- Prime Healthcare (Mesquite, TX)
- …Billing Specialist. As our Medical Biller, you will manage patient billing and insurance claims in our Physician Group or Hospital . The Medical Biller will ensure ... are some of the benefits of working at Prime Healthcare : + Health, dental, and vision insurance options +...insurance information for accurate insurance billing + Submit insurance claims and ensure timely reimbursement + Follow up on… more
- Molina Healthcare (San Antonio, TX)
- …adequacy, financial performance and operational performance, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance ... accurate and timely maintenance of critical provider information on all claims and provider databases. Responsible for contracting/re-contracting of standard deals,… more
- The Cigna Group (Houston, TX)
- …of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales ... or complex provider contracts and alternate contract terms. + Creates healthcare provider agreements that meet internal operational standards and external provider… more
- CVS Health (Austin, TX)
- …**Required Qualifications** + 3-5 years of data interpretation and analysis experience. + Healthcare background. + Experience with internal claims data and ... healthcare coding. + Must be able to travel to provide testimony if needed. + Experience with Excel. **Preferred Qualifications** + Certified Professional Coder + Knowledge of CVS/Aetna's policies and procedures + Excellent verbal and written communication… more
- Molina Healthcare (TX)
- …network adequacy and provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance with ... staff are the primary point of contact between Molina Healthcare and contracted provider network. They are responsible for...3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5… more
- Prime Healthcare (Dallas, TX)
- Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 ... nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare...to the Stark Law, the Antikickback Statute, the False Claims Act, and other Fraud, Waste and Abuse laws… more
- Molina Healthcare (Austin, TX)
- …Experience working in a Medicare environment is highly preferred. + Claims adjudication experience is highly preferred. **Job Qualifications** **Required Education** ... encounter processes, provider and contract configuration, provider information management, claims processing and other related functions. **Preferred Education** Bachelor's… more
- Molina Healthcare (Fort Worth, TX)
- …vendor, and internal COB leads. + Updates the other insurance table on the claims transactional system and COB tracking database. + Review of claims identified ... for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Molina Healthcare (Houston, TX)
- …network adequacy and provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance with ... staff are the primary point of contact between Molina Healthcare and contracted provider network. They are responsible for...2 - 3 years customer service, provider service, or claims experience in a managed care setting. + Working… more
- Kyndryl (Austin, TX)
- …transforming Contact Center operations for enterprise organizations, particularly those in the Healthcare or State or Local Government and / or Educational (SLED) ... communication, presentation, and stakeholder management skills with C-Level. + Healthcare industry experience is a strong plus, especially in payer/provider… more