- 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
- 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 (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
- KPH Healthcare Services, Inc. (Longview, TX)
- …balances. **Responsibilities** + Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other responsible ... written correspondence. + Investigate and resolve denied or partially paid claims , identifying root causes and implementing corrective actions. + Collaborate with… more
- Molina Healthcare (Dallas, 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
- Guidehouse (San Antonio, TX)
- …+ Exhibit flexibility and cope effectively in an ever-changing, fast-paced healthcare environment. + Perform effectively when confronted with emergency, critical, ... in lieu of diploma/GED + 8 years working within the following sectors: healthcare , insurance, business, finance or customer service. + Working knowledge can be of… more
- Cognizant (Austin, TX)
- **Facets Healthcare Developer** **Work Model: Remote** **Employment Type: Full-Time** **Job ID: 00065752001** **About the role** As a **Senior Developer** , you will ... make an impact by designing, developing, and deploying robust solutions for healthcare platforms. You will be a valued member of the delivery team and work… more