- UTMB Health (Galveston, TX)
- …# 2504693 **Minimum Qualifications:** Bachelor's Degree in Nursing or a healthcare -related field. Five (5) years of clinical experience and/or related experience ... CPHRM within 18 months of hire. **Preferred Education:** + Master's degree in healthcare or risk management. + RN experience is highly desirable. **Job Summary:** To… more
- Adecco US, Inc. (San Antonio, TX)
- **Adecco Healthcare & Life Sciences** is assisting a local client in their search for Clinical Admin Coordinators in San Antonio, TX. Apply today if you meet the ... patients and providers + Reviews denials and determines whether the decisions are retro/ claims DOS or prospective DOS, and whether they are NCB or medically… more
- Otsuka America Pharmaceutical Inc. (Abilene, TX)
- **Job Summary** Otsuka America Pharmaceutical Inc. is a global healthcare company with the corporate philosophy: "Otsuka-people creating new products for better ... In its evolved customer engagement model, a Neuroscience Specialist engages healthcare providers (HCPs) using in-person, virtual, and digital tools, offering… more
- ManpowerGroup (Houston, TX)
- …general business systems and their related control structures, extensive knowledge healthcare regulatory environment, including CMS, HIPAA, and HITECH regulations. * ... experience Business Operations and Leadership Epic Certifications and Experience Claims , Contracts, Benefits (preferred) Demonstrated configuration experience in contracts,… more
- Elevance Health (Houston, TX)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Caris Life Sciences (Irving, TX)
- …cancer. We're pushing the frontiers of medicine and leading a revolution in healthcare -driven by innovation, compassion, and purpose. **Join us in our mission to ... billing department, ensuring timely and accurate resolution of denied or underpaid claims . This role requires a strong understanding of payer guidelines, excellent… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …Competencies** **K** **nowledge** - Experience working in the pharmaceutical and/or healthcare industry. - Knowledge and experience with preparation of global ... clinical development, project management, quality assurance, etc.) in pharmaceutical or healthcare related industry. Experience with FDA or other health authority… more
- Siemens (Fort Worth, TX)
- …an impact by: Warranty Claim Analysis: Manage the process of warranty claims submitted by customers, including documentation, tracking, and resolution in accordance ... switchboard installations, and conduct on-site assessments to assess warranty claims and determine appropriate actions. Customer Communication: Communicate effectively… more
- Humana (Austin, TX)
- …to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its ... to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep dive… more
- Elevance Health (Grand Prairie, TX)
- …The **Business Information Analyst Senior** is responsible for analyzing and validating healthcare encounter data submissions to CMS (Centers for Medicare & Medicaid ... requirements. + Develop and analyze business performance reports (eg, for claims data, provider data, utilization data) and provides notations of performance… more