- Guidehouse (Lewisville, TX)
- …Medicare/Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 claims + Complete all business-related requests and correspondence from patients and ... Leave + 401(k) Retirement Plan + Basic Life & Supplemental Life + Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts + Short-Term &… more
- UGI Corporation (Houston, TX)
- …denied hire on that basis. Nearest Major Market:Houston Job Segment: Behavioral Health , Substance Abuse, Claims , Safety, Manager, Healthcare, Insurance, Service, ... to reduce and prevent occupational injuries, vehicle incidents and liability claims . The Field Safety Manager conducts audits, provides technical and professional… more
- Deloitte (Fort Worth, TX)
- …+ Support Epic enterprise implementation for a large academic medical center and health system in the Southeast region. + Conduct Epic Hospital Billing application ... solutions focused on "heart of the business" issues in specific sectors including Health Care & Life Sciences, Digital Banking & Payments, Investment & Wealth… more
- Baylor Scott & White Health (Temple, TX)
- …OF THE ROLE** Helps members by phone or in writing to effectively resolve claims processing issues for all Health Plan products, utilizing pharmacy claims ... Specialist 2 communicates with members, providers, and clients to explain Health Plan pharmacy benefits, assist with understanding the prior authorization process,… more
- Datavant (Austin, TX)
- …in the following fields would be beneficial: Data Entry, Medical Records, Health Care, Insurance Claims Processing and Proof Reading/Editing of Documents ... a data platform company and the world's leader in health data exchange. Our vision is that every healthcare...Our platform is powered by the largest, most diverse health data network in the US, enabling data to… more
- Oracle (Austin, TX)
- …expertise around the Health Data Intelligence platform and the solutions of Health Data Warehouse, Claims Analytics, and Determinants of Health among ... to comply with applicable requirements, such as immunization and occupational health mandates.** **Range and benefit information provided in this posting are… more
- Highmark Health (Austin, TX)
- …achieve successful and measurable outcomes. Will monitor and analyze the delivery of health care services in accordance with claims submitted, and analyzes ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the… more
- The Cigna Group (Houston, TX)
- …with technical and non-technical partners to implement solutions with measurable value + Health care data (eg, claims , EHR) knowledge preferred If you will ... and operationalization of transformer based deep learning models trained on health insurance data sources. **Responsibilities** + Support high-value enterprise Data… more
- Centene Corporation (Austin, TX)
- …implementation of recommendations to providers that would improve utilization and health care quality. + Reviews claims involving complex, controversial, ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive… more
- Molina Healthcare (Dallas, TX)
- …higher) **Preferred Experience** + 2+ years of experience working in the group health business preferred, particularly within claims processing or operations. + ... enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims… more