• Reimbursement Specialist Contract Compliance

    Intermountain Health (Austin, TX)
    …interpreting contract language, and tracking trends. This specialist works facility claims ("Hospital billing ") and maintains inventory (work queue lists) ... aging levels by prompt review and follow up of claims . Performs all duties in a manner which promotes...interpret EOB's (Explanation of Benefits). + Knowledge of medical billing and collections + Medical terminology - Participate and… more
    Intermountain Health (12/13/25)
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  • Manager of DRG Coding Audit

    Elevance Health (Grand Prairie, TX)
    ….Experience working with ICD-9/10CM, MS-DRG and APR-DRG. .Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer ... reimbursement policies, billing validation criteria and coding terminology preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $111,040 to $199,872 Locations: District of… more
    Elevance Health (12/05/25)
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  • Billing Representative - Revenue Cycle

    Ascension Health (Austin, TX)
    …issues. + Maintain detailed documentation in the patient account record of all billing activities. Maintain documentation of claims processed as part of the ... detailed documentation in the patient account record of all billing activities. Maintain documentation of claims processed as part of the daily claims more
    Ascension Health (11/20/25)
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  • Performance Quality Analyst II

    Elevance Health (Houston, TX)
    …by organizations within the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and ... a BS/BA; a minimum of 3 years related experience in an enrollment and billing , claims and/or customer contact automated environment (preferably in healthcare or… more
    Elevance Health (12/10/25)
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  • Insurance Processor - Full Time

    Moore County Hospital District (Dumas, TX)
    …having financial discussions with patients to collect outstanding balances. Duties include billing claims , working rejected claims , resolving denials and ... contribute to our mission of exceptional care. SUMMARY: Performs billing and follow up for commercial and or government... and follow up for commercial and or government claims , works rejected and unbilled claims . Works… more
    Moore County Hospital District (11/25/25)
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  • Team Lead - Healthcare - Hospital PFS

    Guidehouse (Lewisville, TX)
    …in the Lewisville, TX office and three days working from home._** + **Strong Hospital Claims A/R & Billing Follow-up** + Mentoring of fellow team members when ... You Will Do** **:** The **Team Lead - Hospital Claims ** is responsible for supervising and coordinating the daily...and ICD-10 in a fast-paced environment. + Proficiency researching billing guidelines + Providing training and mentoring to team… more
    Guidehouse (12/12/25)
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  • Principal, Stars Enterprise Activation - Insurance…

    Humana (Austin, TX)
    …Operations encompasses critical functions including care coordination, quality measurement, billing , claims processing, and customer service, each essential ... building deep operational knowledge of core functional areas (care coordination, quality, billing , claims , and customer service). + Collaborate with each… more
    Humana (11/19/25)
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  • Pharmacy Technician

    ManpowerGroup (Houston, TX)
    …+ Maintaining accurate patient records and documentation + Assisting with insurance claims , billing , and administrative tasks **What's Needed?** + High school ... diploma or equivalent + Certified or licensed as a pharmacy technician (requirements vary by region) + Proficient in pharmacy software and related technology + Good understanding of medical terminology and pharmaceutical calculations + Strong attention to… more
    ManpowerGroup (12/08/25)
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  • Business Process Analyst

    Highmark Health (Austin, TX)
    …Business Process Analyst role or experience in a related operational area (eg claims , billing , customer service, etc.) **Preferred** + Experience in a financial ... analysis, underwriting support, or actuarial support role is highly desired. Strong understanding of financial concepts, risk assessment, and insurance product lifecycles. **LICENSES OR CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** +… more
    Highmark Health (11/27/25)
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  • Patient Account Representative - Self-Pay…

    Guidehouse (San Antonio, TX)
    …or customer service. + Working knowledge can be of the following: insurance claims , billing , coding, follow-up, finance, accounting or customer service related ... responsibilities. **What Would Be Nice to Have:** + PC skills in a Windows environment. Knowledge and utilization of desktop applications to include Word and Excel. + 1+ year experience working in a Healthcare or Customer Service setting. + Ability to initiate… more
    Guidehouse (11/05/25)
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