- WTW (Dallas, TX)
- …the design, financing and ongoing management of the full spectrum of health and benefit programs. You will support the project manager on select projects, ... designation, or health and welfare actuarial / underwriting training encouraged **Company Benefits ** WTW provides a competitive benefit package which includes… more
- Elevance Health (Houston, TX)
- …AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines...of Plan policies and procedures in all facets of benefit programs management with heavy emphasis in negotiation preferred… more
- Bank of America (Addison, TX)
- …**Position Summary:** + Technology architecture and design of the Claims Technology capabilities. + Stability, resiliency, performance, and disaster recovery ... strategy/plans/testing of the Claims platform + Alignment of technology strategy to enterprise...to improve process efficiencies/ Agile enablement etc. for the benefit of the organization + Manage/track team compositions and… more
- Travelers Insurance Company (Austin, TX)
- …Identifies and refers claims with Major Case Unit exposure to the manager . + Performs administrative functions such as expense accounts, time off reporting, etc. ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- Prime Therapeutics (Austin, TX)
- …to elicit, define, and document the requirements for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements and IT ... and serve as subject matter expert and mentor for other members of Claims IT team, including cross-training assigned BSAs on system requirements phase of assigned… more
- Methodist Health System (Dallas, TX)
- …cycle management, with a particular emphasis on addressing and resolving no response claims , rejected or denied claims , and managing correspondence. This role ... medical billing, or medical reimbursement Proven experience in managing no response claims , denied claims , and billing correspondence. Knowledgeable with payors;… more
- HCA Healthcare (Mckinney, TX)
- …to support our incredible team members over the course of three years. ** Benefits ** MSO - Comprehensive OB/GYN, offers a total rewards package that supports the ... AirMed medical transportation. + Additional options for dental and vision benefits , life and disability coverage, flexible spending accounts, supplemental health… more
- Elevance Health (Houston, TX)
- …Specialist Lead** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to ... cash receipts, cash application, claims audits, collections, overpayment vendor validation, and ...agreement), medical, dental, vision, short and long term disability benefits , 401(k) +match, stock purchase plan, life insurance, wellness… more
- Molina Healthcare (San Antonio, TX)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
- Molina Healthcare (Dallas, TX)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... system requirements of customers as it pertains to contracting, benefits , prior authorizations, fee schedules, and other business requirements.… more