- Prime Therapeutics (Austin, TX)
- …Evaluates the utilization and financial experience of customers and prospects + Performs claims re-pricing analyses of moderately complex external claims data + ... Maintains appropriate documentation and provides reports as needed, including documenting all pricing decisions + Participates in development of methodologies, models, reports and strategies to support objectives of the position + Other duties as assigned… more
- Houston Methodist (Katy, TX)
- …**FINANCE ESSENTIAL FUNCTIONS** + Follows up on assigned delinquent insurance claims . Ensures maximization of collection dollars from insurance companies in ... and application of positive language principles + Extensive knowledge of claims reimbursement and collection efforts for Managed Care, Medicare, Medicaid, Workers… more
- Mass Markets (Killeen, TX)
- …to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, and procedures ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Daisy Brand (Dallas, TX)
- …risks and mitigation strategies. + Insurance Management:Managing insurance procurement, claims , and relationships with insurance providers. + Legal Liaison:Act as ... secrets. + Crisis Management:Lead legal response to product recalls, contamination claims , or other crises, coordinating with regulatory bodies and external counsel… more
- BrightSpring Health Services (Denton, TX)
- …personnel costs, consultant services + Monitors worker's compensation and unemployment claims for assigned service site(s). Is proactive in efforts to reduce ... claims and minimize risk/exposure of agency in these areas + Other duties as assigned Qualifications + BA/BS in Business, Health Care Administration, or Social… more
- UIC Government Services and the Bowhead Family of Companies (Corpus Christi, TX)
- …and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual ... based on the provisions contained within The Alaska Native Claims Settlement Act. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. All… more
- Humana (Austin, TX)
- …MAAA + 2+ years of actuarial experience in health insurance and/or medical claims analytics + Proficiency in data analysis and one or more statistical programming ... Qualifications** + Strong communication skills + Strong working knowledge of healthcare claims as it relates to trend analytics, total cost of care management,… more
- Molina Healthcare (Fort Worth, TX)
- …responsible for the holistic management of the external vendor relationships for Claims and Enrollment activities (along with other Core Ops areas of ... and benefit realization + Demonstrates deep understanding of Core Operations, Claims and Enrollment processes, deliverables, vendor partners and technology platforms… more
- Mass Markets (Killeen, TX)
- …to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, and procedures ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- HCA Healthcare (Houston, TX)
- …or billing errors from EOBs and work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims + You will update the ... patient account record to identify actions taken + You will assign bad debt to the collection agency + You will act as a liaison accounts and administer contracts in collection of third party accounts (Medicare and Medicaid) + You will complete account… more