• Member Experience Coordinator…

    Kelsey-Seybold Clinic (Pearland, TX)
    …plan document creation and deliverable timelines. **Job Title: Member Experience Coordinator - Medicare ** **Location: Pearland Administrative Office** ... projects as assigned including leading, coordinating, and completing projects related to Member Experience initiatives and plan vendor operations. Uses project… more
    Kelsey-Seybold Clinic (05/14/25)
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  • Remote Member Engagement Coordinator

    BeneLynk (San Antonio, TX)
    …our outreach operations, is in service of this one central vision. REMOTE MEMBER ENGAGEMENT COORDINATOR We are actively seeking experienced and outstanding ... Remote Member Engagement Coordinators who have experience working...role will include making and fielding calls to help Medicare and Medicaid Managed Care Plan Members determine which… more
    BeneLynk (06/03/25)
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  • Investigations Coordinator

    Highmark Health (Austin, TX)
    …will monitor internal referrals from sources such as claims, customer service, Medicare C&D Compliance, and Fraud Hotlines; will alert Investigators of the need ... documentation; will prepare necessary correspondence to set and monitor provider and member claim system flags; will work with external vendors to recover confirmed… more
    Highmark Health (06/03/25)
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  • Senior Coordinator , Individualized Care

    Cardinal Health (Austin, TX)
    …specialty pharmaceutical manufacturers have a greater connection to the customer experience and better control of product success. Personalized service and creative ... needs of the patient population or will transfer caller to appropriate team member (when applicable) + Maintain accurate and detailed notations for every interaction… more
    Cardinal Health (06/04/25)
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  • VP, Revenue Cycle

    Fresenius Medical Center (Plano, TX)
    …teams to assure proper direction is obtained. + Assuring compliance with Medicare /Medicaid requirements and regulations by: + Maintaining current knowledge on ... Medicare , Federal, State and local regulations including reimbursement and...Assures training is provides to include; + Front Desk Coordinator , expectations established and controls set. + Nurse Manager,… more
    Fresenius Medical Center (05/02/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (El Paso, TX)
    …and continued stay and discharge criteria. Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan process, and rights ... and responsibilities. + You will act as the coordinator of patient/family/caregiver education. You will promote the participation of the patient/family/caregiver in… more
    HCA Healthcare (05/25/25)
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  • Case Manager RN

    HCA Healthcare (San Antonio, TX)
    **Description** **Introduction** Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with ... and continued stay and discharge criteria. Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan process, and rights… more
    HCA Healthcare (05/28/25)
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  • Case Manager RN

    HCA Healthcare (San Antonio, TX)
    **Description** **Introduction** Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with ... and continued stay and discharge criteria. Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan process, and rights… more
    HCA Healthcare (04/06/25)
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  • Primary Care Physician

    ChenMed (Houston, TX)
    …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... for 2 slots, follow-up patients 1 slot), CGCAHPS (patient experience ), clinical gaps closures, and medical cost measures. Each...of care promoter (medical assistant), care facilitator, and care coordinator for patients able to come to the office.… more
    ChenMed (05/20/25)
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  • Appeals and Grievance Coord

    Baylor Scott & White Health (Temple, TX)
    **JOB SUMMARY** The Appeals and Grievance Coordinator is responsible for intake into the Appeals and Grievances Department, including verbal and written complaints, ... Intakes and processes written and fax referred cases from member and provider appeals and complaints for all lines...as assigned. + Maintains mailing process tracking of the Medicare mailed correspondence. Assures letters are delivered to the… more
    Baylor Scott & White Health (05/06/25)
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