- IQVIA (Houston, TX)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our...or equivalent + Experience in claim processing required + Medical Billing Certification required + Coding Certification… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid, and Medicare Advantage requirements… more
- Ascension Health (Austin, TX)
- …analytical, and leadership skills, including knowledge of medical billing and coding , proficiency in healthcare software, and strong financial acumen. + Key ... manage teams to optimize financial performance and ensure compliance. + Coding Certification from AAPC and experience in Professional Billing/Physician Practice… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …companies and healthcare professionals to resolve issues resulting from denied claims + Adhere to coding policies and procedures consistent with the ... research, and correspond with insurance companies to obtain accurate reimbursement for healthcare claims . This person will also be responsible for analyzing,… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …companies and healthcare professionals to resolve issues resulting from denied claims + Adhere to coding policies and procedures consistent with the ... companies in an effort to obtain accurate reimbursement for healthcare claims . . Duties include but are...standards. Requirements + Education: Certificate or associate's degree in medical coding /CPC. These additional certifications are not… more
- Molina Healthcare (Austin, TX)
- …different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical… more
- Prime Healthcare (Mesquite, TX)
- …and insurance claims in our Physician Group or Hospital . The Medical Biller will ensure accurate coding , timely reimbursements and clear communication ... Overview We are seeking a Medical Biller , sometimes referred to as a...are some of the benefits of working at Prime Healthcare : + Health, dental, and vision insurance options +… more
- Molina Healthcare (Austin, TX)
- …to reduce the likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records independently by applying advanced clinical ... in the specific programs supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific… more
- Molina Healthcare (Austin, TX)
- …different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form). * Advanced understanding of key managed ... executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data… more
- CVS Health (Austin, TX)
- …Experience in healthcare fraud, waste and abuse + Knowledge of Medicaid healthcare claims adjudication (QNXT) & regulatory reporting + Experience with data ... and is ideal for a data professional with strong coding skills in SQL and Python who can transform...skills in SQL and Python who can transform complex healthcare data into actionable insights to support fraud, waste,… more