• Payment Integrity Program Manager - Health Plan

    Molina Healthcare (Fort Worth, TX)
    …Provides subject matter expertise and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts. This role ... and finance partners to proactively identify issues and implement resolution strategies. + Serves as a thought partner to...a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… more
    Molina Healthcare (08/14/25)
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  • Lead Analyst, Payment Integrity

    Molina Healthcare (San Antonio, TX)
    …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... and finance partners to proactively identify issues and implement resolution strategies. + Serves as a thought partner to...a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… more
    Molina Healthcare (08/20/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Dallas, TX)
    …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... and finance partners to proactively identify issues and implement resolution strategies. + Serve as a thought partner to...a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… more
    Molina Healthcare (08/14/25)
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  • Medical Biller (Hybrid In Dallas)

    TEKsystems (Dallas, TX)
    Medical Biller - Healthcare Claims Specialist Location: Hybrid in Dallas, TX (In-office Tues-Thurs, Remote Mon/Fri) Employment Type: Contract-to-Hire Expected ... is essential to ensuring accurate and timely claim submissions, payment posting, and resolution of payer rejections and denials. The ideal candidate will have a… more
    TEKsystems (08/16/25)
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  • Coding Auditor Educator

    Highmark Health (Austin, TX)
    …of the change or problems and takes appropriate steps to effect resolution . (10%) + Reviews and interprets medical information, classifies that information into ... or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder… more
    Highmark Health (08/08/25)
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