- UTMB Health (Galveston, TX)
- …Texas, United States** **New** Business, Managerial & Finance UTMB Health Requisition # 2504624 **Minimum Qualifications** Minimum Qualifications: Associate degree ... Specialist will be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of denied professional and/or hospital … more
- UTMB Health (Galveston, TX)
- …**Galveston, Texas, United States** **New** Clerical & Administrative Support UTMB Health Requisition # 2504623 **Minimum Qualifications** : High School Diploma or ... Specialist will be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of denied professional and/or hospital … more
- Methodist Health System (Dallas, TX)
- …candidate will possess a strong background in A/R follow up for family and specialty claims , able to identify, address, and resolve no response claims , denied ... cycle management. - Proficiency in medical billing software EPIC and electronic health record (EHR) systems. - Strong knowledge of healthcare billing processes,… more
- Baylor Scott & White Health (Temple, TX)
- …validating, and ensuring the accuracy of EDI transactions related to healthcare claims . This role involves working closely with developers, business analysts, and ... EDI teams to ensure that claims data meets internal standards and regulatory compliance (HIPAA,...Experience + Hybrid expectation- on-site as needed As a health care system committed to improving the health… more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... who serves as a key strategic partner in driving health plan financial performance. This role focuses on identifying,...operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to… more
- Elevance Health (Houston, TX)
- …Specialist Lead** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to ... cash receipts, cash application, claims audits, collections, overpayment vendor validation, and ... processing environment preferred Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
- Methodist Health System (Dallas, TX)
- …cycle management, with a particular emphasis on addressing and resolving no response claims , rejected or denied claims , and managing correspondence. This role ... degree or two years college with credit hours in Business Administration, Health Care Administration, or related field Or High school diploma or equivalent… more
- Cardinal Health (Austin, TX)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- CVS Health (Austin, TX)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...and every day. **Claim Benefit Specialist** Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit… more
- Elevance Health (Houston, TX)
- …by law._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to ... is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and… more