- Humana (Austin, TX)
- …benefits providers in the US. At the core of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid, and other health plans to ... millions. By integrating insurance with care delivery through CenterWell, Humana is improving...a pivotal role in defining the future of Humana's Medicare and Medicaid businesses, which generate the majority of… more
- BrightSpring Health Services (Houston, TX)
- …or some college preferred + Experience working with all payer types, including Medicare , Medicaid and commercial insurance companies + Knowledge of insurance ... to create patient records and working with access operations to communicate insurance coverage to patients and referral sources. The Intake coordinators are often… more
- Caris Life Sciences (Irving, TX)
- …Receivable Associate is responsible for reviewing outstanding denied claims with Medicare , Medicaid and Commercial insurance companies. This role involves ... request and submitting required documentation to payors. **Job Responsibilities** + Review insurance denials and take appropriate action. + Check claims status via… more
- KPH Healthcare Services, Inc. (Longview, TX)
- … insurance plans and any changes that possibly may occur within the Insurance Payor, Medicare , or Medicaid + Responsible for completing all mandatory and ... utilizing excellent communication skills to ensure that the patient has adequate insurance or payor coverage for the infusion services that are being requested… more
- Cardinal Health (Austin, TX)
- …company policy, regulations, or third party policy. + Updates patient files for insurance information, Medicare status, and other changes as necessary or ... right things done. **The Accounts Receivable Specialist is responsible for processing insurance claims and billing. They will work within the scope of… more
- Health Care Service Corporation (Richardson, TX)
- …Job Qualifications:** + Bilingual (English and Spanish) + Knowledge of CMS + Medicare plan knowledge + Health insurance sales experience + Grievance experience ... savings plan, pension plan, paid time off, paid parental leave, disability insurance , supplemental life insurance , employee assistance program, paid holidays,… more
- Caris Life Sciences (Irving, TX)
- …and verbal + Basic knowledge of Medical billing processes + Basic knowledge of Medicare , Medicaid and commercial insurance guidelines + Basic knowledge in MS ... to handle and manage frequent changes effectively and efficiently + Knowledge of insurance processing, guidelines and general laws related to all payers. + Basic… more
- Humana (Austin, TX)
- …Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + ... internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- CVS Health (TX)
- …record systems and engaging on multiple platforms - Demonstrated understanding of insurance , Medicaid, Medicare billing requirements - Evidence of strong crisis ... intervention skills - Previous experience in a mental health clinic or hospital setting **Education** - Completed Master's degree program from an accredited College or University. - California (CA) Licensed Clinical Social Worker (LCSW), Licensed Professional… 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