- CenterWell (Austin, TX)
- …experience in a medical management review organization, such as Medicare Advantage,managedMedicaid, or Commercial health insurance . + Experience ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- BrightSpring Health Services (Irving, TX)
- …in the healthcare market* 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
- BrightSpring Health Services (San Antonio, 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 ... things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities… more
- Merck (Austin, TX)
- …operations, project management, or reimbursement support * Strong knowledge of health insurance structures ( Medicare Part B, Medicaid, commercial) and related ... Available benefits include medical, dental, vision healthcare and other insurance benefits (for employee and family), retirement benefits, including 401(k),… more
- Apex Health Solutions (Houston, TX)
- …leadership role. Health plan or managed care industry experience preferred (eg, Medicare Advantage, Medicaid, or commercial insurance ). Strong understanding of ... to others; uses resources effectively. Deep understanding of healthcare and insurance financial drivers. Problem Solving - Identifies and resolves problems in… 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
- CenterWell (Austin, TX)
- …Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare + Current ... paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-25-2025 **About us**… more