- Highmark Health (Austin, TX)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job creates data-driven insights which identify actionable opportunities through analytics ... reporting solutions aligned to the Quadruple Aim of Healthcare: lower per capita health care costs, improved outcomes from and quality of care received, and optimal… more
- Elevance Health (Houston, TX)
- …Audit Facilitator** is responsible for managing the process for claims and customer service audits/quality control reviews, including implementation audits, ... scope presented by external auditor. + For implementation audits, ensures the claims system is coded accurately by independently developing and running test … more
- The Arora Group (Fort Sam Houston, TX)
- …include a thirty minute or one-hour (non-compensable) lunch break. DUTIES OF THE MEDICAL BILLING SPECIALIST: + Monitors insurance claims and patient accounts in ... + Manages and works assigned queues to appropriately process claims , including clearing house claims . + Research...VA). Experience must include working with a variety of health insurance companies, Medicare/Medicaid, as well as medical… more
- The Cigna Group (Austin, TX)
- …but are not limited to the following: + Efficiently query multiple data types ( medical and pharmacy claims , EMR, lab, chargemaster) using SQL to identify ... **Overview** A career within Forsyth Health 's Data & Analytics team will provide you...Deep healthcare data (eg, PBM experience, Provider Networks, Billing, Medical and Pharmacy claims ), statistical analysis experience,… 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 ... appropriate. + Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance...plan + Health savings account (HSA) + 401k savings plan +… more
- TEKsystems (Dallas, TX)
- …collections, but will also consider someone who's done any function in the medical billing cycle (prior auths, appeals, denials, claims processing) + High ... resolve problem accounts, and request rebills or adjustments on claims . + Research, initiate follow-up, and resolve all unpaid...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- Texas Health Resources (Plano, TX)
- **Risk Manager - Full Time** Bring your passion to Texas Health so we are Better + Together . Work location: Texas Health Plano . Work hours: Full Time, 40 ... patient safety/risk exposures affecting the quality of care and outcomes. Makes medical staff quality review referrals as appropriate. Utilizes statistical and other… more
- Sedgwick (Austin, TX)
- …Good technical knowledge of claims management procedures + Knowledge of current medical practices in health care management in a variety of areas (including, ... work restrictions/accommodations. + Performs standard disability clinical reviews of referred medical claims based on client requirements to ensure accurate… more
- Methodist Health System (Dallas, TX)
- …writing strategy, to include automation. Ensure accurate and timely follow up on claims and submission of appeals. Strong skills in writing persuasive appeals and ... Integrity Collaboration:** Collaborate with leadership to ensure the accuracy of claims and appropriate documentation for all multi-specialty and family practice… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …trials program, including registrational, post-marketing and Investigator-Sponsored Trials (ISTs), health economic outcomes research, other specific medical ... The local "ecosystem approach" creates a unified focus among account management, medical , patient access and market access to engage local healthcare systems and… more