• Hospital AR Follow up - remote

    Cognizant (Austin, TX)
    …to be considered: *High school diploma or GED *Proven experience working in healthcare revenue cycle with specializing in hospital claims . *Expertise in ... you will perform advanced level work related to resolution of hospital claims . You will be responsible for resolving aged hospital accounts receivables, identifying… more
    Cognizant (10/07/25)
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  • Network Operations Representative

    Apex Health Solutions (Houston, TX)
    …Partner with other internal departments, including but not limited to Health Services, Medical Economics, Sales, and Quality/ Coding in order to develop solutions ... with the participating physicians of the Houston based Unity Health Partners Healthcare Collaborative and their office staff. The position assists in contract… more
    Apex Health Solutions (09/18/25)
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  • Manager, Revenue Cycle Management

    Cardinal Health (Austin, TX)
    …team to ensure timely and accurate resolution of outstanding insurance claims . This role leads strategy development, performance monitoring, and process improvement ... evaluations for AR follow-up staff. + Coordinate with billing, coding , and other departments to address claim issues and...as the point of escalation for complex or high-dollar claims . + Stay current with payer policy changes, compliance… more
    Cardinal Health (09/16/25)
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  • Research Billing & Compliance Manager - EPIC…

    Houston Methodist (Houston, TX)
    …with Clinical Research Billing Compliance. + Provides oversight and performs detailed claims analysis and medical record review as necessary, including the ... clinical trial protocols, study budgets, coverage analyses, etc. - Performs detailed claims testing and medical review. - Reviews Medicare Coverage Analysis… more
    Houston Methodist (08/08/25)
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  • Care Management Associate

    CVS Health (Dallas, TX)
    …team members. **Required Qualifications** * 2-4 years of experience healthcare field, medical /health setting, medical billing and coding * Experience in ... Care Management Associate you will be supporting comprehensive coordination of medical services including Care Team intake, screening and supporting the… more
    CVS Health (10/10/25)
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  • Field Reimbursement Manager

    Amgen (San Antonio, TX)
    …assistance resolving any issues or coverage challenges + Educate and update healthcare providers (HCPs) on key private and public payer coverage and changes ... insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution + Educate offices using approved materials + Review… more
    Amgen (10/02/25)
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  • Senior IS Program Manager

    Providence (Levelland, TX)
    …Reporting + Revenue Cycle Management Expertise: Deep understanding of billing, coding , claims processing, denials management, and reimbursement methodologies + ... **Required qualifications:** + Bachelor's Degree in Project Management, Business, Healthcare Administration, Clinical Operations or Information Technology -OR- a… more
    Providence (10/08/25)
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  • Senior Data Scientist

    Cardinal Health (Austin, TX)
    …of healthcare data, including clinical data, patient demographics, and claims data. Understanding of HIPAA and other relevant regulations, preferred. + ... Center of Excellence (AI CoE), we are pushing the boundaries of healthcare with cutting-edge Data Science and Artificial Intelligence (AI). Our mission is… more
    Cardinal Health (09/06/25)
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  • Data Measurement & Reporting Advisor

    The Cigna Group (Houston, TX)
    … payment, enrollment, benefit design, and utilization management + Knowledge of standard medical coding including CPT-IV, ICD-10, DRG, revenue codes, and HCPCS + ... **Summary** Supports the medical cost position of assigned markets through analysis... cost position of assigned markets through analysis of healthcare provider contracts, analysis of high performing network solutions,… more
    The Cigna Group (09/16/25)
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  • Investigator

    Highmark Health (Austin, TX)
    …(AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must ... to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for… more
    Highmark Health (09/10/25)
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