- Molina Healthcare (San Antonio, TX)
- …the database + Provides supporting documentation for denial and modification of payment decisions + Independently re-evaluates medical claims and associated ... Looking for a RN with experience with appeals, claims review, and medical coding. **Job Summary** Utilizing clinical knowledge and experience, responsible for review… more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating… more
- Molina Healthcare (Dallas, TX)
- **JOB DESCRIPTION** **Job Summary** The Manager, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives improvement change by… more
- Humana (Austin, TX)
- …part of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records ... medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and ... preservice appeals. The Corporate Medical Director works on problems of diverse scope and...Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide… more
- Travelers Insurance Company (Austin, TX)
- …**What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical ... for Travelers: Develop strategies and direction to advance Travelers medical capabilities to keep Travelers at the leading edge...Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an… more
- Humana (Austin, TX)
- …part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice ... appeals. The Corporate Medical Director works on problems of diverse scope and...Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide… more
- BrightSpring Health Services (Denton, TX)
- …to apply today! Responsibilities + This position will compile, process, and maintain medical records, of person(s) served in a manner consistent with medical , ... as coordinated by Registered Nurse supervisor + Monitor triage reportsMaintain medical records according to are regulatory requirements + Maintain all diagnostic… more
- Covenant Health (Lubbock, TX)
- **Description** **Acute Care RN - Medical Surgical** **$8,000 Sign-On Bonus for eligible rehires and external hires that meet required qualifications and conditions ... for payment .** **Join our team at Lubbock Heritage Hospital LLC....the following important details regarding this position:** + This posting includes multiple openings for a **Acute Care RN… more
- Houston Methodist (Houston, TX)
- …hospital system billing software related to registration, charge entry/billing and payment posting preferred **SUPPLEMENTAL REQUIREMENTS** **WORK ATTIRE** + ... system, and the general ledger. The Supervisor Cash Applications monitors all payment sources assigned, including any electronic remittance advices (ERA) and manual… more
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