Charge Master Manager /Analyst. SUPERVISOR: Practice Manager /Billing Manager DUTIES INCLUDE BUT ... edits through the electronic billing system. Communicates issues with department manager . Researches required information and maintains pending follow up on a… more
- Elevance Health (Grand Prairie, TX)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior** ... with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health...independently on assignments and under minimal guidance from the manager . + Prepare detailed work papers and present findings… more
- Cayuse Holdings (Austin, TX)
- …and service + 12 yrs required: Demonstrable expertise with MITA ( Medicaid Information Technology Architecture), including practical application in complex system ... experience with Health and Human Services (HHS) integrated eligibility systems (eg, Medicaid , SNAP, TANF, CHIP). This includes a deep understanding of federal… more