• Principal, Stars Enterprise Activation - Insurance…

    Humana (Austin, TX)
    …Operations encompasses critical functions including care coordination, quality measurement, billing , claims processing, and customer service, each essential to ... deep operational knowledge of core functional areas (care coordination, quality, billing , claims, and customer service). + Collaborate with each Insurance Operations… more
    Humana (11/19/25)
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  • Specialist, Appeals & Grievances

    Molina Healthcare (San Antonio, TX)
    …of a health care related vocational program in health care (ie, certified coder, billing , or medical assistant). To all current Molina employees: If you are ... determine appropriate appeals and grievance outcomes. * Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per… more
    Molina Healthcare (11/23/25)
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  • Business Office Representative Clerk - Memorial…

    Surgery Care Affiliates (Houston, TX)
    …to): Medical Records, Credentialing, Admissions/Intake, Accounts Payable, Billing , Collections, Insurance Verification, Transaction, Posting , Clinical Logs ... package to support your health, well-being, and financial future. Our offerings include medical , dental, and vision coverage, 401k plan with company match, paid time… more
    Surgery Care Affiliates (11/13/25)
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  • Clinical Registered Nurse - Utilization Management…

    Cognizant (Austin, TX)
    …referral, preauthorization, medical necessity, non-covered services, investigational/experimental and billing resulting in denials and/or delays in payment . ... Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a...this role are accurate as of the date of posting . This may change based on the project you're… more
    Cognizant (11/25/25)
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  • Chief Financial Officer, UT Health RGV

    University of Texas Rio Grande Valley (Edinburg, TX)
    Position Information Posting NumberSRGV8456 Working TitleCHIEF FINANCIAL OFFICER, UT HEALTH RGV Number of Vacancies1 LocationEdinburg, Texas DepartmentSchool of ... . * Oversees all aspects of revenue cycle, including patient access, billing , coding, collections, and denials management. * Provides financial leadership in capital… more
    University of Texas Rio Grande Valley (11/08/25)
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  • Fraud and Waste Investigator

    Humana (Austin, TX)
    …Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Understands department, ... fraud investigations and auditing experience + Knowledge of healthcare payment methodologies + Strong organizational, interpersonal, and communication skills +… more
    Humana (11/21/25)
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  • Accounts Receivable Clerk

    Robert Half Accountemps (Dallas, TX)
    …batches, research and resolve customer A/R issues, prepare aging report, place billing and collection calls, maintain cash receipts journal, update, and reconcile ... receivables, and payroll liaison activities + Reconcile bank accounts, posting and balancing financial data in various ledgers +...+ Soft collections: contact existing clients to help resolve payment issues; assist in setting up payment more
    Robert Half Accountemps (11/19/25)
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  • Receptionist/Administrative Assistant

    BrightSpring Health Services (Anna, TX)
    …copays at the time of each appointment and follows procedures for co- payment deposits + Performs credit card transactions + Maintains patient account balances ... + Works with electronic medical records + Files, Faxes, and Scans documents +...documents + Manages and orders office supplies + Completes billing and payroll data entry + Schedules breaks and… more
    BrightSpring Health Services (11/18/25)
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  • Licensed P&C Insurance Professional - Sales…

    USAA (San Antonio, TX)
    …foundational to moderately complex quotes, binding new business, rating, policy, billing , payment , underwriting, contract and coverage provisions, and premium ... their physical, financial, and emotional wellness. These benefits include comprehensive medical , dental and vision plans, 401(k), pension, life insurance, parental… more
    USAA (10/02/25)
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  • RWD Analytic Consultant

    Norstella (Austin, TX)
    …a wide range of healthcare data sources, including claims, lab results, electronic medical records (EMR), and other real-world data *Your expertise in SQL and data ... on with RWD (eg, open/closed claims, APLD, lab, EMR/EHR, hospital chargemaster, billing codes, etc.) *Understanding of life sciences industry and US healthcare… more
    Norstella (10/25/25)
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