- Evolent (Austin, TX)
- …data using industry-standard metrics. + Process and validate raw unadjudicated claims data . **Qualifications Required and Preferred:** + Bachelor's degree, ... Codes, CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing… more
- Evolent (Austin, TX)
- …culture. **What You'll Be Doing:** ** Analyst , Client Analytics** Integrate and analyze claims and enrollment data from multiple sources using SAS and SQL ... loved ones. The Client Analytics team offers candidates the opportunity to leverage data & analytics to drive actionable insights and strategies for our partners. We… more
- Prime Therapeutics (Austin, TX)
- …our passion and drives every decision we make. **Job Posting Title** QA Analyst PBM Implementation - Remote **Job Description** The Quality Assurance (QA) Analyst ... work experience; HS diploma or GED is required + 2 years of experience within Claims Processing, Audit, Quality or Pharmacy + Must be eligible to work in the United… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- Position Information Posting NumberSRGV8219 Working TitleCOMPLIANCE CODING AND BILLING ANALYST Number of Vacancies1 LocationMcAllen, Texas DepartmentOffice of the ... and regulations and UTRGV policies. To review and analyze medical records, claims , and workflow processes to ensure accuracy, completeness, and compliance with… more
- Capgemini (El Paso, TX)
- …and career. For eligible employees, we offer: + Flexible work + Healthcare including dental, vision, mental health, and well-being programs + Financial well-being ... fueled by its market leading capabilities in AI, generative AI, cloud and data , combined with its deep industry expertise and partner ecosystem. The Group reported… more
- Capgemini (El Paso, TX)
- …and career. For eligible employees, we offer: + Flexible work + Healthcare including dental, vision, mental health, and well-being programs + Financial well-being ... fueled by its market leading capabilities in AI, generative AI, cloud and data , combined with its deep industry expertise and partner ecosystem. The Group reported… more
- Catholic Health Initiatives (Houston, TX)
- …requirements. Reports are produced for Revenue Cycle functions such claims submission, insurance follow‐up, cash management, credits/refunds, charge/payment posting, ... timely report generation/distribution through use of computer‐based applications and data . Work also includes: 1) developing/maintaining Key Performance Indicator… more
- UTMB Health (Galveston, TX)
- Analyst , 340B Program - Contract Pharmacy **Galveston, Texas, United States** Allied Health UTMB Health Requisition # 2504846 **_REQUIRED EDUCATION / EXPERIENCE:_** ... **_Working knowledge and understanding of medication and contract terminology;_** healthcare insurance collections, reconciliation, or analysis; supply chain management… more
- Highmark Health (Austin, TX)
- …experience within one or more Epic modules. **Preferred** + 2+ years of Healthcare Revenue Cycle experience ( Claims , Patient Access, Billing) + Epic ... requirements definition and documentation, system design, and problem resolution. The analyst communicates with system end-users to understand issues and implement… more
- Elevance Health (Grand Prairie, TX)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support draft development… more