- Elevance Health (Grand Prairie, TX)
- …and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to audit claims ... coding and fee schedule updates. + Trains customer service staff on system issues. + Works with providers contracting staff when new/modified reimbursement contracts… more
- Molina Healthcare (San Antonio, TX)
- …but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance for Medical Claim Audit. This role ... maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to regulatory baseline… more
- Citigroup (Irving, TX)
- …knowledge, systems engineering and/or administration, and be familiar with application and product lifecycles. This candidate should be detail oriented with a ... virtual servers + Network architecture + Storage provisioning + x86 Server operating systems + Databases: Oracle, SQL, Mongo, Postgres + **Data Center Experience** :… more
- Molina Healthcare (TX)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations,… more
- Intermountain Health (Austin, TX)
- …Demonstrated experience in role training and educating adult learners in systems and workflow. **Essential Functions** + Monitors team processes and workflows ... efficiency of department processes. + Acts as a Liaison to HIM Ambulatory Systems Analysts team by collaborating on technical issues. Accountable for assisting in… more
- RTX Corporation (Richardson, TX)
- …RTX Corporation is an Aerospace and Defense company that provides advanced systems and services for commercial, military and government customers worldwide. It ... comprises three industry-leading businesses - Collins Aerospace Systems , Pratt & Whitney, and Raytheon. Its 185,000 employees enable the company to operate at the… more
- Health Care Service Corporation (Richardson, TX)
- …+ Knowledge of PREMIER Provider, Payer, or similar credentialing/provider information database systems . Sponsorship will not be provided for this role. Hybrid: Work ... also has been helping to make the health care system work better for all Americans. To remain a...in either using the Careers website or completing the application process, you can call us at ### to… more
- Cardinal Health (Austin, TX)
- …fiscal controls, prepares and interprets financial reports, oversees financial systems and safeguards the organization's assets. Finance Operations is responsible ... core financial processes. This includes pricing administration, rebates, cash application , chargebacks, billing, accounts payable and employee travel & expense.… more
- ASM Research, An Accenture Federal Services Company (Austin, TX)
- …and decisions. + Interprets customer business needs and translate them into application requirements + Uses a requirements management system to document ... at creating Power Point presentations, use case diagrams, data flow diagrams, application mock-ups, and system documentation. + Familiarity with SQL Server… more
- ASM Research, An Accenture Federal Services Company (Austin, TX)
- …observed strengths and improvement opportunities. + Analyzes readership, comprehension and application of communicated actions. + Serves as a resource and escalation ... and staffing needs. + Leads brainstorming sessions to improve call system , communications processes, customer satisfaction, agent processes and agent effectiveness.… more
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