- Quality Technology Services, LLC (Irving, TX)
- …supports the delivery of scalable infrastructure solutions by ensuring systems excellence and cross-functional collaboration. The analyst will be responsible ... + Ensure data integrity, consistency, and accuracy across all PLM-related systems . + Implement and optimize tools and processes that promote cross-functional… more
- HCA Healthcare (San Antonio, TX)
- …Dispute Resolution Inventory + Maintains inventory status of Denial Escalation claim reviews and prepares monthly reporting + Manually validates expected ... reimbursement on inventory using available contracts and claims billed + Assists with field communication, providing updates, and resolving issues + Assists with… more
- The City of Houston (Houston, TX)
- …medical illness, both on and off duty, and associated with Workers' Compensation Claims . Collect and compile work status information for preparation of the weekly ... and maintain a Workers' Compensation file folder for each claim of injury reported to the Third Party Administrator....Compile and maintain data + Use a professional tracking system + Create and maintain varying reports + Support… more
- The Walsh Group (Irving, TX)
- …scenarios and develops contingency plans. + Acts as an experienced resource for claims and mitigations. + Produces complex modeling and ensures scheduling system ... paths, float trending, percent complete, float ownership, and constraints + Claim experience required + Time impact analysis experience required + Significant… more
- HCA Healthcare (Houston, TX)
- …coverage;** + You will work with defense legal counsel to coordinate claim investigations; Process claims against the facility, including the preparation ... delivers stronger, smarter and more accessible care to women than any other medical system across the Houston area. HCA Healthcare has been recognized as one of the… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …including governmental and private payors; accreditation-related issues; false claims ; tax; anti-trust; tissue or organ transplantation; collections; risk ... management of potentially compensable events and malpractice or negligence claims ). + Ensure all aspects of the University's medical,...the University, the Office of General Counsel at UT System , and the Attorney General or other outside counsel.… more
- Catholic Health Initiatives (Houston, TX)
- …requirements. Reports are produced for Revenue Cycle functions such claims submission, insurance follow‐up, cash management, credits/refunds, charge/payment posting, ... leaders and Information Technology (IT), facilitating technology/tools enhancements and system maintenance/modification; and 4) providing training/guidance to other Revenue… more
- Elevance Health (Grand Prairie, TX)
- …with ICD-9/10CM, MS-DRG and APR-DRG. + Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, ... role plays a critical part in identifying coding discrepancies and recoverable claim opportunities, and supporting regulatory integrity on behalf of the company and… more
- CVS Health (Austin, TX)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost ... + Acts as a subject matter expert on Quality Specialist workflows, policies, systems requirements, and enhancements as well as daily operations and programs to… more
- WestRock Company (Houston, TX)
- …plant and provide monthly reports to Management * Manage Workers Compensation claims , working on recommendations for claim settlements, medical treatments and ... & Safety best practices * Manage, research and recommend safety programs, policies and systems * Establish a series of effective Health & Safety KPI\u2019s for the… more