- Kelsey-Seybold Clinic (TX)
- …to administrative issues related to health plan operations including claims resolution, premium billing, medical benefit interpretation, organization and coverage ... Medicare beneficiary protections and Medicare coverage rules. MSR II-KSPA will support KelseyCare Advantage chat conversations and make outbound calls to assist… more
- Utilities Service, LLC (Longview, TX)
- …the crew. + May be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims . + Maintains accurate records, ... employees. " **Benefits** We offer a competitive range of benefits to support our employees' health, well-being, and financial security. Medical, dental, and vision… more
- 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 + ... + Participates in development of methodologies, models, reports and strategies to support objectives of the position + Other duties as assigned **Minimum… more
- Southland Industries (Houston, TX)
- …record of industrial equipment training. + Report and manage all company vehicle claims . + Assist in reporting workers compensation claims . + Update Material ... ability to be resourceful and resilient + Able to solve problems with limited support + Quick learner, seeks answers on their own + Positive attitude during… more
- Robert Half Finance & Accounting (Dallas, TX)
- …Lead and manage the revenue cycle processes, including patient registration, claims processing, coding, billing, and collections. * Develop and implement strategies ... recommendations to leadership. * Ensure timely and accurate submission of claims and effective follow-up on outstanding receivables. * Maintain compliance with… more
- Evolent (Austin, TX)
- …leveraging advanced analytics to solve complex healthcare challenges and support impactful decision-making that enhances organizational performance and patient ... + Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns,… more
- Robert Half Finance & Accounting (Houston, TX)
- …strategies and policies. Oversee insurance programs, including policy renewals, claims management, and coverage analysis. Collaborate with fleet managers to ... drive participation in OSHA certification efforts. Manage workers' compensation claims and program administration. Compile, analyze, and deliver comprehensive risk… more
- Evolent (Austin, TX)
- …and develops analytic tools to solve complex business challenges as well as support decision making that can have a considerable impact on organizational performance ... public health, biology) + At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider, vendor, managed care, or related… more
- US LawShield (Houston, TX)
- …similar platforms. + Conduct in-depth analyses of member engagement, retention, claims , and operational performance to identify trends, risks, and opportunities. + ... and alignment with internal data governance policies. + Mentor and support junior analysts, sharing best practices in data analysis, visualization, and… more
- Methodist Health System (Dallas, TX)
- …physicians and office staffs. * Must demonstrate understanding of medical claims billing and coding practices. * Ability to analyze problems/issues/questions and ... physicians and office personnel on the health plan contracts, fee schedules, claims processes, and regulatory requirements. * Serves as liaison between MHS… more