- Prime Therapeutics (Austin, TX)
- …Supports new client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid) + Other duties as assigned **Education & Experience** + ... or within a highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +...related area of study, such as Juris Doctor + Medicare Part D, Medicaid, and/or Affordable Care Act knowledge… more
- Molina Healthcare (Houston, TX)
- …hospitals, integrated delivery systems, and ancillary providers with Medicaid and/or Medicare products * 5+ years previous managed healthcare experience. * Previous ... familiarity with various managed healthcare provider compensation methodologies, primarily across Medicare or Medicaid lines of business, including but not limited… more
- HCA Healthcare (Austin, TX)
- …you will need:** + Two years of experience within a licensed and certified ( Medicare ) home health agency required + Competent in Federal ( Medicare ) and Local ... to providing patients with quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of a physician and our team… more
- HCA Healthcare (San Antonio, TX)
- …you will need:** Two years of experience within a licensed and certified ( Medicare ) home health agency requiredCompetent in Federal ( Medicare ) and Local ... to providing patients with quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of a physician and our team… more
- WTW (Richardson, TX)
- …leading direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage, Medicare Supplement and Life & Supplemental ... leadership role within a sales center environment. + Strong understanding of Medicare and Medicaid regulations. + Demonstrated integrity and strong people leadership… more
- CenterWell (Austin, TX)
- …delivery of associate-facing contact center technologies that support Pharmacy and Medicare Part D operations. This enterprise-wide platform empowers associates to ... a related field. **Preferred Qualifications:** + Understanding of pharmacy operations and Medicare Part D. + Experience with contact center platforms and CRM… more
- Banner Health (TX)
- …accounts receivable (AR), physician fee-for-service billing, and knowledge of Medicare , Medicaid and commercial insurance is highly preferred. **Location** : ... Billing clearly reflected in uploaded resume;** + **Understanding** **of** ** Medicare ,** **Medicaid and** **Commercial** **Insurances** **;** + **Intermediate to… more
- Sedgwick (Fort Worth, TX)
- …limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests ... principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. + Excellent oral… more
- HCA Healthcare (El Paso, TX)
- …with the patient, including having the Patient Choice letter signed. + Monitors Medicare patient's planned discharge dates and delivers the Important Medicare ... Message (IMM) to the patient per facility policy. + Delivers the Beneficiary Notice to patients identified as being in the BPCI-A program (Bundle Payment hospitals only). + Obtains physician signature on required case management documents. + Based on facility… more
- HCA Healthcare (Round Rock, TX)
- …with the patient, including having the Patient Choice letter signed. + Monitors Medicare patient's planned discharge dates and delivers the Important Medicare ... Message (IMM) to the patient per facility policy. + Delivers the Beneficiary Notice to patients identified as being in the BPCI-A program (Bundle Payment hospitals only). + Obtains physician signature on required Case Management documents and forms. + Based on… more