- CVS Health (Austin, TX)
- …analytical, critical-thinking, and problem-solving skills. **Preferred Qualifications** + Claims processing experience. + Customer service experience. ... and every day. **Position Summary** The Dispute Repricing Analyst will be responsible for the accurate analysis and...provider participation and pricing inquiries. + Analyze post-paid healthcare claims as it relates to pricing needs. + Apply… more
- Humana (Austin, TX)
- …of experience researching MS-DRG, APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience ... and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral… more
- DriveTime (Dallas, TX)
- …which provides quality warranty and ancillary products, and a customer-friendly claims process. SilverRock offers a variety of ancillary products and administrative ... contracts, products, and warranties, and over $300 million in claims . **That's Nice, But What's the Job?** **_This is...for hire at this time._** In long, our Senior Analyst , Strategic Analytics are responsible for: + Innovate on… more
- Mass Markets (TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... partner in the industry. We are looking for a proactive and detail-oriented Real-Time Analyst to join our workforce management team. This role is crucial in ensuring… more
- Molina Healthcare (Houston, TX)
- …have strong experience with Benefits and contracts configuration in QNXT + Must have claims processing experience + Knowledge is SQL + Experience is Excel is ... accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes… more
- Molina Healthcare (TX)
- …Ensure that provider information is loaded accurately to allow for proper claims processing , outbound reporting and directory processes. **JOB QUALIFICATIONS** ... for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims… more
- CVS Health (Austin, TX)
- …monitoring the quality and effectiveness of work processes in claim processing and/or customer service that impact customer satisfaction, medical cost management, ... test plans and strategies + Analyze and resolve complex claims scenarios within established time frames + Resolves problems...or proficiency in the competencies noted. + Experience with claims testing, and a working knowledge of PPO's. **Preferred… more
- Truist (Dallas, TX)
- …improvements, and holdbacks for repairs or improvements. + Analyze and support the processing of proceeds from insurance loss claims . + Support the collection ... particular focus on the collateral (typically income-producing, real estate). Support the processing of borrower requests, as well as the general enforcement of loan… more
- Intermountain Health (Austin, TX)
- …of actual and budgeted contractual allowances and variances, monitoring of individual claims (logs), etc.). Interacts with HIM, PAS, and hospital finance staff as ... analysis. + Demonstrates computer skills including spreadsheets, databases, word processing , and Internet. + Demonstrated experience with third-party financial… more
- Insight Global (Irving, TX)
- …them into effective data visualizations. They will utilize Databricks for data processing and integration, perform data analysis, and provide insights to support ... interact with stakeholders and team members Experience dealing with healthcare data / claims data null We are a company committed to creating diverse and inclusive… more