- Texas Health Resources (Arlington, TX)
- …providers to ensure continuity of care plan. Assists in obtaining PCP or specialist physician follow-up. 8. Obtain follow-up PCP appointment prior to discharge when ... Medicare, and Milliman Care Guidelines. 2. Applies knowledge of Medicare and Medicaid regulations to utilization of hospital services and educates others as… more
- Texas Health Resources (Fort Worth, TX)
- …in our electronic health records (EHR) system -Assists patients with Medicaid applications, financial assistance forms, and public assistance programs. -Works ... by Fortune and Great Place to Work(R) Additional perks of being an Admission Specialist : * Gain a sense of accomplishment by contributing in a teamwork environment.… more
- Molina Healthcare (Austin, TX)
- …dental services, assist members with locating a general or specialist dentist, accessing appointments, translation services, and transportation assistance. ... experience is required + Previous dental, case management, pediatric, and/or Medicaid managed care experience is preferred **Required Competencies / Knowledge /… more
- Molina Healthcare (Dallas, TX)
- …Experience: * 4-years' experience in Credentialing. * Required knowledge of Medicaid , CMS, NCQA and other credentialing regulations. * Experience leading employees, ... skills. Required License, Certification, Association: Preferred Certified Provider Credentialing Specialist (CPCS) or, participation in a CPCS progression program.… more
- HCA Healthcare (Pearland, TX)
- …the state data systems **What you will need** : + Oncology Data Specialist (ODS) certification **required** + 1-3 years of Cancer Data Abstraction experience ... full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000… more
- Kelsey-Seybold Clinic (Humble, TX)
- …a family doctor is not necessary to schedule an appointment with a Kelsey-Seybold specialist , but the family doctor is an important part of the multispecialty team. ... rating of 5-out-of-5-stars as part of the Centers for Medicare and Medicaid CMS annual assessment for eight consecutive years, including 2024. Kelsey-Seybold has… more
- University of Texas Rio Grande Valley (Edinburg, TX)
- …eligibility and benefits through various payers, including commercial insurances, Medicaid , and Medicare. + Obtains the necessary prior authorizations, referrals, ... Education Bi-lingual (English/Spanish) Licenses/Certifications Preferred: Completion of Medical Office Specialist certificate program or Medical Administrative Assistant or closely… more
- 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 ... UB/institutional (CMS-1450) and/or professional (CMS 1500) claims * Knowledge of Medicare/ Medicaid payment and coverage guidelines and regulations. * 1 year of… more
- 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 ... with secondary insurance company when necessary. + Bills supplemental insurances including all Medicaid states on paper and online. + Mails all paper claims. + Acts… more
- Humana (Austin, TX)
- …the team as a Senior Product Manager working anywhere in the US. As a Specialist in NBA Execution, you'll play a hands-on role in translating strategy into real-time ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
Recent Jobs
-
Adjunct Faculty: Division of Business and Regulation - #Faculty
- Johns Hopkins University (Baltimore, MD)
-
Assistant Director Of Evaluation
- City of New York (New York, NY)
-
Clinical Nurse Coordinator Medical Acute Care
- HCA Healthcare (Englewood, CO)
-
Patient Care Technician (PCT, PCA, CNA)
- Hartford HealthCare (New Britain, CT)