- Elevance Health (Grand Prairie, TX)
- …abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment . Researches new healthcare-related questions as ... **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days… more
- HCA Healthcare (Austin, TX)
- …accounts receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical /billing, medical payment posting, and/or cash ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...both written and telephonically + Overcome objections that prevent payment of the claim and gain commitment for … more
- Houston Methodist (Houston, TX)
- …payor websites and initiate calls to ensure prompt authorization approvals and secure payment of medical claims for both hospital billing and physician billing. ... Services. This position assists in notifying patients of their financial responsibility, payment options, and collecting payments. The IFC ensures the operation of… more
- Methodist Health System (Dallas, TX)
- …* High School Diploma and minimum one year relevant experience * 1 year medical payment posting * Ability to analyze Explanation of Benefits statements * ... accounts. You will post and balance accounts receivable insurance and patient payments while resolving payment disputes in a timely manner. Your Job Requirements:… more
- Zelis (Plano, TX)
- …writing SQL queries + A good understanding of public and private healthcare payment systems, medical claims, standard claim coding, claim editing, contracting, ... rules, regulations, and procedures pertaining to public and private Medicaid payment systems. This position requires an in-depth knowledge of healthcare… 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 ... for employment, unless an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies,… more
- Elevance Health (Grand Prairie, TX)
- …and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1:** This role requires associates to be in-office **1-2** days per… more
- Amazon (Austin, TX)
- …AWS Infrastructure is looking for a talented, driven, and highly analytical, Freight Audit Payment Specialist with a hunger for driving change and impact at a global ... controls are in place in freight auditing and Invoice payment systems. . Create a "learn by doing" environment...compensation package, in addition to a full range of medical , financial, and/or other benefits. For more information, please… more
- Deluxe (Fort Worth, TX)
- …of combined technical and leadership experience. + Experience working with payment gateways, transaction processing, or card network schemes. + Understanding of ... offer, which may vary based on role, location, or hours worked: + Healthcare ( Medical , Dental, Vision) + Paid Time Off, Volunteer Time Off, and Holidays +… more
- Wells Fargo (Irving, TX)
- …compliance program requirements. **Applicants with Disabilities** To request a medical accommodation during the application or interview process, visit Disability ... Inclusion at Wells Fargo (https://www.wellsfargojobs.com/en/diversity/disability-inclusion/) . **Drug and Alcohol Policy** Wells Fargo maintains a drug free workplace. Please see our Drug and Alcohol Policy… more