• AdaptHealth LLC (San Antonio, TX)
    …click to apply, we would love to hear from you. Customer Service Specialist Customer Service Specialists are responsible for learning and understanding the entire ... Insurance Guidelines, Fee Schedules, NPI (National Provider Identifier), PECOS (the Medicare Provider Enrollment, Chain, and Ownership System) and "How-To" documents… more
    Upward (07/14/25)
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  • Pyramid Consulting, Inc. (Houston, TX)
    Immediate need for a talented Authorization Specialist . This is a 12+months contract opportunity with long-term potential and is located in TX (Remote) . Please ... documentation, etc. Processing for teams including Concurrent Review, Behavioral Health, and Medicare , etc. - department is open 7 days/week because of this level… more
    Upward (07/18/25)
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  • Heart to Heart Hospice (Plano, TX)
    Payroll Specialist Must be on site - Not Hybrid or Remote What You Must Have: High school diploma or its equivalent required; Minimum of three years experience in ... and is flexible to meet the needs of the department Follows all Medicare , Medicaid, HIPAA, and Private Insurance regulations and requirements Abides by all… more
    Upward (07/18/25)
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  • Regency Integrated Health Services (Cuero, TX)
    …accurate and timely completion of resident assessments in accordance with Medicare , Medicaid, OBRA and other payer program requirements. Ensures assessments ... the referral source(s). Ensures accurate and timely completion of all Medicare /Medicaid case-mix documents to assure appropriate reimbursement for services provided… more
    Upward (07/13/25)
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  • Medicare Specialist

    HCA Healthcare (San Antonio, TX)
    …of each individual is recognized. Submit your application for the opportunity below: Medicare Specialist Parallon **Benefits** Parallon, offers a total rewards ... **_Note: Eligibility for benefits may vary by location._** We are seeking a Medicare Specialist for our team to ensure that we continue to provide all patients… more
    HCA Healthcare (07/22/25)
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  • Senior Program Specialist , Medicare

    Molina Healthcare (Austin, TX)
    …the benefits, operations, communication, reporting, and data exchange of the Medicare /MMP product in support of strategic and corporate business objectives. Manage ... for all Medicare lines of business the annual Medicare and Medicare -Medicaid Plan Applications and Plan Benefit Package design, as well as provide… more
    Molina Healthcare (07/02/25)
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  • Specialist , Appeals & Grievances…

    Molina Healthcare (Fort Worth, TX)
    …PST hours** Must be able to rotate weekends and holidays** Must have Medicare Appeals and IRE experience** **Job Summary** Responsible for reviewing and resolving ... with the standards and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research… more
    Molina Healthcare (06/26/25)
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  • Medication Therapy Management (MTM)…

    Prime Therapeutics (Austin, TX)
    …decision we make. **Job Posting Title** Medication Therapy Management (MTM) Specialist - Remote **Job Description** The Senior Medication Therapy Management (MTM) ... Service Specialist will act as a Subject Matter Expert for...meets the specialized needs of the targeted population; for Medicare , is Centers for Medicare & Medicaid… more
    Prime Therapeutics (05/10/25)
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  • Engage Clinical Care Specialist

    Elara Caring (Dallas, TX)
    …at the Right Time, in the Right Place. **Job Description:** **Engage Clinical Care Specialist ** The Engage Clinical Care Specialist is part of the ElaraConnect ... programs that aims to improve patient outcomes on-service. The Engage Clinical Care Specialist supports the PCS Engage and PCS Branches, acting as a liaison for… more
    Elara Caring (07/16/25)
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  • Healthcare Administrative Specialist

    Aveanna Healthcare (Dallas, TX)
    Healthcare Administrative Specialist ApplyRefer a FriendBack Job Details Requisition #: 205019 Location: Dallas, TX 75287 Category: Administrative/Clerical Salary: ... $13.00 - $15.00 per hour Position Details Position: Operations Specialist (Medical Records Specialist ) Join a Company...skills are a PLUS. Note: As an employer receiving Medicare and Medicaid funds, Aveanna employees must comply with… more
    Aveanna Healthcare (07/02/25)
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