- Molina Healthcare (San Antonio, TX)
- …equivalent discipline **Required Experience** + 3-5 Years of experience with healthcare -related data ( claims /encounters, provider, CMS/EDGE response files, etc. ... **Job Description** **Job Summary** The Senior Analyst will serve a key role on the...adaptively when data is incomplete or spread across multiple systems , using sound judgment to build defensible audit datasets.… more
- Molina Healthcare (Dallas, TX)
- …conducts research to resolve customer initiated issues related to core systems processing, and coordinates and manages project teams in the development ... + 3-5 years' experience in a combination of applicable business and business systems + Computer Science or Info tech + Testing experience required + Data… more
- Elevance Health (Houston, TX)
- …identified overpayments. **How you will make an Impact:** + Audits paid claims for overpayments using various techniques including systems -based queries, ... **Recovery Audit Analyst I** **Location:** _Hybrid1:_ This role requires associates...is responsible for auditing and facilitating the recovery of claims overpayments as identified by our business partners. Responsible… more
- Evolent (Austin, TX)
- …analyses into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based ... RVUs, bundled payments, etc. is preferred + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing… 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
- 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, ... 10. Maintain department standard of productivity metrics related to claims processed, claims rejected, claims ...or similar experience with 3 years of experience in healthcare financial and revenue cycle analysis. Experience in Financial… more
- AdventHealth (Burleson, TX)
- …accounting related duties, claims and/or customer service . Experience with Epic Systems . Experience with Crowe Healthcare Suites This facility is an equal ... a low-cost of living. **The role you'll contribute:** A Finance Analyst interacts with department directors, physicians, and hospital management in conjunction… more
- Highmark Health (Austin, TX)
- …scope and complexity + 5 years with coding languages, analytical software, systems , tools and processes using claims , clinical, enrollment and provider ... and/or create analytics and reporting solutions aligned to the Quadruple Aim of Healthcare : lower per capita health care costs, improved outcomes from and quality of… more
- HCA Healthcare (Mckinney, TX)
- …as a(an) Billing Specialist? At MSO - Comprehensive OB/GYN, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible ... on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny… more
- Omnicell (Fort Worth, TX)
- **Reconciliation Lead** The Lead Reconciliation Analyst leads the team that provides reconciliation services to FDS Amplicare customers and oversees the customer ... forms and documentation. . Communicate any issues that may arise, including claims disputes. . Oversee development and communication of customer reports. . Partner… more