- 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
- 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
- Prime Healthcare (Mission, TX)
- …by preparing and dispensing medications, assisting patients, processing insurance claims , managing inventory, and maintaining accurate prescription records. They ... Center - Mission, TX Here are some of the benefits of working at Prime Healthcare : + Competitive compensation + Medical insurance benefit plan + 401K + Sick leave… 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 (Round Rock, TX)
- …in you as a Registrar? At Columbia Oakwood Surgery Center, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team ... + 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
- Molina Healthcare (Houston, TX)
- …medical oversight and expertise in appropriateness and medical necessity of healthcare services provided to members, targeting improvements in efficiency and ... focused reviews and recommends corrective actions. + Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care.… more
- KPH Healthcare Services, Inc. (Longview, TX)
- …balances. **Responsibilities** + Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other responsible ... written correspondence. + Investigate and resolve denied or partially paid claims , identifying root causes and implementing corrective actions. + Collaborate with… more