- Elevance Health (Grand Prairie, TX)
- …the Enterprise team. + Leads multiple or large projects and facilitates large group JAD sessions for requirements, modeling in several disciplines. + Leads vendor ... troubleshooting support strongly preferred. + Knowledge of payment integrity and claims systems is highly preferred. + Experience with Python, Angular/React and… more
- Baylor Scott & White Health (Dallas, TX)
- …of experience in healthcare leadership - Must have network experience with both a health insurance plan (payer) and a health system (provider). Strongly ... With finance partnership, oversees and communicates the annual distribution model to health system leaders, medical group leadership and independent providers. -… more
- UTMB Health (Galveston, TX)
- …340B Program - Contract Pharmacy **Galveston, Texas, United States** **New** Allied Health UTMB Health Requisition # 2504846 **_REQUIRED EDUCATION / ... knowledge and understanding of medication and contract terminology;_** healthcare insurance collections, reconciliation, or analysis; supply chain management +… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …this position is responsible for processing charges for clinic services, filing insurance claims , responding to requests for information from patients and ... insurance companies and maintaining related information for the department....institutional pay plan on the Human Resources webpage. **Job Group :** Information and Records Clerks **Shift:** Day **EEO Statement:**… more
- Houston Methodist (Houston, TX)
- …is responsible for resolving all outstanding third party primary and secondary insurance claims for professional services. This position performs collections ... health and personal information. Adheres to all Health Insurance Portability and Accountability Act (HIPAA)...**FINANCE ESSENTIAL FUNCTIONS** + Expedites and maximizes payment of insurance medical claims by contacting third party… more
- Houston Methodist (Houston, TX)
- …Specialist is responsible for resolving all outstanding third-party primary and secondary insurance claims for professional services. This Specialist is required ... related to collection efforts. + Ensures protection of private health and personal information. Adheres to all HIPAA and...**FINANCE ESSENTIAL FUNCTIONS** + Expedites and maximizes payment of insurance medical claims by contacting third party… more
- TEKsystems (Houston, TX)
- … follow up, root cause analysis, EHR, EMR, EPIC, Cerner, medical billing, claims audit, appeals process, appeals letter, denials, insurance follow ups Top ... just picking up the phone to communicate and solve problems - determine why claims are denied - determine where to send appeals - determine whether a claim… more
- TEKsystems (Austin, TX)
- …billing platforms. Required Skills + Revenue cycle appeal and denial resolution + Insurance follow-up and claims audit + Appeals letter writing and submission ... for someone with strong experience in appeals, denials, and insurance follow-up within the healthcare revenue cycle. You'll work...steps. 2. Rebilling & Appeals Submission + Focus on claims ready for appeal-already vetted and prioritized. + Write… more
- Southland Industries (Carrollton, TX)
- …of status changes. + Assume point-of-contact role with regard to physicians, clinics, insurance provider, and employees with open w/c claims + Request MVRs ... Insurance , and Voluntary Life Insurance + Disability Income Protection Insurance + Pre-tax Flexible Spending Plans ( Health and Dependent Care) +… more
- TEKsystems (San Antonio, TX)
- …+ Proficiency in computer applications, especially Excel Preferred Qualifications: + Experience with health insurance claims , billing, or authorization + 2+ ... Top Skills: + Medical knowledge + Research and healthcare experience + Claims and insurance expertise + Customer service excellence Required Qualifications:… more