- Elevance Health (Grand Prairie, TX)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and ... fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions as… more
- TEKsystems (West Lake Hills, TX)
- …data scientists, and legal consultants to shape the future of medical claims review and healthcare resource optimization. Job Responsibilities: * Analyze healthcare ... * Conduct cost-benefit and cost-effectiveness analyses of treatment protocols and billing practices. * Support litigation and expert witness services with economic… more
- Kelsey-Seybold Clinic (TX)
- …respond to administrative issues related to health plan operations including claims resolution, premium billing , medical benefit interpretation, organization and ... Skills** Required: Strong knowledge of HMOPOS and TPA Plan Design and Claims Processing Member Service Representatives must build and maintain productive Preferred:… more
- Norstella (Austin, TX)
- …analytics to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records ... Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory data, in an academic or...Savings Accounts (HSA) or Flexible Spending Accounts (FSA) + Dental & Vision Benefits + Basic Life and AD&D… more
- HCA Healthcare (Houston, TX)
- …services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, ... ensure prompt payment + You will identify coding or billing errors from EOBs and work to correct them...work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims… more
- Robert Half Finance & Accounting (Dallas, TX)
- …* Lead and manage the revenue cycle processes, including patient registration, claims processing, coding, billing , and collections. * Develop and implement ... recommendations to leadership. * Ensure timely and accurate submission of claims and effective follow-up on outstanding receivables. * Maintain compliance with… more
- Guidehouse (San Antonio, TX)
- …or customer service. + Working knowledge can be of the following: insurance claims , billing , coding, follow-up, finance, accounting or customer service related ... commitment to creating a diverse and supportive workplace. Benefits include: + Medical, Rx, Dental & Vision Insurance + Personal and Family Sick Time & Company Paid… more
- ADP (El Paso, TX)
- …changes. + Resolution support for benefit service issues such as enrollments, carrier billing , coverage, and claims . + Maintain accurate and up-to-date records ... and implementation of their employee benefits programs, including group health, dental , vision, life, disability insurance and other ancillary coverages. + Handle… more
- HCA Healthcare (Round Rock, TX)
- …to our team by providing accurate demographic and insurance information to ensure accurate coding, billing and claims submission. What you will do: + You will be ... services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts,… more
- Guidehouse (Lewisville, TX)
- …or customer service. + Working knowledge can be of the following: insurance claims , billing , coding, follow-up, finance, accounting or customer service related ... commitment to creating a diverse and supportive workplace. Benefits include: + Medical, Rx, Dental & Vision Insurance + Personal and Family Sick Time & Company Paid… more