- Prime Healthcare (Dallas, TX)
- Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 ... nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare...to the Stark Law, the Antikickback Statute, the False Claims Act, and other Fraud, Waste and Abuse laws… more
- NTT DATA North America (Plano, TX)
- …Denials * Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process * Knowledge of healthcare insurance policy concepts including ... priorities. * Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by… more
- Molina Healthcare (Fort Worth, TX)
- …network adequacy and provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance with ... staff are the primary point of contact between Molina Healthcare and contracted provider network. They are responsible for...2 - 3 years customer service, provider service, or claims experience in a managed care setting. + Working… more
- Kyndryl (Austin, TX)
- …transforming Contact Center operations for enterprise organizations, particularly those in the Healthcare or State or Local Government and / or Educational (SLED) ... communication, presentation, and stakeholder management skills with C-Level. + Healthcare industry experience is a strong plus, especially in payer/provider… more
- The Cigna Group (Houston, TX)
- …of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales ... or complex provider contracts and alternate contract terms. + Creates healthcare provider agreements that meet internal operational standards and external provider… more
- Molina Healthcare (Austin, TX)
- …network adequacy and provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance with ... staff are the primary point of contact between Molina Healthcare and contracted provider network. They are responsible for...2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working… more
- HCA Healthcare (Corpus Christi, TX)
- …Inpatient Coding experience. Are you passionate about the patient experience? At HCA Healthcare , we are committed to caring for patients with purpose and integrity. ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...necessary (eg, combining the codes for outpatient and inpatient claims subject to the payment window) + Assist the… more
- Guidehouse (San Antonio, TX)
- …None **What You Will Do:** The **Patient Account Representative - Self-Pay - Healthcare ** is an extension of a client's business office staff. Representatives are ... Bilingual Spanish Required + 0-2+ years working within the following sectors: healthcare , insurance, business, finance or customer service. + Working knowledge can… more
- Molina Healthcare (TX)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims , Provider Services and Contracting. * Identifies issues, resolves problems… more
- HCA Healthcare (El Paso, TX)
- …and end time can be as late as 6:00PM. **Introduction** Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...and insurance information to ensure accurate coding, billing and claims submission. What you will do: + You will… more