- Aveanna Healthcare (Amarillo, TX)
- …applicants from diverse backgrounds to apply. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements ... in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California (https://www.aveanna.com/CaliforniaPrivacyNotices.html) Apply more
- Aveanna Healthcare (Houston, TX)
- …Contractors, and Employees Residing in California As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements ... in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California (https://www.aveanna.com/CaliforniaPrivacyNotices.html) Apply more
- Molina Healthcare (San Antonio, TX)
- …various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to; fee-for ... service, capitation, and various forms of risk, ASO, etc. **Preferred Education** Bachelor's or master's degree. **Preferred Experience** + 5+ years' experience in managed healthcare administration and/or Provider Services. + 5+ years' experience in provider… more
- Molina Healthcare (San Antonio, TX)
- …or other health care or management certification. * Leadership experience. * Medicaid/ Medicare population experience. To all current Molina employees: If you are ... interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $77,969 - $171,058 /… more
- Houston Methodist (Houston, TX)
- …processing. + Demonstrates understanding of fundamentals of all payors, including Medicare , Medicaid and commercial payors, and applicable revenue cycle operations. ... + Maintains strict confidentiality of patients, employees and hospital information at all times. Ensures protection of private health and personal information. Adheres to all Health Insurance Portability and Accountability Act (HIPAA) and Payment Card Industry… more
- Elara Caring (Dallas, TX)
- …etc.) + Excellent verbal and written communication skills. + Experience with Medicare /Medicaid home health care benefits, policies and procedures is preferred. You ... will report to the Clinical Program Supervisor. _This is not a comprehensive list of all job_ responsibilities _; a full_ _job description_ _will be provided._ _We value the unique skills of veterans and military spouses. We encourage applications from… more
- Molina Healthcare (Houston, TX)
- …National Committee of Quality Assurance (NCQA) guidelines, and Centers for Medicare and Medicaid Services (CMS) standards. * Provides coordination and processing ... of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to providers, members and pharmacies. * Assists with clerical tasks and other… more
- Gentiva (San Angelo, TX)
- …Familiarity with LCD criteria and hospice documentation requirements + Knowledge of Medicare , Medicaid, ACHC, and other regulatory guidelines + Strong oral and ... written communication skills + Compassionate and sensitive to end-of-life issues impacting patients and families + Ability to provide emotional support during times of crisis + Flexible and adaptable with ability to manage diverse tasks efficiently + Effective… more
- Aveanna Healthcare (Laredo, TX)
- …applicants from diverse backgrounds to apply. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements ... in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California (https://www.aveanna.com/CaliforniaPrivacyNotices.html) Apply more
- J&J Family of Companies (Fort Worth, TX)
- …verification, pre-authorization, billing, coding, claims, and appeals/grievances); practice management; Medicare and Medicaid rules and regulations; OSHA; HIPAA; and ... state-specific clinical staff licensing / certification requirements for product compounding, admixture, administration and monitoring. Required Qualifications: + A minimum of a bachelor's degree + A valid driver's license issued in one (1) of the fifty (50)… more