- Robert Half Accountemps (Fort Worth, TX)
- …role is vital for ensuring accurate billing processes, resolving insurance claims , and maintaining patient documentation. As a Contract-to-permanent position, it ... healthcare environment. Responsibilities: * Manage patient billing and insurance claims efficiently using Lytec and TriZetto platforms. * Handle insurance… more
- Centene Corporation (Austin, TX)
- …tools. Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity ... with claims payment, utilization management, provider/vendor contracts, risk adjustment for...permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits… more
- Centene Corporation (Mcallen, TX)
- …+ Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics + Perform ... care or medical group experience, provider relations, quality improvement, claims , contracting utilization management, or clinical operations. Project management… more
- Walgreens (Bee Cave, TX)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- TAD PGS, Inc. (Plano, TX)
- …employees on the interaction of leave laws with paid time off, workers' compensation , and short-term medical leave of absence, and FMLA. + Facilitates other leave ... navigating sensitive or complex leave scenarios. + Analyze FMLA, STD and WC claims to determine eligibility and certification in compliance with State and Federal… more
- Zelis (Plano, TX)
- …team to refine into user stories with acceptance criteria, including creating test cases/ claims with expected pricing outcomes . + Perform analysis of various data ... understanding of public and private healthcare payment systems, medical claims , standard claim coding, claim editing, contracting, preferred-provider organizations,… more
- Elevance Health (Grand Prairie, TX)
- …requirements. + Develop and analyze business performance reports (eg, for claims data, provider data, utilization data) and provides notations of performance ... Microsoft Excel experience. + Facets systems knowledge considered a plus. + Claims and/or Encounters experience preferred. + Experience with Medicaid data preferred.… more
- Saia, Inc (Sherman, TX)
- …packed with opportunity - from learning new skills and advancing to competitive compensation and great benefits. It's all here and it's exactly what _going further_ ... overages, shortages, and damages to reduce or eliminate loss and damage claims . **Major Tasks and Responsibilities** + Researches and investigates reported freight… more
- Centene Corporation (Austin, TX)
- …in the Continental United States. **Position Purpose:** Direct and oversee claims audit operations and medical code editing scenarios. Oversee payment integrity ... years of Managed Care or CMS related experience, including compliance, claims , payment integrity, or special investigation experience required. + Previous management… more
- Allied Universal (Houston, TX)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... to** **report** **to!** **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types, including workers' … more