- Mass Markets (TX)
- …partner in the industry. We are looking for a proactive and detail-oriented Real-Time Analyst to join our workforce management team. This role is crucial in ensuring ... sometimes even cars! + Health Benefits:Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 60 days of employment, and all… more
- Evolent (Austin, TX)
- …team at Evolent. This individual will be primarily focused on performing medical economics analysis in support of complex risk-based contract development and will ... into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant… more
- CVS Health (Richardson, TX)
- …every day. This is a hybrid position. **Position Summary** As a Rebate Formulary Analyst - Manufacturer Rebates you will perform a critical role in the analysis of ... and/or Rebate knowledge beneficial. + Experience with Caremark business systems, claims adjudication, formulary, drug, and client systems with an emphasis on… more
- CVS Health (Richardson, TX)
- …CVS Health company, is hiring for the following role in Richardson, TX: Sr. Analyst , Application Development to analyze and assist with the design and development of ... develop applications, systems, and databases used to process prescriptions, claims , and related healthcare activities; and collaborate with cross-functional teams… more
- Sysco (Houston, TX)
- …from home on Thursday and Friday.** **Job Summary:** The Leave of Absence Analyst is responsible for managing employee leave and return to work processes, ensuring ... + **Return to Work:** Review and audit Return to Work process for claims , including Return to Work transitional program, process with external vendor and internal… more
- Keurig Dr Pepper (Frisco, TX)
- …+ Financial Oversight: Audit and approve transportation invoices and process freight claims . + Process Optimization: Maintain SOPs and partner with providers to ... and commensurate with experience. **Benefits** (Effective Day One, Where Applicable): + Medical , Dental, and Vision Insurance + Disability Coverage + Paid Time Off… more
- CVS Health (Austin, TX)
- …abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- OneMain Financial (Fort Worth, TX)
- …Manages the interactive process by ensuring compliant recordkeeping, review of medical information, and facilitating open interactive dialogue with team members. ... structure, role definition and system enhancements. + Process State Disability Claims as necessary. + Participates/drives special projects or assignments as needed.… more
- TEKsystems (Houston, TX)
- …specialist, insurance follow up, root cause analysis, EHR, EMR, EPIC, Cerner, medical billing, claims audit, appeals process, appeals letter, denials, insurance ... audit) 2. rebilling - focus on "out the door" claim appeals that are more ready to go -...phone to communicate and solve problems - determine why claims are denied - determine where to send appeals… more
- Methodist Health System (Dallas, TX)
- …receivable management system including but not limited to billing, claim corrections, reconciliation, payment posting, refunds/credit balances, customer service, and ... depending upon assigned role may be responsible for reviewing claim information to ensure accuracy and provide feedback to...Diploma with (4) four years as an Account Receivable analyst in a Hospital setting. * Professional Certification through… more