- Molina Healthcare (TX)
- …executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical decision… more
- Cardinal Health (Austin, TX)
- …environment coupled with strong internal controls. + Possesses understanding of service level goals and objectives when providing customer support. + Demonstrates ... data to insurance providers + Researching and appealing denied and rejected claims + Preparing, reviewing, and transmitting claims using billing software… more
- Molina Healthcare (Austin, TX)
- …executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical decision… more
- UTMB Health (Galveston, TX)
- …programs, clinical issues, device and equipment, incident management, and claims /lawsuits. **Job Duties:** + Administrative liaison for Risk Management issues. ... Management department while supporting and actualizing the goals of the department, service , hospital, and university. + Provide both informal and formal education… more
- Norstella (Austin, TX)
- …This role's creation is in reaction to the demand for Norstella's newest service offerings leveraging Norstella's unified Real World Data asset, a combination of ... claims , lab, SDOH and EMR data. You will be...analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), and other… more
- Norstella (Austin, TX)
- …role's creation is in reaction to the demand for Norstella's newest service offerings leveraging Norstella's unified Real World Data asset, NorstellaLinQ, a ... combination of claims , lab, SDOH and EMR data. You will be...quality. *Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, to uncover actionable… more
- EMCOR Group (Manchaca, TX)
- …contractors. Our dedicated, experienced, and highly motivated team provides full- service mechanical, HVAC, and specialty piping systems. Our clients encompass ... with Purchasing Manager for inclusion of terms and discounts. + Coordinate claims issues and legal activity with EMCOR Construction Services legal counsel by… more
- Adecco US, Inc. (San Antonio, TX)
- …patients and providers + Reviews denials and determines whether the decisions are retro/ claims DOS or prospective DOS, and whether they are NCB or medically ... or QIO, logs request, researches and provides requested information + Works with claims department to redirect claims related appeal requests + Generates reports… more
- KPH Healthcare Services, Inc. (Longview, TX)
- …balances. **Responsibilities** + Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other responsible ... written correspondence. + Investigate and resolve denied or partially paid claims , identifying root causes and implementing corrective actions. + Collaborate with… more
- Otsuka America Pharmaceutical Inc. (Abilene, TX)
- …or digital tools. + Direct customers to other colleagues, such as Customer Service Specialists (CSS), as needed. + Ensure customer requests are met and solicit ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more