- Highmark Health (Austin, TX)
- …Strong understanding of end-to-end RCM processes, including billing, coding, collections, claims processing, and payer relationships. + Proven track record of ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- Intermountain Health (Austin, TX)
- …payor enrollment, clearinghouse setup, and data integrity related to electronic claims submissions. Oversee payor web portal administration, ensuring proper access ... about our comprehensive benefits package here (https://intermountainhealthcare.org/careers/benefits) . Intermountain Health is an equal opportunity employer. Qualified applicants will… more
- Highmark Health (Austin, TX)
- …for non-payment, Completing write-offs as appropriate, Coordinating AR issues affecting claims or inquiry processing with Membership and Billing personnel.Lead or ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- HCA Healthcare (Mckinney, TX)
- …MSO - Comprehensive OB/GYN, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and programs ... cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.… more
- AON (The Woodlands, TX)
- …questions, and handling complaints for Debt Cancellation programs + Initiate benefits ( claims ) and process benefit related transactions as well as work cancellation ... inbound calls, top-notch experience based on client parameters. + Initiate benefits ( claims ) and process benefit related transactions as well as work cancellation… more
- Defense Health Agency (El Paso, TX)
- …for federal civilian healthcare providers as they are covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within the scope of their employment._ ... diseases; and follows children with chronic medical problems to ensure comprehensive health care. + Perform emergency treatment in cases of serious injury or… more
- Molina Healthcare (Fort Worth, TX)
- …you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer partners ... Mastery * Track record coordinating cross-functional action plans with Enrollment, Claims , Pharmacy, Network, and Member Services * Hands-on experience maintaining… more
- Houston Methodist (Houston, TX)
- …and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis and medical record reviews of complex claims and ... FUNCTIONS** + Conducts risk-based and baseline reviews of complex and escalated claims or records in a timely manner, evaluates corrective actions and processes… more
- The Hartford (TX)
- …within a matrixed business environment where you will have direct interaction with Claims Partners and insureds, we want to speak with you! RESPONSIBILITIES: * ... of defense strategies with autonomy. * Partner with our Claims Partners to achieve the best results for our...world? What else can we do to destigmatize mental health in the workplace? Can we make our communities… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive… more