- Elevance Health (Houston, TX)
- …coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement ... The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims... medical records and generating high quality recoverable claims for the benefit of the company, for all… more
- CVS Health (Austin, TX)
- …of managed care and how provider reimbursement policies relate to the control of medical claims costs. * Full comprehension of provider contracts and the ... with a passion for healthcare economics? Join our team as a **Manager, Medical Economics** and play a pivotal role in shaping cost-effective healthcare strategies.… more
- Cognizant (Austin, TX)
- …other teams. **In this role, you will:** + Review and resolve denied or rejected medical claims due to coding errors, ensuring accurate coding and billing based ... **Cardiovascular Medical Coder** We strive to provide flexibility wherever...for this position, subject to applicable eligibility requirements: . Medical /Dental/Vision/Life Insurance . Paid holidays plus Paid Time Off… more
- Elevance Health (Grand Prairie, TX)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the… more
- Prime Therapeutics (Austin, TX)
- …Thorough understanding of pharmaceutical claims data and general understanding of medical claims data; highly analytical + Self learns new processes/software ... experience in at least one of the specific areas for position (eg, claims , eligibility, product, benefits, implementations or related area) + Must be eligible to… more
- Molina Healthcare (Fort Worth, TX)
- …of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- TEKsystems (Dallas, TX)
- Medical Biller - Healthcare Claims Specialist Location: Hybrid in Dallas, TX (In-office Tues-Thurs, Remote Mon/Fri) Employment Type: Contract-to-Hire Expected ... Start Date: September 1st Overview: Our partner, a growing medical device company, is seeking a detail-oriented and experienced Medical Biller to join their… more
- Houston Methodist (Houston, TX)
- …goals. **FINANCE ESSENTIAL FUNCTIONS** + Expedites and maximizes payment of insurance medical claims by contacting third party payors and patients. This ... for resolving all outstanding third party primary and secondary insurance claims for professional services. This position performs collections activities on simple… more
- Humana (Austin, TX)
- …skills to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated ... team leadership experience** **Demonstrated experience in managing projects effectively** ** Medical claims experience** **Additional Information** **_This position… more
- UNUM (Austin, TX)
- …Unum today! **General Summary:** This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum ... US product lines. The incumbent provides high quality, timely, and efficient medical consultative services to the Benefits Center. The Medical Consultant adheres… more