- Molina Healthcare (Fort Worth, TX)
- …to determine if providers have sanctions/exclusions. * Reviews and processes daily alerts for Medicare Opt-Out reports to determine if any provider has opted out of ... Medicare . * Reviews and processes daily NPDB Continuous Query...systems. * Experience with professional written and verbal communication. ** Preferred Experience:** Experience in the health care industry To… more
- Sysco (Houston, TX)
- …competition **Education Required:** + High School Diploma or GED **Education Preferred :** + Bachelor's degree in a related field (Nutrition, hospitality management ... or supplier sales experience, and/or healthcare management experience **Licenses/Certification Preferred :** + Registered Dietitian License, Certified Dietary Manager (CDM),… more
- Molina Healthcare (TX)
- …Directory (including ongoing execution, QA and maintenance of supporting tables), Medicare Provider Directory preparation, and FQHC/RHC reports. + Generates other ... codes, etc. + Access and Excel - intermediate skill level (or higher) ** Preferred Education** Bachelor's Degree ** Preferred Experience** + 5+ years managed care… more
- Health Care Service Corporation (Harlingen, TX)
- …+ Ability to travel 20% - 30% of the time in and out of state ** PREFERRED JOB REQUIREMENTS:** + Associate or Bachelor's degree + CRC + Experience in health insurance ... + Previous experience working on Risk Adjustment coding for either Medicare Advantage or Retail Exchange business + Prior experiences teaching/training others… more
- ChenMed (Houston, TX)
- …5 days. + Orders have been approved (when needed). + Schedules patient ( Preferred Providers List of Specialist ) and notifies them of appointment information, ... with Web IVRs and obtaining referrals/authorizations for multiple payers strongly preferred + Healthcare experience within the Medicare Advantage population… more
- ChenMed (Houston, TX)
- …with Web IVRs and obtaining referrals/authorizations for multiple payers strongly preferred + Healthcare experience within the Medicare Advantage population ... any necessary copays for services. Assists with scheduling follow-up and in-house Specialist referral appointments, when necessary. + Escorts patients to exam rooms… more
- Molina Healthcare (Hidalgo, TX)
- Molina Healthcare of Texas is seeking a dynamic Growth & Community Engagement Specialist near the Hidalgo Texas area. Bilingual, Spanish speaking preferred . This ... with community-based organizations and providers to promote Molina's services. The Specialist will collaborate with internal teams (Quality, Provider Relations, … more
- Molina Healthcare (San Antonio, TX)
- …and verbal communication skills including ability to synthesize complex information. ** PREFERRED QUALIFICATIONS:** + Experience with Medicare , Medicaid, and ... Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay… more
- HCA Healthcare (San Antonio, TX)
- …Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, ... regarding deficiencies or OASIS corrections (with feedback from Quality Review Specialist ) to ensure the medical records reflect compliance with medical necessity,… more
- Evolent (Austin, TX)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... (5) years' experience in the practice of Cardiology is preferred + Not under current exclusion or sanction by...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more