- Baylor Scott & White Health (Temple, TX)
- …of SQL and Python scripting . Knowledge of HealthEdge/HealthRules Payor, or other claims processing systems . Knowledge of Selenium/Cypress tools with Java /Java ... scripting . Knowledge of EDI file formats . Skill in performing thorough regression testing when bugs are resolved . Skill in monitoring debugging process results, troubleshooting and problem-solving . Skill in tracking quality assurance metrics, including… more
- Providence (Levelland, TX)
- …+ Revenue Cycle Management Expertise: Deep understanding of billing, coding, claims processing , denials management, and reimbursement methodologies + Data ... Analytics & Financial Acumen: Ability to interpret financial data, identify trends, and make strategic decisions to optimize revenue and reduce costs + Program & Project Management: Skilled in leading cross-functional initiatives, managing timelines, budgets,… more
- Health Care Service Corporation (Richardson, TX)
- …**Knowledge of provider and facility contracting, products, and claims / processing systems.** **Negotiation skills.** **Relationship building skills.** ... **Knowledge of marketplace.** **Meet deadlines and work well under pressure.** **Verbal and written communication skills; organizational and planning skills.** **PC proficiency to include Microsoft Office.** **Analytical skills.** **Ability and willingness to… more
- CBRE (Austin, TX)
- …regulations. + Insurance Coordination: Handle property insurance policies, renewals, and claims processing in collaboration with UPS risk management. + ... Standard Dashboard Reporting: Provide regular updates on financial performance, occupancy status, and operational issues. Provide data analytics and AI-integrated reporting as requested by Client. + Review Meetings: Schedule and lead periodic meetings to… more
- Baylor Scott & White Health (Temple, TX)
- …interprets explanation of benefits from payers. This helps patients and guarantors understand claims processing or denial of services. **Key Success Factors** + ... 3 years of healthcare experience or education equivalency required. + Proven ability to problem-solve, perform critical thinking. + Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette.… more
- Public Consulting Group (Austin, TX)
- …+ Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + ... Cost Allocation Plans and Time Studies + Cost Settlement and Supplemental Payment Strategies + Healthcare Access and Markets A Test Leader oversees the testing process, developing test strategies and plans, guiding a team of testers, and collaborating with… more
- Datavant (Austin, TX)
- …following fields would be beneficial: Data Entry, Medical Records, Health Care, Insurance Claims Processing and Proof Reading/Editing of Documents + Ability to ... stay organized while working quickly. Strong attention to detail is also required. + Passing annual Introductory HIPAA examination. (Testing to be given annually in accordance with employee review.) + Required to take and pass a 90-day ROI Certification course… more
- Molina Healthcare (Houston, TX)
- …or team leadership experience + 10 years' work experience preferable in claims processing environment and/or healthcare environment + Strong knowledge of ... SQL 2005/2008 SSRS report development + Familiar with relational database concepts, and SDLC concepts **Preferred Education** Masters' Degree in Finance, Economics, Math, Computer Science, Information Systems, or related field. **Preferred Experience** 3 - 5… more
- CVS Health (Richardson, TX)
- …role in ensuring the stability, scalability, and modernization of our pharmacy claims processing systems. These systems handle millions of prescriptions daily, ... directly impacting the health and well-being of our customers. You will lead technical initiatives, support platform health, and drive continuous improvement across our IBMi-based infrastructure. **We prefer candidates be hybrid in Richardson, TX but can… more
- Highmark Health (Austin, TX)
- …analytical and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong ... education/training background in coding and reimbursement + Registered Health Information Associate (RHIA) credential **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work… more