- Public Consulting Group (Austin, TX)
- …+ Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + ... options + Develops effective working relations and cooperate with medical team throughout the entire case management process +...working experience in case management, including as a nurse, medical , mental health care manager or a related job… more
- HCA Healthcare (Tomball, TX)
- …Responsible for all aspects of the EH & S Program to include: reporting, processing claims , tracking and documentation. What qualifications you will need: + ... 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
- Methodist Health System (Dallas, TX)
- …insurance carriers/vendors. + Ensure proper filing of benefits forms after processing and maintaining organized employee files. + Proactively manage and process ... FMLA/LOA claims across the organization, ensuring compliance with Methodist policies...12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center,… more
- Houston Methodist (Houston, TX)
- …process to respond to staff questions to productivity and benchmarking. + Claims FEMA fund when needed. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Ensures a safe ... highly responsive and solution/action oriented + Proficiency in spreadsheet, word processing , and presentation software + Maintains a positive and supportive… more
- Highmark Health (Austin, TX)
- …(AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must ... to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for… more
- CVS Health (Richardson, TX)
- …NextGen Production Support Environment team, focusing on Non-Production Support: + Claims system: Health Rules Payer (HRP) + Enrollment systems: Market Prominence ... multi-tier applications. + 3+ years experience with or exposure to batch processing , monitoring technologies, and trend analysis + Knowledge or experience with… more
- Baylor Scott & White Health (Round Rock, TX)
- …received from payers in order to assist patients and guarantors with understanding of claims processing or denial of services by payer. **KEY SUCCESS FACTORS** + ... & White is embarking on an expansion of our medical center in Round Rock. The expansion of Baylor...Round Rock. The expansion of Baylor Scott & White Medical Center - Round Rock is estimated to be… more
- Guidehouse (San Antonio, TX)
- …Accounting builds within Oracle Health (Cerner) EHR for insurance verification, claims submission, payment processing , account follow-up, records maintenance, ... + Support Revenue Cycle activities, such as charge capture, patient access, medical coding, and revenue cycle optimization. + Provide health informatics subject… more
- Guardian Life (Austin, TX)
- …AI. + Apply AI/ML to unstructured data sources such as insurance contracts, medical records, sales notes, and customer service logs. + Deliver solutions that enhance ... underwriting risk assessment, claims auto-adjudication, and customer servicing. Operational Excellence + Establish scalable processes, frameworks, and governance… more
- Golden State Foods (Lancaster, TX)
- …(advertising, scheduling interviews, etc.), staffing, preparation of workers' compensation claims , completion of new employee paperwork, support of accounting ... (20%) + Administers sick leave policy, including short- and long-term disability, and medical /family medical leaves. (10%) + Performs other related and assigned… more