- Humana (Austin, TX)
- …clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate about contributing ... + Medical utilization management experience + Working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc.… 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 ensure operational billing compliance with government/regulatory agencies and the Medicare and Medicaid programs. + Ensures optimization of timely cash… more
- Actalent (Houston, TX)
- …+ Experience with Microsoft Office and Outlook. + Familiarity with Medicare , Medicaid, and insurance processes. + Pharmacy Technician Certification ... reviewing prior authorizations for coverage determination within a large healthcare insurance company. Technicians will determine approval or denial decisions, which… more
- CenterWell (Austin, TX)
- …+ Experience working in coding languages such as SAS and SQL + Prior Medicare Advantage or health insurance background + Additional skills developing reports and ... **Additional Information** + This role provides a unique opportunity to get hands on Medicare Advantage experience in a rapidly growing area outside of bid season +… more
- HCA Healthcare (Houston, TX)
- …and continued stay and discharge criteria. Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan process, ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
- HCA Healthcare (Pasadena, TX)
- …and continued stay and discharge criteria. Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan process, ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
- Molina Healthcare (Fort Worth, TX)
- …Summary** Responsible for developing the plan and strategy for health insurance products that support Molina's successful business development and operational ... to completion. Plans and manages aspects of the organization's health insurance product development objectives and initiatives across platforms. Plans and directs… more
- AccentCare, Inc. (College Station, TX)
- …to practice in state(s) of agency operation if required + Medicare /Medicaid/ Insurance specialty preferred Required Certifications and Licensures: + Licensed ... to practice as a clinical social worker in the state of agency operation if required + Must be a licensed driver who can travel to all business locations Come As You Are At AccentCare, our care is most compassionate when we empathize and engage with everyone,… more
- Actalent (Texas City, TX)
- …entry. + Customer service skills in a pharmacy setting. + Experience with Medicare , Medicaid, and health insurance . Additional Skills & Qualifications + ... part of a large Managed Care Organization primarily handling government-sponsored health insurance programs such as Medicare , Medicaid, and the exchange program.… more
- MPAC Healthcare (San Antonio, TX)
- …support * Responsible for all documentation requirements and keeping up-to-date on Medicare Benefit and commercial insurance plans. Key Requirements - LCSW ... facility Additional Requirements - LCSW: * Knowledge of the Medicare Benefit and commercial insurance plans * Experience in the healthcare setting * Passion… more