- BrightSpring Health Services (Harlingen, TX)
- …the needs of our clients in a variety of settings such as Home Health , Hospice, Residential and Private Duty. If your passion is outstanding patient care coupled ... with Company policies and procedures, state licensure and regulations, Medicaid and Medicare standards, as well as state reimbursement regulations + Leading case… more
- Highmark Health (Austin, TX)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... include legislators, consumers, special interest groups, advocacy agencies, CMS, state Medicare /Medicaid administrators, and other regulatory bodies such as DPW. +… more
- BrightSpring Health Services (Irving, TX)
- …Accounts * Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance * 401(k) Retirement Plan with Employer Match * Company paid Life ... and AD&D Insurance , Short-Term and Long-Term Disability * Employee Discounts *...within initiatives (ie Selling our Success communication, drug launches, Medicare changes, etc.) designed to ensure territory meets performance… more
- Intermountain Health (Austin, TX)
- …referral information, entering data into the Electronic Medical Record (EMR), and verifying insurance benefits or self-pay status at the time of intake. + Manages ... knowledge, addressing concerns promptly while maintaining a working understanding of Medicare , Medicaid, and third-party billing requirements, as well as privacy and… 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 ... Methodist Healthcare at Home, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- Humana (Austin, TX)
- …of the responsibilities: + Engage with the producers and the Center for Medicare and Medicaid Services/Department of Insurance regulations specific to them if ... part of our caring community and help us put health first** The Senior Agency Management Professional provides support...the general ledger. + Analyze and interpret Center for Medicare and Medicaid Services and Department of Insurance… more
- Deloitte (Dallas, TX)
- …Required: + 2+ years of health actuary experience and consulting and/or health plan/ insurance company experience + 1+ year(s) of experience with Medicaid ... public entities + Participate in the transformation of the health care sector through innovative actuarial solutions, such as...individual medical and small group markets + Experience with Medicare products, including Medicare Advantage or … more
- Molina Healthcare (Houston, TX)
- …+ At least five (5) years' experience working in a Managed Care Organization or health insurance company + Minimum of two (2) years' experience working on ... according to the SIU's standards. Position must have thorough knowledge of Medicaid/ Medicare /Marketplace health coverage audit policies and be able to apply… more
- Community Health Systems (Corsicana, TX)
- …diagnostic tests. + Verifies the medical necessity of scheduled tests for Medicare patients and ensures compliance with payer requirements. + Refers uninsured and ... assistance programs as appropriate. + Reviews and verifies personal and insurance information for pre-certification orders, including CPT and ICD codes, obtaining… more
- Humana (Austin, TX)
- …focused on continuously improving consumer experiences **Preferred Qualifications** + PharmD + Health Plan experience + Knowledge of Medicare as it relates ... part of our caring community and help us put health first** Be a part of an interactive team...well as modeling financial impact of emerging therapeutics across Medicare and Medicaid LOBs + Researches and analyzes drugs… more