- Health Care Service Corporation (Richardson, TX)
- …+ Experience with CMS payment methodologies (eg IPPS, OPPS, etc) + Familiarity with medical and pharmacy claims , ICD10, DRG, APC, HCPCS and/or CPT + Experience ... invest in your professional development. **Job Summary** The Senior Analytics Consultant - Medical Economics role supports medical cost trend analysis for the… more
- Elevance Health (Grand Prairie, TX)
- …healthcare analytics, and/or financial services highly preferred. + Comprehensive understanding of medical claims data. + Intermediate to Advanced expertise with ... **Senior Health Economist - Managed Care** **Location:** This role...Senior) measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed… more
- Health Care Service Corporation (Richardson, TX)
- …+ Experience with CMS payment methodologies (eg IPPS, OPPS, etc.) + Familiarity with medical and pharmacy claims . ICD10, DRG, APC, HCPCS, and/or CPT **This is ... The Principal Analytics Consultant role offers an exciting opportunity in Medical Economics to work collaboratively with cross-functional business partners to… 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
- Molina Healthcare (San Antonio, TX)
- …to providers. **Job Duties** + Performs clinical/ medical reviews of retrospective medical claim reviews, medical claims and previously denied cases, ... documentation for denial and modification of payment decisions + Independently re-evaluates medical claims and associated records by applying advanced clinical… more
- Baylor Scott & White Health (Austin, TX)
- …2 Years of Experience in Healthcare Analytics + 2 years working with ACA and Medical Claims , MMR, MOR, MAO-002, MAO-004 and RAPs/EDS data + Experience with ... and outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter data, submission… more
- Cardinal Health (Austin, TX)
- …Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off ... is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following up on unpaid… 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 ... -expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the… more
- Veterans Affairs, Veterans Health Administration (El Paso, TX)
- …| 7403(f). Experience: One year of creditable experience that indicates knowledge of medical terminology and general understanding of health records. Six months ... Code (USC) | 552a; Department of Veterans Affairs (VA) Claims Confidentiality Statute, 38 USC | 5701; Confidentiality of...of 12 semester hours in health information technology/ health information management (eg, courses in medical … more
- Covenant Health (Plainview, TX)
- …Services + Patient Care + Patient Access + Scheduling - Healthcare + Insurance / Medical Claims + Customer Service - Healthcare ( Medical , Dental, Vision, ... Care Facility experience + Rehabilitation care experience + Home Health Aide + Medical lab experience +...including a retirement 401(k) Savings Plan with employer matching, health care benefits ( medical , dental, vision), life… more