- Cardinal Health (Austin, TX)
- …Legal function. **_Job Summary_** The Assistant General Counsel, Nuclear & Precision Health Solutions (NPHS) is responsible for providing outstanding legal advice to ... escalate appropriately + Effectively communicate with all levels of the Cardinal Health organization + Identify and collaborate with subject matter experts from… more
- Highmark Health (Austin, TX)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job creates data-driven insights which identify actionable opportunities and/or create ... to the Quadruple Aim of Healthcare: lower per capita health care costs, improved outcomes from and quality of...coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years… more
- Evolent (Austin, TX)
- …growth opportunities at customer accounts + Strong knowledge of health plan operations, care/utilization management, claims processing, value-based ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...to identify opportunities and actions (including EMR, clinical, authorization, claims , SDoH, etc.); understanding of how to translate data… more
- Elevance Health (Grand Prairie, TX)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- Baylor Scott & White Health (Dallas, TX)
- …malpractice and civil litigation matters. Reporting to the system Vice President overseeing claims for Baylor Scott & White Health (BSWH). The Director-Assistant ... **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals,...contracts. Assesses liability and damages. Develops defense to resolve claims successfully. + Advises on law, regulations, and court… more
- Houston Methodist (Houston, TX)
- …and claim edits, payor rejections, unresolved or no response insurance claims and processing of financial correspondence. The Insurance Biller demonstrates general ... knowledge of billing practices and maintains departmental standards relating to insurance claims processing, charge entry and billing functions. This role is also… more
- BrightSpring Health Services (Lubbock, TX)
- …8am - 5pm We offer: DailyPay Flexible schedules Competitive pay Shift differential Health , dental, vision and life insurance benefits Company paid STD and LTD ... the pharmacy. + Identifies and resolves issues of denials or follow-up of claims . + Maintains current knowledge of Medicaid claim regulations and processes. +… more
- Catholic Health Initiatives (Houston, TX)
- …requirements. Reports are produced for Revenue Cycle functions such claims submission, insurance follow‐up, cash management, credits/refunds, charge/payment posting, ... 10. Maintain department standard of productivity metrics related to claims processed, claims rejected, claims ...degree of comfort with large data volumes. **Overview** CommonSpirit Health was formed by the alignment of Catholic … more
- Sedgwick (Austin, TX)
- …and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional expertise to provide oversight, and directs the ... jurisdictions on complex claim issues. + Uses knowledge of all aspects of claims handling in evaluating exposure; recommends and directs action plans for issue or… more
- The Hartford (San Antonio, TX)
- Sr Representative Claims - CH08BESr Representative Clms CA - CH08ANConsultant Claims CA - CH08BNConsultant Claims - CH08CE We're determined to make a ... successfully investigating, reserving, recommending and implementing strategies to resolve claims consistent with corporate claim standards, policies and procedures… more