- Centene Corporation (Houston, TX)
- …with company's policies and programs. Provide greater access to health insurance , by providing education and assistance to Medicare individuals. Distribute ... health screenings. Provide Facilitated Enrollment, help facilitate the continuance of health insurance , and offer assistance with recertification. + Identify… 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 ... experience in managed care pharmacy + 2 years of clinical account management experience in Medicare as part of the 4 year managed care experience + 2 years of… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** Individual Medicare Advantage (iMA) Rapid Solutions owns the MA Pricing Model (web app ... annual pricing of Humana's largest segment of business, individual plan Medicare Advantage. The team consists of actuaries and business technology professionals… more
- Humana (Austin, TX)
- …experiences **Preferred Qualifications** + Medical management experience, working with health insurance organizations, hospitals and other healthcare providers, ... part of our caring community and help us put health first** The Corporate Medical Director relies on medical...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Possess analysis… more
- Houston Methodist (Katy, TX)
- …Revenue Cycle, to include but not limited to: medical coding, insurance billing, collections, patient account resolution, appeals/denials, customer service, cash ... to department specifications. + Partners with Internal Audit, Business Practices, Health Information Management, Patient Access Services, and Utilization Review as… more
- Amazon (TX)
- …experience, qualifications, and location. Amazon also offers comprehensive benefits including health insurance (medical, dental, vision, prescription, Basic Life ... new and existing capabilities and programs aimed at improving health outcomes for our at-risk patient populations. Working within...& AD&D insurance and option… more
- Guidehouse (Lewisville, TX)
- …from home._** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare /Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 & ... Required** **:** None **What You Will Do** **:** The ** Insurance Patient Account Representative** is an extension of a...Retirement Plan + Basic Life & Supplemental Life + Health Savings Account, Dental/Vision & Dependent Care Flexible Spending… more
- Centene Corporation (Austin, TX)
- …per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....or email box and/or real-time live chats from our Medicare Customer Service representatives needing support. + Collaborate with… more
- Humana (Austin, TX)
- …review organization, such as Medicare Advantage, Managed Medicaid, or Commercial health insurance . + Experience with national guidelines such as MCG(R) or ... products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , or other healthcare providers. + Utilization… more
- Humana (Austin, TX)
- …review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + Experience with national guidelines such as MCG(R) or ... or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice… more