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Medicare Jobs in Houston

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Search Results - Medicare Jobs in Houston
GoHealth-Houston
as a trusted expert on all things Medicare insurance-related and have access to the nation's best carriers (Humana, Anthem, UnitedHealthcare & more!). Your goal will be to match customers with an insurance plan that fits their needs and budget. GoHealth has...
Centene Medicare-Houston
to be considered. Responsibilities:  •  Meets or exceeds assigned annual sales goals and penetration of the Medicare book of business.  •  Participates in product training with Sales Management for Health Plan's commercial sales segments.  •  Assists with supporting...
SimiTree Talent Solutions-Houston
for their Hospice location in the Houston, TX area. A Registered Nurse is required. Medicare Hospice management experience is a must. This person will lead an interdisciplinary clinical team and help manage the budget. Relocation candidates are welcome to apply...
resume-library.com -
Yashco Systems-Houston
position in Healthcare Insurance Remote Manage medium-scale or low to medium to high complexity projects within programs and standalone projects Exp needed with insurance - medicare/ medicad Make sure they've used ALM (ADO), SNOW Medicare...
Community Health Choice-Houston
regardless of pre-existing conditions.  •  Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug...
mindmatch.ai -
Christus Health-Houston
and provider complaints, and reconsideration and redetermination requests  •  Review and respond to complaints, grievances and appeals within the stated time frame for each request  •  Ensure 95% compliance with the Center for Medicare and Medicaid Services (CMS)...
VillageMD-Houston
or be eligible for licensure  •  Active Drug Enforcement Agency (DEA) registration or be eligible for registration  •  Must possess active Medicare/Medicaid Enrollment or be eligible to enroll  •  Certified in Basic Life Support (BLS) or Advanced Cardiac Life Support...
Christus Health-Houston
Review medical documentation for adherence to Medicare guidelines relating to inpatient services (or other Medicare issues) and draft appropriate appeal letters based upon professional clinical opinion as to the medical necessity of the services provided...
US Tech Solutions, Inc.-Houston
and reduce the claims payment error rate. The error rate is a factor in awarding and renewing Medicare/other contracts. Provides clinical expertise, research, and judgment to develop Local Coverage Determinations (LCDS) under the direction of medical...
resume-library.com -
Supplemental Health Care-Houston
territory of coverage  •  Weekly expectation is 30 units of productivity  •  Home Health contracts with SHC require previous experience with OASIS/Medicare Certified Visits We know that at-home healthcare is a very different environment and requires specialized...
Hendershot Cowart P.C.-Houston
court appearances for hearings and trials ● Participating in administrative hearings before OSHA, Texas Medical Board, Centers for Medicare Services and other state and federal agencies ● Attending depositions ● Conducting administrative hearings...
mindmatch.ai -
HarmonyCares-Houston
process per Medicare Criteria, policy and procedure  •  Attend staff meetings, team conferences and educational in-services as required  •  Perform these and all other duties as assigned by the Administrator  •  Be responsible to ensure the use of the 4Ms (What...
VC5 Consulting-Houston
Three years of experience in benefit plan configuration, claim adjudication, and provider maintenance.  •  Strong knowledge of Medicare and Medicaid claims processing guidelines.  •  Experience with adjudication processes, analyzing benefit plan design...
mindmatch.ai -
Kelsey-Seybold-Houston
Seybold partners with major insurers to offer value-based commercial health plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with Kelsey-Seybold Clinic, has achieved the coveted 5-out-of-5-star...
appcast.io -
Christus Health-Houston
Review medical documentation for adherence to Medicare guidelines relating to inpatient services (or other Medicare issues) and draft appropriate appeal letters based upon professional clinical opinion as to the medical necessity of the services provided...
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