- Highmark Health (Austin, TX)
- …the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the ... of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review of medical documentation,… more
- Sedgwick (Houston, TX)
- …a wide range of customer needs, including: + General policy support + Billing inquiries + New business quoting and onboarding + Underwriting clarification + Vehicle ... resolution + Knowledge of insurance industry fundamentals + Understanding of insurance billing and policy administration + Excellent oral and written communication +… more
- Sedgwick (Houston, TX)
- …a wide range of customer needs, including: + General policy support + Billing inquiries + New business quoting and onboarding + Underwriting clarification + Vehicle ... resolution + Knowledge of insurance industry fundamentals + Understanding of insurance billing and policy administration + Excellent oral and written communication +… more
- Molina Healthcare (Houston, TX)
- …decision-making. * Mines and manages information from large data sources. * Analyzes claims and other data sources to identify early signs of trends or other ... of provider reimbursement changes * Provides data driven analytics to finance, claims , medical management, network, and other departments to enable critical decision… more
- Molina Healthcare (Austin, TX)
- …executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical decision… more
- Sedgwick (Houston, TX)
- …or university preferred. **Experience** Four (4) years of experience in claims processing or related business experience, or equivalent combination of education ... industry experience preferred. **Skills & Knowledge** + Working knowledge of billing and reconciliation systems, claim systems, financial services, and insurance… more
- Robert Half Finance & Accounting (Fort Worth, TX)
- …skills to ensure the accurate and timely management of insurance claims . The successful candidate will collaborate with insurance providers, patients, and ... regulations and industry standards. * Work closely with the billing department to accurately process payments and insurance remittances....* Resolve issues related to denied or underpaid insurance claims in a prompt and efficient manner. * Stay… more
- Norstella (Austin, TX)
- …4+ years of professional experience working hands on with RWD (eg, open/closed claims , APLD, lab, EMR/EHR, hospital chargemaster, billing codes, etc.) * Advanced ... unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be...* Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, to uncover actionable… more
- Norstella (Austin, TX)
- …years of professional experience working hands on with RWD (eg, open/closed claims , APLD, lab, EMR/EHR, hospital chargemaster, billing codes, etc.) ... Norstella's unified Real World Data asset, a combination of claims , lab, SDOH and EMR data. You will be...analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), and other… more
- Walgreens (Houston, TX)
- …technology knowledge of pharmacy systems including workflow, prescription fulfillment, billing , clinical documentation, training, inventory management, and point of ... technology. Finds opportunities to improve productivity + Ensures insurance claims are processed accurately to prevent payment rejections. Resolves patient… more