- Elara Caring (Conroe, TX)
- …of experience as LPN preferred + Possession of working knowledge of Medicare /Medicaid home health care benefits, policies and procedures preferred + Positive ... attitude + Dedication to quality patient care + Strong communication skills + Reliable transportation to perform job duties Apply with Elara Caring today! _This is not a comprehensive list of all job duties; a full job description will be provided._ _We value… more
- Merck (Austin, TX)
- …or reimbursement support * Strong knowledge of health insurance structures ( Medicare Part B, Medicaid, commercial) and related access processes, including benefit ... verification, prior authorization, and appeal processes * Expertise in pharmaceutical compliance and HIPAA regulations regarding patient confidentiality * Excellent interpersonal and communication skills; demonstrated ability to engage and influence diverse… more
- Fresenius Medical Center (Jacksonville, TX)
- …assist devices for the heavier items. **EDUCATION** + Center for Medicaid/ Medicare Services (CMS)-approved state and/or national certification or High School diploma ... or GED and must meet certification requirements within the required state or CMS timeline. + All appropriate state licensure education and training (if any) required. **EXPERIENCE AND REQUIRED SKILLS** + Previous patient care experience in a hospital setting… more
- BrightSpring Health Services (Irving, TX)
- …the healthcare market* Experience working with all payer types, including Medicare , Medicaid and commercial insurance companies* Knowledge of insurance verification ... and pre-certification procedures* Understands the scope of services that Amerita can provide* Strong verbal and written communication skills About our Line of Business Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company… more
- CVS Health (Austin, TX)
- …experience in West coast region states a plus - Experience in commercial, Medicare and Medicaid lines of business ideal **Education** Bachelor's Degree or equivalent ... combination of education and experience **Pay Range** The typical pay range for this role is: $67,900.00 - $199,144.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position… more
- Health Care Service Corporation (Richardson, TX)
- …Experience of Healthcare industry - mainly pharmacy related claims. + Experience with Medicare Part D and CMS STARS medication adherence measures. + Experience with ... programming languages/collaborative tools, such as Databricks, GitHub and Toad. + Experience with automation tools, such as Airflow. **This is a Flex (Hybrid) role: 3 days in office; 2 days remote.** **Sponsorship is not available.** \#LI-MW2 \#LI-Hybrid **Are… more
- Intermountain Health (Austin, TX)
- …Billing, Follow-Up, Collections) required + Knowledge of Medicaid and Medicare billing regulations required **Physical Requirements** + Operate computers and ... other office equipment requiring the ability to move fingers and hands. + Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment. + May require lifting and transporting objects and office supplies,… more
- UTMB Health (Angleton, TX)
- …information required for third party reimbursement. . Ensures compliance with Medicare and third-party coverage. . Communicates with patient, referral source, UTMB ... physician and clinical staff regarding any obstacle to access or authorization. u **Disposition** . Fully dispositions each patient within the designated timeline. **Marginal Or Periodic Job Functions** . Performs related duties as required. . Reads all OSA… more
- Humana (Austin, TX)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- CVS Health (Austin, TX)
- …of members or providers as assigned. **Required Qualifications** + 1-2 years Medicare part C Appeals experience. + Experience in reading or researching benefit ... language in SPDs or COCs. + Experience in research and analysis of claim processing a plus. + Demonstrated ability to handle multiple assignments competently, accurately and efficiently. + Excellent verbal and written communication skills. + Excellent customer… more