- Baylor Scott & White Health (Dallas, 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 ... type and/or level **Job Summary** + Under the Safe Choice Claims Manager, the Safe Choice Claims Specialist II reviews, studies, and processes assigned claims… more
- Providence (TX)
- …empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, general, ... and other liability claims under the PSJH Insurance Program:** + Communicate with...**Preferred qualifications for this position include:** + Certified Professional Healthcare Risk Management (CPHRM) + 10+ years of medical… more
- Cognizant (Austin, TX)
- …a variety of business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The **Medical** ** Claims Processor** ... responsible for the timely and accurate adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support to … more
- Elevance Health (Houston, TX)
- ** Claims Auditor I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... an accommodation is granted as required by law._ The ** Claims Auditor** **I** is responsible for pre and post...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- GuideOne Insurance (Houston, TX)
- As a Commercial Casualty Claims Adjuster, you will serve as a real partner to our members by processing claims accurately and efficiently so they can resume ... and cause of loss on routine to more complicated claims , which includes but is not limited to policy...Medical, dental and vision plans to meet your unique healthcare needs + Wellness incentives + Generous time off… more
- IQVIA (Houston, TX)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this...good for IQVIA, our clients, and the advancement of healthcare everywhere. This role will be a contract role… more
- Ascension Health (Austin, TX)
- …by Health and Human Services Commission. Perform routine and/or targeted audit of claims to ensure payment accuracy and adherence to state Medicaid guidelines. + ... agencies to ensure that internal and/or regulatory timelines are met. + Research claims appeals using support systems to determine appeal outcomes. + Composes all… more
- Covenant Health (Plainview, TX)
- …lab experience + Patient Services + Patient Care + Patient Access + Scheduling - Healthcare + Insurance / Medical Claims + Customer Service - Healthcare ... (Medical, Dental, Vision, Veterinary) + Healthcare : Internship + Healthcare : Nutrition + Healthcare : Volunteer + Healthcare : Research + Pharmacy +… more
- Norstella (Austin, TX)
- …sciences analytical use cases by querying and analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), ... Norstella's unified Real World Data asset, a combination of claims , lab, SDOH and EMR data. You will be...worked in and understands the dynamics of the US healthcare ecosystem. **Responsibilities:** *As an RWD Analytic Consultant, you… more
- Zelis (Plano, TX)
- …Proficient writing SQL queries + A good understanding of public and private healthcare payment systems, medical claims , standard claim coding, claim editing, ... So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more… more