- Oracle (Austin, TX)
- …of AI agents and multi-agent systems that orchestrate complex RCM workflows ( claims processing, charge capture, revenue integrity, denial management, and follow ... Oracle US offers a comprehensive benefits package which includes the following: 1. Medical , dental, and vision insurance, including expert medical opinion 2.… more
- Houston Methodist (Houston, TX)
- …metrics. Oversees the investigation and appeal of unpaid and partially paid claims by third-party payors related to coding or clinical denials. **GROWTH/INNOVATION ... FUNCTIONS** + Implements change, demonstrating the ability to motivate employees and follow through to ensure change in behavior has actually occurred. Supports… more
- Southland Industries (Houston, TX)
- …are satisfied. + Complete employment verifications. + Respond to unemployment claims . + Perform additional assignments as requested/needed. + Travel Requirements: ... plan with **50% company match (no cap)** and immediate 100% vesting + Medical , dental, and vision insurance **(100% paid for employee)** + Annual bonus program… more
- Houston Methodist (The Woodlands, TX)
- …to managers and staff of low to high complexity, and conducting interviews ( follow -up, exit, focus group). Works with client managers and staff to coach, train ... EEOC charges, business practice complaints, and Texas Workforce Unemployment Claims . Identifies appropriate options for management/senior leadership consideration, makes… more
- Molina Healthcare (Austin, TX)
- …work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... ensuring the highest quality on every project/request. Responsible for error resolution, follow up and performance metrics monitoring. + Provides peer review of… more
- Intermountain Health (Austin, TX)
- …Classification of Diseases ICD-10 and Diagnosis Related Groups (DRG) codes for claims concurrently while a patient is in a hospital. It ensures accurate ... coding in an inpatient hospital setting. AND Demonstrated understanding of medical terminology, medical acronyms, anatomy and physiology. AND Demonstrated… more
- Elevance Health (Grand Prairie, TX)
- …of the care management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment ... rates of reimbursement, as applicable. Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management… more
- Elevance Health (Rockwall, TX)
- …or through extra-contractual arrangements, as permissible. + Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the development ... care management treatment plans. + May also assist in problem solving with providers, claims or service issues. + Directs and/or supervises the work of any LPN/LVN,… more
- Option Care Health (San Antonio, TX)
- …financial assistance program). + Supports the ongoing activities needed to ensure clean claims on hold and denial management ( follow -up on paperwork where ... functions. **Travel Requirements** N/A **Preferred Qualification & Interests** Previous healthcare/ medical billing experience preferred. May perform other duties as… more
- United Therapeutics (Austin, TX)
- …Demonstrated knowledge of regulatory/compliance requirements including the Anti-Kickback Statute, False Claims Act, FCPA, Sunshine Act, HIPAA and other regulations + ... urgency, with high motivation and ability to take initiative, follow through and complete projects in a professional and...enthusiasm, creativity, and persistence to innovate for the unmet medical needs of our patients and to benefit our… more