- Intermountain Health (Austin, TX)
- …cycle (Payment Posting, Billing, Follow-Up) required + Knowledge of Medicaid and Medicare billing regulations required + Two (2) years of experience in hospital ... or physician insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections) preferred **Physical Requirements** + Operate computers and other office equipment requiring the ability to move fingers and hands. + Remain sitting or… more
- Molina Healthcare (Dallas, TX)
- …Company's assigned contact to log tickets for premium restoration such as Medicare Secondary Payer and ESRD. **JOB QUALIFICATIONS** **Required Education** HS Diploma ... or GED **Required Experience** 1-3 years' experience in an administrative support. **Preferred Education** Associate degree **Preferred Experience** 3+ years' experience in an administrative support role. To all current Molina employees: If you are interested… more
- Elevance Health (Grand Prairie, TX)
- …+ Assist in mentoring less experienced associates as assigned. + Perform supervisory review of workload involving complex areas of Medicare part A reimbursement ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...all cost based principles. + Prepare and perform supervisory review of cost report reopenings. + Manage caseload of… more
- Molina Healthcare (Dallas, TX)
- …and production of the annual marketing strategy and objectives for Molina Medicare 's portfolio of Medicare products. + Responsible for supporting the ... + Developing, implementing, improving, and maintaining Marketing Operations for Molina Medicare . + Directing and analyzing Market Research Activities for Molina … more
- Texas Health Resources (Arlington, TX)
- …+ Manges outside consulting relationships including but not limited to the review and preparation on of Medicare /Medicaid cost reports, regulation appeals, ... other programs. + Oversees or supports departments and entities with various Medicare and Medicaid Supplemental Payment and incentive programs including but not… more
- Elevance Health (Grand Prairie, TX)
- …member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services ... programs. The **Audit and Reimbursement III** will support our Medicare Administrative Contract (MAC) with the federal government (The...directed by management. + Participates in special projects and review of work done by auditors as assigned. +… more
- Molina Healthcare (Houston, TX)
- …with the standards and requirements established by the Centers for Medicare and Medicaid **Knowledge/Skills/Abilities** * Leads, organizes, and directs the ... to members or authorized representatives in accordance with Centers for Medicare and Medicaid standards/requirements. * Provides direct oversight, monitoring and… more
- Centene Corporation (Austin, TX)
- …workplace flexibility. **Position Purpose:** Responsible for development and production of Medicare regulatory required materials to ensure compliance with State and ... regulations and alignment with administrative policies. Position supports CNC Medicare Solutions portfolio nationwide with pre-sale and member enrollment materials.… more
- Elevance Health (Denison, TX)
- …member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services ... federal health programs. The **Audit and Reimbursement II** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for … more
- Catholic Health Initiatives (Houston, TX)
- …Skills, Abilities and Training: * Comprehensive knowledge of utilization management, Medicare , Medicaid, and commercial admission and review requirements. * ... In-depth knowledge of utilization management processes and best practices. * Strong managerial and decision-making skills. * Excellent communication skills and the ability to work collaboratively. * Proficient in healthcare IT systems relevant to utilization… more
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