- Cognizant (Austin, TX)
- …or requested; and other duties as assigned. Maintain and particpate in all Mass Health forums to understand, translate and implement Mass Health guidelines to ... and in a team environment + Extensive knowledge of Massachusettes Medicaid Mass Health laws required + Experience with Mass Health governing policies and… more
- CVS Health (Austin, TX)
- …position and can be based anywhere in the United States.** ** The Behavioral Health (BH) Medical Director (Special Investigations Unit) will be responsible for ... At CVS Health , we're building a world of health around...performing reviews of BH medical records and/or CPT code/HCPCS codes of known or suspected acts… more
- Covenant Health (Plainview, TX)
- …Desk / Reception ( Medical , Dental, Vision, Veterinary) + Healthcare: Insurance / Medical Claims + Healthcare: Patient Care + Healthcare: Medical Lab ... this role:_** + This posting is for multiple openings of a Medical Assistant - Rural Health + Work Status Available: Full Time, Day + Hiring Bonus: Providence… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **40996BR** **Extended Job Title:** Medical Billing Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for ... ensuring accurate billing for timely submission of claims , monitoring claim status, investigating claim denials/rejections, and documenting related account… more
- Methodist Health System (Dallas, TX)
- …to four years of experience in healthcare revenue cycle management. + Proficiency in medical billing software EPIC and electronic health record (EHR) systems. + ... background in A/R follow up for family and multi-specialty claims , able to identify, address, and resolve no response...salaries but also the outstanding benefits package of Methodist Health System, which includes medical , dental, and… more
- Alight (TX)
- …and financially secure workforce by unifying the benefits ecosystem across health , wealth, wellbeing, absence management and navigation. With a comprehensive total ... role provides leadership and guidance to a team of Claims Specialist who work to resolve billing inquiries &...for the whole person. Options include a variety of health coverage options, wellbeing and support programs, retirement, vacation… more
- Methodist Health System (Dallas, TX)
- …or medical reimbursement Proven experience in managing no response claims , denied claims , and billing correspondence. Knowledgeable with payors; Managed ... a particular emphasis on addressing and resolving no response claims , rejected or denied claims , and managing...two years college with credit hours in Business Administration, Health Care Administration, or related field Or High school… more
- Centene Corporation (Austin, TX)
- …everything for our 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization ... implementation of recommendations to providers that would improve utilization and health care quality. + Reviews claims involving complex, controversial,… more
- Elevance Health (Grand Prairie, TX)
- …coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement ... may be considered._ The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the… more
- Molina Healthcare (Fort Worth, TX)
- …analysis. **KNOWLEDGE/SKILLS/ABILITIES** Manages and provides direct oversight of Medical Economics Team activities and personnel. Provides technical expertise, ... as well as project work plans to meet reporting needs of the Medical Economics Team. Responsible for staff time keeping, performance coaching, development, and… more