- Molina Healthcare (TX)
- …+ SQL expertise + Excel expertise + Medicare, Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting ... and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made… more
- Medical Center Hospital (Odessa, TX)
- …and manage patient accounts. Subm i ts cla i ms and follows up with i nsurance carriers on unpaid or rejected claims . Assists with grant billing and follow up. ... Works with multiple computer software programs (hospital existing patient accounting system, electronic health record system, and billing systems), including word processing and spreadsheets. Collect and enter cla imi nformation. Post i nsurance and pat i ent… more
- OneMain Financial (Fort Worth, TX)
- …structure, role definition and system enhancements. + Process State Disability Claims as necessary. + Participates/drives special projects or assignments as needed. ... **Requirements** + 3-5 years of experience in US disability/leave administration and ADA accommodation or previous experience in an HR generalist or employee relations role. + HS Diploma or GED Equivalent + Previous management or lead experience a plus. + Deep… more
- Highmark Health (Austin, TX)
- …5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project leadership ... in a complex, matrixed environment (payer and/or provider preferred) + 3 years of providing analytical consultation to clinical, administrative, operational and financial stakeholders **Preferred** + None **LICENSES or CERTIFICATIONS** **Required** + None… more
- Air Education and Training Command (Lackland AFB, TX)
- …an education requirement. You MUST provide transcripts to support your educational claims . Education must be accredited by an accrediting institution recognized by ... the US Department of Education. http://www2.ed.gov/admins/finaid/accred/index.htmlPlease submit copies of all transcripts, to include transferred hours-official copies are not required at time of application. If selected, you will be required to provide… more
- AIG (Dallas, TX)
- …client-specific exposures and align with underwriting intent. + Work with Underwriting, Claims and Legal in drafting new policy forms and endorsements. + Support ... the Global Property Wording Manager in maintaining and updating manuscript policy checklists to ensure that policy reviews match AIG's underwriting intent. + Develop training to help underwriters better understand the importance of policy wording. + Contribute… more
- Molina Healthcare (Dallas, TX)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** +… more
- Molina Healthcare (Fort Worth, TX)
- …and financial outcomes for all PI solutions. + Leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis and financial performance ... a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- Acosta Group (Lewisville, TX)
- …high-severity Workers' Compensation and liability claims . Supervise the Sr. Risk Claims Analyst and ensure alignment with best practices. + Vendor and ... The Director will manage a team including the Sr. Risk Claims Analysts and collaborate closely with internal stakeholders, third-party administrators, brokers,… more
- Methodist Health System (Dallas, TX)
- …receivable management system including but not limited to billing, claim corrections, reconciliation, payment posting, refunds/credit balances, customer service, and ... depending upon assigned role may be responsible for reviewing claim information to ensure accuracy and provide feedback to...Diploma with (4) four years as an Account Receivable analyst in a Hospital setting. * Professional Certification through… more