- Rush Enterprises (New Braunfels, TX)
- …as individual claims required. + Perform regular audits of individual claim files and review workers' compensation claims . + Efficiently manage caseload ... The Senior Risk and Insurance Analyst - Workers' Compensation serves as the central...services. Responsibilities + Oversee and manage complex workers compensation claim process, including reporting, medical coordination, lost time and… more
- Molina Healthcare (Fort Worth, TX)
- …Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
- CVS Health (Austin, TX)
- …Strong basic math, communication, analytical, critical-thinking, and problem-solving skills. ** Preferred Qualifications** + Claims processing experience. + ... with heart, each and every day. **Position Summary** The Dispute Repricing Analyst will be responsible for the accurate analysis and resolution of provider… more
- Highmark Health (Austin, TX)
- …resolution of issues related to benefit interpretations, customer service inquiries, claims adjudication, benefits issues, membership and billing activity, etc. This ... relationships with key internal areas, such as Customer Service Operations ( Claims , Dental Benefits, Customer Service, Membership & Billing), Provider Data… more
- Elevance Health (Houston, TX)
- …invoices. + Performs claim and trend analysis, validation and recovery of claims payment errors. **Minimum Requirements:** + Requires a BA/BS and a minimum of ... **Recovery Audit Analyst I** **Location:** _Hybrid1:_ This role requires associates...is responsible for auditing and facilitating the recovery of claims overpayments as identified by our business partners. Responsible… more
- Lyric (Austin, TX)
- …support are not available for this position. **Job Summary:** The Clinical Data Analyst - Staff plays a pivotal role in advancing our products and services ... business operations leaders to develop reporting and analyze large-scale healthcare claims and clinical datasets. By leveraging advanced coding, analytic reporting,… more
- Baylor Scott & White Health (Temple, TX)
- …HCPCS), and payer systems. + Excellent documentation and communication skills. ** Preferred Skills:** + Experience with **Medicaid/Medicare** claims processing. + ... :** We are seeking a detail-oriented and experienced **System Analyst 2** to join our team. The ideal candidate...ensuring the accuracy of EDI transactions related to healthcare claims . This role involves working closely with developers, business… more
- Sedgwick (Dallas, TX)
- …Fortune Best Workplaces in Financial Services & Insurance SAP FICO Systems Analyst **PRIMARY PURPOSE** : To design and maintain robust, scalable software ... + Ensures software scalability and data integrity throughout all claims -related applications. + Ensures software compatibility and alignment with overall… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and third-party ... potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to provide feedback regarding documentation and… more
- International (San Antonio, TX)
- …sustainable transport solutions. International is looking for an Sr. MES SCADA Analyst to support our Digital Transformation Journey. Supervisory Control and Data ... focusing on delivering high-quality solutions* Relies on evidence to back claims and maintains high standards* Thinks independently, makes clear decisions, and… more