- Molina Healthcare (San Antonio, TX)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... Hospital payment methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge is… more
- Molina Healthcare (Austin, TX)
- … healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms ... related to cost, utilization and revenue for multiple Molina Healthcare products. Analyzes data and dashboard reports to monitor...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- HCA Healthcare (Austin, TX)
- …and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, ... SC, TN, TX, UT, VA). Are you passionate about the patient experience? At HCA Healthcare , we are committed to caring for patients with purpose and integrity. We care… more
- Prime Healthcare (Farmers Branch, TX)
- Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 ... health systems with nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a… more
- Molina Healthcare (Dallas, TX)
- …SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses information ... enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims… more
- Humana (Austin, TX)
- …a related field, or equivalent work experience. + Demonstrated experience in claims analysis, payment integrity, or healthcare data analytics, preferably within ... anomalies in data to identify and collect overpayment of claims . Contributes to the investigations of fraud waste and...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- Molina Healthcare (Fort Worth, TX)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... the development, implementation and maintenance of provider data in the claims payment system. * Supports critical business strategies by providing systematic… more
- Cognizant (Austin, TX)
- …Consulting experience, preferably with top consulting firms * Strong background in Healthcare industry, including health plans, claims , and provider operations * ... of payer functions and Medicaid plan implementations, including enrollment, billing, claims , care management, member portal, shopper tools, etc. **These will help… more
- HCA Healthcare (Houston, TX)
- **Description** **Introduction** Are you passionate about the patient experience? At HCA Healthcare , we are committed to caring for patients with purpose and ... career as a Medical Collections Specialist today with HCA Healthcare . **Benefits** HCA Healthcare offers a total...and work to correct them You will monitor insurance claims and contact insurance companies to resolve claims… more
- Guidehouse (Lewisville, TX)
- …**:** None **What You Will Do** **:** The **Team Lead - Hospital Claims ** is responsible for supervising and coordinating the daily operations and activities of ... CA or Lewisville, TX and three days working from home._** + **Strong Hospital Claims A/R & Billing Follow-up** + Mentoring of fellow team members when needed +… more