- Baylor Scott & White Health (Dallas, TX)
- …weekend shifts required_ We are currently hiring for **multiple** Customer Service Specialist roles and will be conducting **onsite** interviews from October 13 to ... vary based upon position type and/or level._ **Job Summary** The Customer Service Specialist acts as a business analyst in a complex office, examining and resolving… more
- Prime Therapeutics (Austin, TX)
- …every decision we make. **Job Posting Title** Medication Therapy Management Specialist **Job Description** The Medication Therapy Management (MTM) Service ... Specialist is responsible for receiving inbound and making outbound...targeted population; for Medicare, is Centers for Medicare & Medicaid Services (CMS) compliance compliant + Utilize Prime's MTM… more
- Molina Healthcare (Dallas, TX)
- …accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). M-F from 8am - 4:30pm EST will require to work 1 ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of… more
- Molina Healthcare (Houston, TX)
- …accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for the comprehensive ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **43114BR** **Extended Job Title:** Coding Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Review medical record provider ... Paso **Preferred Qualifications:** + Extensive knowledge of HIPAA, Medicare and Medicaid guidelines and regulations evaluation and management coding guidelines in an… more
- Molina Healthcare (Dallas, TX)
- …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Quality Interventions/ QI Compliance contributes to one or ... **Preferred Experience** 1 year of experience in Medicare and in Medicaid . **Preferred License, Certification, Association** + Certified Professional in Health… more
- Aveanna Healthcare (Dallas, TX)
- Research & Resolution Specialist ApplyRefer a FriendBack Job Details Requisition #: 208950 Location: Dallas, TX 75254 Category: Medical Billing/Collections Salary: ... a signed agreement with Aveanna. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Insurance Authorization Specialist position is responsible for obtaining and managing insurance authorizations for medical services and ... focus and application of positive language principles + Knowledge of Medicare, Medicaid , and managed care reimbursement methodologies + Ability to manage multiple… more
- Houston Methodist (Houston, 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