- Elevance Health (Grand Prairie, TX)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... payor or provider environment; considerable experience in statistical analysis and healthcare modeling; or any combination of education and experience, which would… more
- Terumo Medical Corporation (Dallas, TX)
- …used in a broad range of applications for numerous areas of the healthcare industry. TMC places a premium on providing customers with world-class products, training ... think outside the box, experiment, innovate and deliver what's next for quality healthcare . You will be part of a collaborative, respectful and resilient team of… more
- Humana (Austin, TX)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, state and… more
- InGenesis (El Paso, TX)
- …errors found. * Assists to reconcile and resolve denied outside provider claims . * Performs record keeping functions. Minimum Qualifications: * High School Diploma ... or GED equivalent. * Minimum of one-year experience in a healthcare setting as a medical record technician, medical record clerk, or similar position. * Minimum of… more
- CVS Health (Austin, TX)
- …a fast-paced, agile environment leveraging cutting-edge technology to reimagine how Healthcare is provided. You will be instrumental in designing, integrating, and ... The position is open in a data engineering team that is responsible for processing Claims , Revenue, Rx Medicare Specific files and data from 30+ payors into our Data… more
- Humana (Austin, TX)
- …+ Experience with identifying and/or reporting fraud, waste and abuse within the healthcare industry + Knowledge of the Medicare and Medicaid programs + Experience ... 2 years of Humana Experience + Knowledge of Humana Medical and Pharmacy Claims Processing Systems + Experience with data query/data programming applications (ie SQL,… more
- Ascension Health (Austin, TX)
- …all state and federal regulations. + Perform benefits verification and adjudicate claims , resolving rejections by identifying the appropriate next steps. + Initiate ... + Serve as a liaison between the pharmacy, patient, insurance plans, and healthcare providers to ensure timely and accurate medication delivery. + Maintain required… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …primary contacts for medically needy patients. Responsibilities include processing provider claims , using computer system to record and report patient information, ... CHIP Perinatal, Healthy Texas Women's and Bayer application. + Verifies healthcare benefits utilizing provider portal for various insurances. + Schedules medical… more
- United Therapeutics (TX)
- …access for providers and patients. The role will provide education to healthcare providers and office staff on access services and reimbursement solutions specific ... to support access for providers and patients including providing education to healthcare providers and office staff on access services and reimbursement solutions… more
- Datavant (Austin, TX)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more