• Specialist , Quality Interventions/QI…

    Molina Healthcare (Dallas, TX)
    … Education** Preferred field: Clinical Quality, Public Health or Healthcare. ** Preferred Experience** 1 year of experience in Medicare and in Medicaid. ... accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Quality Interventions/ QI Compliance contributes to one or… more
    Molina Healthcare (11/21/25)
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  • Specialist , Appeals & Grievances - Remote…

    Molina Healthcare (Dallas, TX)
    …in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). M-F from 8am - 4:30pm EST will require ... (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines… more
    Molina Healthcare (11/23/25)
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  • Specialist , Appeals & Grievances

    Molina Healthcare (Houston, TX)
    …Act** cases in accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for the ... (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines… more
    Molina Healthcare (11/21/25)
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  • Admissions Specialist I - Days

    Texas Health Resources (Fort Worth, TX)
    Admissions Specialist I _Bring your passion to Texas Health So We Are Better + Together_ Work Location: Texas Health Alliance, 10864 Texas Health Trail, Fort Worth, ... Customer Service experience required. * 2 Years Professional office/healthcare experience preferred . Licenses and Certifications * CHAA - Certified Healthcare Access… more
    Texas Health Resources (11/21/25)
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  • Research & Resolution Specialist

    Aveanna Healthcare (Dallas, TX)
    Research & Resolution Specialist ApplyRefer a FriendBack Job Details Requisition #: 208950 Location: Dallas, TX 75254 Category: Medical Billing/Collections Salary: ... and the internet * Experience with Kantime Preferences * Undergraduate Degree Preferred * Customer service experience Preferred Other Skills/Abilities * Must… more
    Aveanna Healthcare (11/08/25)
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  • Admissions Specialist I

    Texas Health Resources (Denton, TX)
    Admissions Specialist I _Bring your passion to Texas Health So We Are Better + Together_ Work Location: Texas Health Denton, 3000 N Interstate 35, Denton, TX 76201 ... Customer Service experience required. * 2 Years Professional office/healthcare experience preferred . Licenses and Certifications * CHAA - Certified Healthcare Access… more
    Texas Health Resources (10/28/25)
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  • Admissions Specialist I - ED - PRN

    Texas Health Resources (Bedford, TX)
    **Admissions Specialist I** _Bring your passion to Texas Health so we are Better + Together_ **Work Location:** Texas Health HEB, 1600 Hospital Pkwy, Bedford, TX ... Customer Service experience required. * 2 Years Professional office/healthcare experience preferred . Licenses and Certifications * CHAA - Certified Healthcare Access… more
    Texas Health Resources (10/26/25)
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  • Admissions Specialist I - PRN

    Texas Health Resources (Denton, TX)
    Admissions Specialist I _Bring your passion to Texas Health So We Are Better + Together_ **Work Location:** Texas Health Denton, 3000 N Interstate 35, Denton, TX ... Service experience required. . 2 Years Professional office/healthcare experience preferred . **Licenses and Certifications** . CHAA - Certified Healthcare Access… more
    Texas Health Resources (10/16/25)
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  • Coding Specialist

    Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
    …commensurate upon the qualifications **Pay Basis:** Hourly **Work Location:** El Paso ** Preferred Qualifications:** + Extensive knowledge of HIPAA, Medicare and ... **43114BR** **Extended Job Title:** Coding Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Review medical record provider… more
    Texas Tech University Health Sciences Center - El Paso (11/26/25)
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  • Insurance Authorization Specialist

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Insurance Authorization Specialist position is responsible for obtaining and managing insurance authorizations for medical services and ... service focus and application of positive language principles + Knowledge of Medicare , Medicaid, and managed care reimbursement methodologies + Ability to manage… more
    Houston Methodist (11/06/25)
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