- Cognizant (Austin, TX)
- …teams. **In this role, you will:** . Perform comprehensive follow-up on hospital claims to resolve outstanding accounts receivable. . Analyze denial trends and root ... and insights to management using advanced Excel skills. . Recommend updates to claim edits and work queues to improve efficiency and reduce payment delays. **What… more
- Molina Healthcare (Houston, TX)
- …abuse, and over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types of healthcare ... experience working in a Managed Care Organization or health insurance company + Minimum of two (2) years' experience...Medicare programs as well as Marketplace + Understanding of claim billing codes, medical terminology, anatomy, and health care… more
- Elevance Health (Grand Prairie, TX)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... practices, and specialty care procedures and recommends policy changes and claim 's system changes to pursue cost savings + Reviews results post-implementation… more
- Cognizant (Austin, TX)
- …Sales Cloud and Claim Vantage . Nice to have Skills : Claims vantage, SQL or Snowflake **Salary and Other Compensation:** Applications will be accepted until ... benefits for this position, subject to applicable eligibility requirements: + Medical/Dental/Vision/Life Insurance + Paid holidays plus Paid Time Off + 401(k) plan… more
- WestRock Company (Houston, TX)
- …plant and provide monthly reports to Management * Manage Workers Compensation claims , working on recommendations for claim settlements, medical treatments and ... Report accidents on a timely basis within the Company, Workers Compensation Insurance carrier and regulatory agencies * Communicates and celebrates success to… more
- Elevance Health (Grand Prairie, TX)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... create predictive impact decision making tools + Recommends policy changes and claim 's system changes to pursue cost savings. + Reviews results post-implementation… more
- Elevance Health (Grand Prairie, TX)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... practices, and specialty care procedures and recommends policy changes and claim 's system changes to pursue cost savings. + Reviews results post-implementation… more
- PennyMac (Fort Worth, TX)
- …the preparation and execution of essential legal documents, such as proof of claims and motions for relief, ensuring accuracy and compliance with all legal and ... the calculation of financial figures, such as proof of claim figures and affidavits in support of motions +...cafe style dining (select locations) + Retirement benefits, life insurance , 401k match, and tuition reimbursement + Philanthropy Programs… more
- Evolent (Austin, TX)
- …to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication to key ... credentials with Group Health track **(Preferred)** + Familiarity with healthcare claim processing **(Preferred)** + 5+ years experience at payer or management… more
- International (San Antonio, TX)
- …focusing on delivering high-quality solutions* Relies on evidence to back claims and maintains high standards* Thinks independently, makes clear decisions, and ... market-based compensation, health benefits, 401(k) match, tuition assistance, EAP, legal insurance , an employee discount program, and more. For this position, the… more