- 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
- 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
- HCA Healthcare (Austin, TX)
- …data sets including, electronic health records, Medicare claims , or other health care claims data sets preferred . + SAS, R, SPSS or Tableau experience is ... for both the department and for assigned projects + Perform data analyst functions that generate knowledge via data mining, visualization, or other analytics.… more
- Omnicell (Fort Worth, TX)
- **Reconciliation Lead** The Lead Reconciliation Analyst leads the team that provides reconciliation services to FDS Amplicare customers and oversees the customer ... forms and documentation. . Communicate any issues that may arise, including claims disputes. . Oversee development and communication of customer reports. . Partner… more
- HCA Healthcare (Mckinney, TX)
- …Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, ... Summary and Qualifications** Billing Specialist PHY GENERAL SUMMARY OF DUTIES: Processes claims electronically to insurance carriers. Mails claims to carriers… more
- Kelly Services (Austin, TX)
- …Schedule 3 days in office/ 2 days WFH** **Job Summary:** The Complaint Intake Analyst I works to support PMQA through providing the initial triaging of complaints ... events + Decides whether a replacement, credit, or warranty claim is warranted, and will notify the appropriate stakeholders....required. + College or a 2-year associate degree is preferred + A minimum of 1-2 years' experience within… more
- Kemper (Dallas, TX)
- …of the NICB Basic and/or Analytics Academies are desirable. + Certified Insurance Fraud Analyst (CIFA), Fraud Claims Law Specialist (FCLS) or Fraud Claims ... College Degree or equivalent work experience * Three years of insurance claims experience or related fraud analytics background. **Position Requirements:** + Strong… more
- Highmark Health (Austin, TX)
- …work closely with the section's Accountant, Accounting Coordinators, Associate Analyst , providing, guidance, feedback, training, motivation, and support. This team ... for non-payment, Completing write-offs as appropriate, Coordinating AR issues affecting claims or inquiry processing with Membership and Billing personnel.Lead or… more
- Ryder System (Frisco, TX)
- …transportation needs. We are seeking a highly organized and service-oriented Transportation Analyst to join our onsite team, focused on managing returns and OS&D ... and supporting documentation. + Track and follow up on open returns and claims ; escalate issues when appropriate. + Maintain detailed records of all return and… more