- Methodist Health System (Dallas, TX)
- …or equivalent Six (6) years progressively responsible experience in medical insurance , medical billing, or medical reimbursement Proven experience in managing no ... claims, and billing correspondence. Knowledgeable with payors; Managed Care, Commercial, Medicare , and Medicaid Strong leadership skills with experience in team… more
- AccentCare, Inc. (Houston, TX)
- …experience, preferred. + Knowledge of accepted professional standards and practice, Medicare Conditions of Participation, and federal, state, and local regulatory ... savings accounts + Wellness offerings such as an employee assistance program, pet insurance and access to Calm, a meditation, sleep and relaxation app + Programs… more
- US Anesthesia Partners (Austin, TX)
- …in weekly meetings with vendor partners. + Maintains working knowledge of insurance carriers, keeping up to date and disseminating new policies and procedures. ... skills. + Ability to prioritize work. + In-depth knowledge of Medicare , Medicaid, Workers Compensation guidelines and billing standards. + Revenue Cycle… more
- CVS Health (Austin, TX)
- …a data engineering team that is responsible for processing Claims, Revenue, and Medicare Specific files and data from 30+ payors into our Data Warehouse. ... Kafka). **Preferred Qualifications** + Familiarity with healthcare data and healthcare insurance feeds + Familiarity with Data Analytics and reporting + Familiarity… more
- US Tech Solutions (San Antonio, TX)
- …complex cases to pharmacists or management as needed + Updating knowledge of Medicare Part D / Med D guidelines **Minimum Requirements** + Previous medical ... insurance or pharmacy experience preferred, but not required **Education** + High school diploma or GED (required). **About US Tech Solutions:** US Tech Solutions is… more
- CenterWell (Austin, TX)
- …+ Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years clinical experience ... paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** About CenterWell Pharmacy:… more
- Evolent (Austin, TX)
- …experience + 10+ years leading national oncology programs with deep regulatory expertise in Medicare , Medicaid, and Commercial + 5+ years as a national leader in the ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more
- Aveanna Healthcare (Fresno, TX)
- …by Comparably Why Join Us? + Health, Dental, Vision and Company-Paid Life Insurance + Paid Time Off Available + Flexible scheduling- full-time, part-time, or PRN. ... applicants from diverse backgrounds to apply. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements… more
- Apex Health Solutions (Houston, TX)
- …health care administration and/or managed care experience Strong knowledge of health insurance industry with all product lines ( Medicare , Medicaid, Commercial, ... ASO, DSNP, etc ) Extensive knowledge of claims policies and procedures including regulatory requirements and industry standards from AMA, CMS and CCI edits. Strong computer skills, specifically with Microsoft Office and Windows. A desire to serve others while… more
- Highmark Health (Austin, TX)
- …system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of… more