- Caris Life Sciences (Irving, TX)
- …Receivable Associate is responsible for reviewing outstanding denied claims with Medicare , Medicaid and Commercial insurance companies. This role involves ... with insurance companies to resolve claims disputes. + Identifying and resolving billing errors and implementing processes to prevent future issues. + Identifying… more
- Humana (Austin, TX)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... investigations of reported, alleged or suspected fraud involving Florida's Medicaid Program. The Fraud and Waste Professional 2 coordinates investigation… more
- Humana (Austin, TX)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... Intelligence Engineer position will be supporting BI work for our Medicare organizations. **Senior Business Intelligence Engineer** : + Develops and maintains… more
- Walgreens (Dallas, TX)
- …billing and submission of claims to government- sponsored health care programs, including Medicare , Medicaid , and all other third-party payers, as well as the ... bodies and contracts with payers and pharmaceutical manufacturers (BOP, DEA, Medicare , accreditation bodies, compounding, FDA, etc.). + Complies with all federal… more
- Cognizant (Austin, TX)
- …Director based on the review of clinical documentation in accordance with Medicare , Medicaid , and third-party guidelines. . Effectively document and log ... to referral, preauthorization, medical necessity, non-covered services, investigational/experimental and billing resulting in denials and/or delays in payment. .… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …while ensuring compliance with any relevant rules or regulations (including HIPAA, Medicaid , Medicare , and specific 3rd Party Payors) + Collaborate ... Coding Auditor Manager + Participate in the development of coding and billing strategies, evaluating processes related to Revenue Cycle andmaking recommendations… more
- Gentiva (Waco, TX)
- …of palliative medicine principles, home health, hospice care eligibility, and Medicare / Medicaid regulations. + Familiarity with the interdisciplinary care ... in Family or Adult Medicine preferred. + Experience with Part B billing . + Ability to work autonomously in an advanced practice role.… more
- CVS Health (Austin, TX)
- …experience in West coast region states a plus - Experience in commercial, Medicare and Medicaid lines of business ideal **Education** Bachelor's Degree or ... equivalent combination of education and experience **Pay Range** The typical pay range for this role is: $67,900.00 - $199,144.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which… more
- J&J Family of Companies (Fort Worth, TX)
- …pre-authorization, billing , coding, claims, and appeals/grievances); practice management; Medicare and Medicaid rules and regulations; OSHA; HIPAA; and ... state-specific clinical staff licensing / certification requirements for product compounding, admixture, administration and monitoring. Required Qualifications: + A minimum of a bachelor's degree + A valid driver's license issued in one (1) of the fifty (50)… more
- Highmark Health (Austin, TX)
- …duties as specified. + Identify and report improper coordination of benefit billing practices through paid clams review. + Participate as pharmacy representative in ... formulary terminology + Pharmacy technicians must be familiar with multiple Medicaid drug benefit design offerings and rules/regulations across multiple states. They… more