- Molina Healthcare (Dallas, TX)
- …with advanced written and verbal communication. + Required knowledge of Medicaid , CMS, NCQA and other credentialing regulations. Required License, Certification, ... Association: Preferred Certified Provider Credentialing Specialist (CPCS) or participation in a CPCS progression program. Preferred Education: Associate or… more
- Molina Healthcare (San Antonio, TX)
- …(LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical ... or other health care or management certification. * Leadership experience. * Medicaid /Medicare population experience. To all current Molina employees: If you are… more
- Kelsey-Seybold Clinic (Pearland, 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 (Mcallen, 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
- Molina Healthcare (Dallas, TX)
- …legal processes (Commercial insurance, Medicare, Medicare Advantage, Medicare Part D, Medicaid , Tricare, Pharmacy, etc.) + Experience with UNET, Comet, Macess/CSP, ... Association** + AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified Fraud Examiner and/or AHFI professional designations preferred… 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
- Aveanna Healthcare (Allen, TX)
- …Program + Employee Relief Fund + Employee Resource Groups Operations Specialist Qualifications: + Payroll and/or human resources experience preferred + Knowledge ... and Employees Residing in California As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant… more
- CVS Health (Austin, TX)
- …within budgeted costs. **What you will do** + Acts as a top-level specialist on project management and develops a comprehensive plan that encompasses objectives, ... + 7-10 years work experience in healthcare + Medicare and/or Medicare- Medicaid Integrated Product Experience + Experience with Part D Coverage Determination,… more
- Caris Life Sciences (Irving, TX)
- …follow up on requests, and apply acquired knowledge of Medicare, Medicaid , and other Third-Party Payer requirements **Job Responsibilities** + Proficient in ... and exceeding job responsibilities of Verification/ Authorization Personnel - Specialist either through Caris or with a former employer in a similar industry. +… more
- Evolent (Austin, TX)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... or sanction by any state or federal health care program, including Medicare or Medicaid , and is not identified as an "excluded person" by the Office of Inspector… more