- Prime Therapeutics (Austin, TX)
- …**Additional Qualifications** + Advanced knowledge of PBM regulatory frameworks and healthcare law, with demonstrated ability to proactively identify and address ... risk mitigation, and regulatory interpretation + Demonstrated experience in federal healthcare laws and regulations such as HIPAA, Anti-Kickback Statute, and False… more
- Baylor Scott & White Health (Killeen, TX)
- …psychologist will work collaboratively with primary care providers and other healthcare professionals to deliver evidence-based behavioral health services. The ideal ... health needs. + Provide real-time consultation and recommendations to healthcare providers regarding psychosocial concerns. + Participate in multidisciplinary team… more
- Houston Methodist (Houston, TX)
- …and mentor to less experienced staff. This position supports timely, accurate claims submission and may perform registration and/or other revenue cycle functions. ... experience to include three years experience in a related role within healthcare **LICENSES AND CERTIFICATIONS - REQUIRED** + N/A **KNOWLEDGE, SKILLS, AND… more
- The Cigna Group (Austin, TX)
- …to Have** + Prior **PBM/specialty pharmacy** platform knowledge (eg, claims /benefit management, care coordination, specialty workflows). + Earlier **hands‑on ... improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of… more
- Danaher Corporation (Houston, TX)
- …will have the opportunity to: + Provide education to internal colleagues, healthcare providers, lab professionals, office staff and financial decision makers on ... coding and reimbursement. + Support customers with approved resources for denied claims , payer coverage expansion and inadequate reimbursement. + Respond to and… more
- Public Consulting Group (Austin, TX)
- …Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost ... Allocation Plans and Time Studies + Cost Settlement and Supplemental Payment Strategies + Healthcare Access and Markets This director will run the office of the CIO… more
- Baylor Scott & White Health (Austin, TX)
- …individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core ... documentation . Create SAM ticket for contracts/amendments to be loaded in claims /configuration system . Ability to handle multiple priorities with deadlines .… more
- UTMB Health (Galveston, TX)
- …knowledge and understanding of medication and contract terminology;_** healthcare insurance collections, reconciliation, or analysis; supply chain management ... as the split billing software. + Partners with IS and RCO departments to ensure claims are going out with the correct modifiers and claim data. + Adheres to internal… more
- Intermountain Health (Austin, TX)
- …service behavior standards + Perform other duties as assigned **Skills** + Insurance Claims + Medical Billing + Explanation of Benefits (EOB) + Translations + ... medical billing experience, required + Minimum of six (6) months in a healthcare Cash Posting role, required + Knowledge of CPT (procedures), ICD-10 (diagnoses), and… more
- UNUM (Addison, TX)
- …+ Support pre-sale, preparation of presentations, customer/broker call prep, benchmarking, claims experience and competitor analysis through Unum's internal tools. + ... of benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term… more