- Elevance Health (Houston, TX)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and ... prevention and control. + Review and conducts analysis of claims and medical records prior to payment....term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name… more
- Walgreens (Houston, TX)
- …with information technology. Finds opportunities to improve productivity + Ensures insurance claims are processed accurately to prevent payment rejections. ... Resolves patient issues by working with insurance companies and medical providers and conducting...compliance, pharmacy operations, pharmacy software and technology systems and insurance billing . (Some states may require more… more
- Highmark Health (Austin, TX)
- …+ 1 year in Financial Analysis in an acute care hospital or health insurance setting + 1 year in professional billing , facility Patient Financial Services, ... state regulations. Responsible for updating annually the changes in insurance laws with regard to lines of business +...+ Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing … more
- Kelsey-Seybold Clinic (TX)
- …to respond to administrative issues related to health plan operations including claims resolution, premium billing , medical benefit interpretation, ... Medical Benefit Interpretation, CMS Regulations, Texas Department of Insurance Regulations and ERISA Excellent interpersonal skills to interface with physicians… more
- Houston Methodist (Katy, TX)
- …Performance Indicator. **FINANCE ESSENTIAL FUNCTIONS** + Follows up on assigned delinquent insurance claims . Ensures maximization of collection dollars from ... position has direct contact with other Houston Methodist departments and insurance companies and must demonstrate strong interpersonal and persuasive abilities in… more
- Catholic Health Initiatives (Brenham, TX)
- …performance goals and objectives. Responsible for assisting patients with questions on insurance claims , home healthcare, and medical equipment. Responsible ... answering phones, receiving payments, verifying necessary information and records in the medical record. Provides information to patients so they may fully utilize… more
- Evolent (Austin, TX)
- …or related healthcare consulting entity + Extensive knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and ... patient health. This role supports capitated risk and value-based strategy development, medical cost management activity, medical economics activity, and a… more
- STG International (Temple, TX)
- …applied income & co- insurance ) collections at 99% 32. On hold unbilled claims are less than .25% of 3rd party (non-private) revenue and/or not aged greater ... 16. Perform other duties as assigned 17. Act as billing liaison between STGi and residents or families 18....mission. STGi offers a competitive benefits package which includes Medical , Dental, Vision, 401k with company match and a… more
- Robert Half Legal (Richardson, TX)
- …in the United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance . Hired ... you. Responsibilities: * Manage and oversee legal cases assigned by the Claims Department, ensuring timely and effective handling. * Develop comprehensive case… more
- Kemper (San Antonio, TX)
- …preferable or comparable sales/marketing management experience + Extensive knowledge of insurance operations: claims , coverages, products and underwriting is ... as well as liaison for resolving policy service and billing issues for assigned accounts and products. + Manages...requirements. + Works directly with strategic partners like Product, Claims , and Operations on issues impacting the account. +… more