- Molina Healthcare (San Antonio, TX)
- **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating ... advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain efficient ETL pipelines… more
- Baylor Scott & White Health (Dallas, TX)
- …events in the Baylor Scott and White service areas.** The Revenue Integrity Analyst 1 manages small projects and simple service lines with some oversight. They ... capture workflow and mechanisms to support IS teams in building the required systems for expected charging outcomes. + Manages small charge capture projects and… more
- Molina Healthcare (San Antonio, TX)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... that provider information is loaded accurately to allow for proper claims processing, outbound reporting and directory processes. **JOB QUALIFICATIONS** **Required… more
- Brown-Forman (Dallas, TX)
- …insurance claim settlement activities, including both insured and self-insured claims , ensuring accurate records and facilitating efficient resolution processes. + ... to interpret complex data, identify trends, and develop actionable insights. + Systems Proficiency: Advanced proficiency in Word, Excel, and PowerPoint (or Google… more
- Medical Center Hospital (Odessa, TX)
- …existing patient accounting system, electronic health record system, and billing systems ), including word processing and spreadsheets. Collect and enter cla imi ... and manage patient accounts. Subm i ts cla i ms and follows up with i nsurance carriers on unpaid or rejected claims . Assists with grant billing and follow up. more
- OneMain Financial (Fort Worth, TX)
- …with execution of new state leave programs. + Updates internal HR systems accurately to ensure appropriate recordkeeping. + Maintain up-to-date knowledge of relevant ... structure, role definition and system enhancements. + Process State Disability Claims as necessary. + Participates/drives special projects or assignments as needed.… more
- Highmark Health (Austin, TX)
- …scope and complexity + 5 years with coding languages, analytical software, systems , tools and processes using claims , clinical, enrollment and provider ... data + 3 years of project leadership in a complex, matrixed environment (payer and/or provider preferred) + 3 years of providing analytical consultation to clinical, administrative, operational and financial stakeholders **Preferred** + None **LICENSES or… more
- NTT America, Inc. (Plano, TX)
- …as part of an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate** to join our team for a remote position. **Role Responsibilities** ... -Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as...applications using a keyboard, navigating multiple screens and computer systems , and learning new software tools + High school… more
- Omnicell (Fort Worth, TX)
- **Reconciliation Lead** The Lead Reconciliation Analyst leads the team that provides reconciliation services to FDS Amplicare customers and oversees the customer ... forms and documentation. . Communicate any issues that may arise, including claims disputes. . Oversee development and communication of customer reports. . Partner… more
- HCA Healthcare (Mckinney, TX)
- …Summary and Qualifications** Billing Specialist PHY GENERAL SUMMARY OF DUTIES: Processes claims electronically to insurance carriers. Mails claims to carriers ... to accounts. Communicates any charge related issues to Charge Master Manager/ Analyst . SUPERVISOR: Practice Manager/Billing Manager DUTIES INCLUDE BUT NOT LIMITED TO:… more
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