- Zelis (Plano, TX)
- …team to refine into user stories with acceptance criteria, including creating test cases/ claims with expected pricing outcomes . + Perform analysis of various data ... or a related field + Five+ years of experience in Medicaid billing , reimbursement, claim payment or cost reporting. + Experience with Medicare /Medicare… more
- Sedgwick (Dallas, TX)
- …(furniture, housewares, etc.). + Maintains accurate client ledgers and updates for billing and invoicing. + Oversees all aspects of the move-out process: Initiates ... years of customer service experience required. Experience in insurance, hospitality, billing , or housing support strongly preferred. **Skills & Knowledge** + Strong… more
- UGI Corporation (Houston, TX)
- …including tracing and problem resolution. + Perform research on customer and driver claims and special projects assigned by Team Leaders + Respond to drivers and ... be applied on line haul movements. Corrects transport carrier billing . + Approve and complete accessorial billing ...carrier billing . + Approve and complete accessorial billing and update purchase orders in the accounting systems.… more
- Cardinal Health (Austin, TX)
- …attorney with expertise in healthcare regulatory compliance, including third party billing and reimbursement. The Assistant General Counsel - At-Home Solutions will ... but not limited to, laws and regulations relating to third party payor billing and reimbursement as well as other laws and regulations applicable to durable… more
- Highmark Health (Austin, TX)
- …activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code ... which supports compliant coding. Interacts with external consultants regarding billing , coding and/or documentation and evaluates their recommendations and/or… more
- University of Texas Rio Grande Valley (Harlingen, TX)
- …service rendered to patients. * Conducts complex reviews of physician/provider billing compliance activities in accordance with applicable laws, regulations, rules ... retrospective audits of documentation to confirm compliance with documentation and billing rules and government regulations. Provides feedback and education related… more
- Molina Healthcare (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
- 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
- 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
- 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...quality. *Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, to uncover actionable… more
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