- CenterWell (Corpus Christi, TX)
- …two to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... environment in a value-based relationship environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality...+ Minimal Call + Comprehensive benefit package - _health insurance is effective on your first day of employment_… more
- Option Care Health (Houston, TX)
- …is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as the alternate ... Director of Nursing of the Home Health Agency for Medicare certified home health agencies in the absence of...vehicle, a valid driver's license and a proof of insurance would be required. + Experience applying knowledge of… more
- Sedgwick (Austin, TX)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims ... Injury General Liability Claims Examiner** working within **commercial (** **captive) insurance program(s)** ? Are you skilled in **coverage determination** ,… more
- Cardinal Health (Austin, TX)
- …with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and ... timely access to necessary services + Assist in obtaining insurance , prior authorization, and appeal requirements and outcomes + Help patients understand their … more
- Sedgwick (Austin, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claim Examiner - Liability **PRIMARY PURPOSE** : To analyze complex or technically ... limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests… more
- US Tech Solutions (San Antonio, TX)
- …calls. You will take inbound calls and answer questions regarding prescription insurance , medication coverage and mail order prescriptions so that our members better ... with the provider and member regarding their prior authorization/ PBM/ Medicare . + Review and process prior authorization requests by collecting necessary… more
- HCA Healthcare (Kingwood, TX)
- …plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving ... assistance, pet insurance and more. + Free counseling services and resources...nursing or acute hospital nursing experience + Familiar with Medicare home health regulations, documentation requirements, ICD-10 coding and… more
- Sedgwick (San Antonio, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance General & Product Liability Complex Claim Examiner - Multi-State Preferred - ... limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests… more
- Humana (Austin, TX)
- …fast-paced, dynamic environment and manage multiple priorities effectively. + Medicare experience and or license credentials **Additional Information** **Humana ... paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 11-06-2025 **About us**… more
- Health Care Service Corporation (Richardson, TX)
- …+ Experience in the Agile methodology + Good understanding of Medicare /Medicaid Healthcare data + Demonstrate mentality of building well architected applications ... Experience in Healthcare Claim or Enrollment functions. + Experience supporting Medicare technology platforms \#INCR \#LI-BS1 \#LI-Hybrid **Are you being referred to… more