- CVS Health (Austin, TX)
- …setup, essential for online viewing and processing, related to customer service, claims , enrollment, billing , and reporting, in support of internal and ... external partners. + Ability to utilize Meritain's proprietary system for analytical coding of detailed customized plans, rather than standard offerings. + Develops and executes implementation strategy consistent with client expectations; ensures strategy is… more
- HUB International (Houston, TX)
- …to resolve service issues. May also negotiate with underwriters and carriers. Troubleshoots claims and billing issues. + Develops new business from existing ... accounts and assigned leads, and contributes to meeting departmental production goals. Identifies and follows-up on cross-selling opportunities when appropriate. **Qualifications:** + Experienced working with large Personal Lines accounts and affluent clients… more
- US Physical Therapy (Houston, TX)
- …acumen to join our expanding Houston team. Your role will be critical in our billing and claims department, and you will be asked to facilitate procedural ... including prior balances. **Responsibilities:** + Work closely with patients to resolve billing and payment issues. + Research and resolve discrepancies in patient… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …Medical Records Clerk/Coder to assign procedure, and diagnosis codes for insurance billing , review claims data, research, and correspond with insurance companies ... classification software to assign procedure and diagnosis codes for insurance billing . + Review claims data to ensure that assigned codes meet required legal and… more
- Kelsey-Seybold Clinic (TX)
- …respond to administrative issues related to health plan operations including claims resolution, premium billing , medical benefit interpretation, organization and ... Skills** Required: Strong knowledge of HMOPOS and TPA Plan Design and Claims Processing Member Service Representatives must build and maintain productive Preferred:… more
- Norstella (Austin, TX)
- …analytics to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records ... field. + Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory data, in an academic or industry setting. +… more
- University of Texas Rio Grande Valley (Edinburg, TX)
- …parties. + Responsible for reviewing patient accounts for accuracy with regard to billing , claims details and collections to resolve patient concerns and/or ... information not captured during scheduling process, that is necessary for claims processing. + Displays effective communication skills, active listening skills,… more
- Houston Methodist (Houston, TX)
- …Research Billing Compliance. + Provides oversight and performs detailed claims analysis and medical record review as necessary, including the following: - ... At Houston Methodist, the Manager of Research Billing Compliance position is responsible for managing the...protocols, study budgets, coverage analyses, etc. - Performs detailed claims testing and medical review. - Reviews Medicare Coverage… more
- Molina Healthcare (Houston, TX)
- … Claims , Provider Services, Provider Network Operations, Hospital or Physician Billing , or similar. + Claims processing background including coordination of ... and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system… more
- Robert Half Accountemps (Houston, TX)
- Description Are you a detailed and proactive professional with experience in medical billing and revenue cycle management? Our client in downtown Houston is seeking ... a Medical Billing Specialist for...diagnosis codes, and other critical data necessary for finalizing claims . You'll work collaboratively with clients, access payor portals,… more