- Conduent (Dallas, TX)
- …be part of a culture where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?** **Would you like ... behalf of our healthcare payer clients. As a Pharmacy Claims Auditor CPhT, you will examine a...claim data. This is to ensure billed pharmacy claims are being accurately submitted. You will also be… more
- Elevance Health (Grand Prairie, TX)
- **Clinical Provider Auditor II** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, while providing ... flexibility to support productivity and work-life balance. This approach combines structured...eliminate and prevent unnecessary medical-expense spending. The Clinical Provider Auditor II is responsible for identifying issues and/or entities… more
- Elevance Health (Grand Prairie, TX)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days per ... week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office… more
- Wells Fargo (Irving, TX)
- **About this role:** Wells Fargo is seeking an Innovation and Analytics Auditor , AVP as part of our Chief Operating Office (COO) / Shared Services Operations (SSO) ... properties, corporate security), enterprise complaints and remediation, fraud and claims management, control executive, regulatory & policy affairs, and strategic… more
- Humana (Austin, TX)
- …standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental ... cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must… more
- UIC Government Services and the Bowhead Family of Companies (Plano, TX)
- …a Quality Assurance Manager in a manufacturing setting + A Certified Aerospace Auditor certification is preferred + Qualified candidates must be an ASQ Certified ... Manager of Quality/OE, Certified Quality Auditor or a Certified Quality Inspector + Experience with...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …Clerk/Coder to assign procedure, and diagnosis codes for insurance billing, review claims data, research, and correspond with insurance companies to obtain accurate ... reimbursement for healthcare claims . This person will also be responsible for analyzing,...covers the duties of receptionist. + Provides backup clerical support to various departments. + Researches, prioritizes, and follows… more
- Houston Methodist (Houston, TX)
- …is captured accurately. + Performs/Leads performance improvement activities that support operational efficiencies, data integrity and service quality including ... training program budget. + Where applicable assists with pre-billed claim edits to ensure complaint coding, charting and billing....for best practices. + Strives to improve and enhance support to the Hospital and System and seeks opportunities… more