- CVS Health (Austin, TX)
- …insights and present findings to non-technical audiences. + 2+ years experience interpreting medical claim data + Advanced experience in SQL & Python coding ... analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate Medicaid regulatory &… more
- Ascension Health (Austin, TX)
- …health records for purposes of document retrieval, analysis and claim processing. **Responsibilities:** + Abstract pertinent information from patient records. ... (AAPC) obtained prior to hire date or job transfer date. + Medical Certified Professional Coder (CPC) credentialed from the Practice Management Institute (PMI)… more
- HCA Healthcare (Austin, TX)
- …and integrity. We care like family! Jump-start your career as a Medical Insurance Verifier today with Surgery Ventures. **Benefits** Surgery Ventures, offers a ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- Sedgwick (Austin, TX)
- …to manage a team of adjusters and surveyors and to produce quality claim handling and services. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Builds and maintains ... A comprehensive benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and life insurance, employee… more
- Aston Carter (Irving, TX)
- …interactions. The ideal candidate will have experience in lien and claims management as well as collections duties for accounts receivable within ... company management. + Prepare preliminary lien notices and bond claims that comply with state statutes to secure account...plus. + Knowledge of mechanic statutes and payment bond claim procedures. + Ability to work in a fast-paced… more
- CDM Smith (El Paso, TX)
- …expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs ... by providing updates on work status and may evaluate claims and make recommendations to FEMA as to whether...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
- PennyMac (Carrollton, TX)
- …Business Control Specialist will : + Utilizing investor guidelines, research repurchase claims and defects from investors/insurers to determine if the claim ... + Write rebuttal letters to investors/insurers to refute cured and invalid claims + Analyze current Production processes and provide recommendations on policies &… more
- Ascension Health (Austin, TX)
- …in the patient account record of all billing activities. Maintain documentation of claims processed as part of the daily claims reconciliation process. + ... account record of all billing activities. Maintain documentation of claims processed as part of the daily claims...Central Texas and four teaching hospitals, including Dell Seton Medical Center at The University of Texas and Dell… more
- Molina Healthcare (Houston, TX)
- …least 1 year management/leadership experience. * Experience reviewing all types of medical claims (eg HCFA 1500, Outpatient/Inpatient UB92, Universal Claims ... JOB DESCRIPTION Job Summary Leads and manages team responsible for claims activities including reviewing and resolving member and provider complaints, and… more
- Highmark Health (Austin, TX)
- …analysis to several functions, including insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability ... analysis to several functions, including insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability… more