- Guidehouse (Lewisville, TX)
- …from home._** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare /Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 & ... None **Clearance Required** **:** None **What You Will Do** **:** The ** Insurance Patient Account Representative** is an extension of a client's business office… more
- Sedgwick (Fort Worth, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Medicare Associate **Job Description** + Set up new Medicare ... Medicare Compliance System + Electronically sort and index Medicare mail in the SIR and Medicare ...index Medicare mail in the SIR and Medicare Compliance systems + Responds to questions from examiners… more
- Humana (Austin, TX)
- …Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- Molina Healthcare (Dallas, TX)
- …regulations pertaining to health insurance , investigations & legal processes (Commercial insurance , Medicare , Medicare Advantage, Medicare Part D, ... oral and written communication skills and presentation skills. + Medicare and Marketplace experience **JOB QUALIFICATIONS** **Required Education** High School… more
- Gentiva (Athens, TX)
- …+ Manage clinical and administrative workflows, including referrals, DME pickups, Medicare eligibility, insurance verification, and patient benefit tracking + ... external providers + Ensure adherence to hospice industry regulations including Medicare , Medicaid, JCAHO, ACHC **About You** **Qualifications - What You'll Bring:**… more
- Humana (Austin, TX)
- …+ Experience working in coding languages such as SAS and SQL + Prior Medicare Advantage or health insurance background + Additional skills developing reports and ... (work at home) + This role provides a unique opportunity to get hands on Medicare Advantage experience in a rapidly growing area outside of bid season + The role… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer ... Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team continue to… more
- CVS Health (Austin, TX)
- …talent! We have an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist. The position will be a part of a specialized team ... who will focus on educating existing Medicare members on available plan offerings to help meet...to pass, on an annual basis: + American Health Insurance Plans (AHIP) + Continued Education (CE's) + Product… more
- Humana (Austin, TX)
- …other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and will understand how ... includes some experience in an inpatient environment and/or related to care of a Medicare or Medicaid type population + Current and ongoing Board Certification in an… more
- Humana (Pearland, TX)
- …on state requirements). **Preferred Qualifications** + **Active Life and Variable Annuity Insurance License** . + Prior experience **selling Medicare products** ... The MarketPoint Career Channel Team is looking for skilled Medicare Sales Field Agents. This is a **field** **-based**...and write fluently in both languages.** + **Active Health Insurance License** or ability to obtain. + Must reside… more