- Evolent (Austin, TX)
- …CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and ... + Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns,… more
- ManpowerGroup (Houston, TX)
- …with the Compliance Program, and with HHSC, TDI, NCQA and Health Plan Senior Management. * Ensure ongoing compliance with federal and state regulations and provide ... and external audit tools with measurable metrics will be created with feedback from Senior Management and must be reviewed and/or revised at least once annually. *… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …and regulations and UTRGV policies. To review and analyze medical records, claims , and workflow processes to ensure accuracy, completeness, and compliance with ... processes. + Reviews, assesses and analyzes medical records, coding, billing, claims , reimbursements and workflow processes to ensure accuracy, completeness, and… more
- Baylor Scott & White Health (Waco, TX)
- …clinic, or other area. This role ensures high-quality, patient-centered care. This senior position handles complex tasks and escalations. It assists the supervisor ... check-out, scheduling, insurance verification and answering phones. + Serves as a professional in handling more complex tasks and responding to escalated issues. +… more
- Axis (TX)
- …Partner with the Excess Casualty Leadership and various business partners ( Claims , Actuarial, Distribution, and Operations) and to support and influence the ... analysis and aligned with the company's strategic objectives. * Collaboration: Liaise with senior leaders, including the Regional Unit Leader and the Head of Excess… more
- Baylor Scott & White Health (Temple, TX)
- …or incidents and works to resolve issues before they develop into liability claims . + Receives information from other team members who are accountable for complaint ... Reports to BSWH department of Risk Management and facility senior clinical and executive managers a) the initial existence...event. + Assists the Manager of Insurance in managing claims related to property loss and visitor injury through… more
- MDD Forensic Accountants (Dallas, TX)
- …+ Evaluate insurance claims and economic damage + Work closely with senior staff on litigation cases, first party property, business valuations + Assist in the ... entities, and individuals calculate the true economic damage of claims or disputes. MDD is looking for a Staff...and multi-task in a fast-paced environment + Possess a professional demeanor and be a positive thinker + Must… more
- GAF (Ennis, TX)
- …And under this roof, we protect what matters most. **Job Summary** The Senior Process Engineer is responsible for engineering needs, demonstrating skills in plant ... the field. Maintain communication with main lab at Parsippany to track claims , elaborate reports, and lead improvement projects associated with customer claims… more
- WTW (Dallas, TX)
- …for North America, working closely with global teams. + Engage with senior clients and prospects across North America, providing insights, strategic guidance, and ... development. + Partner with sales directors, client relationship managers and senior practitioners to develop and execute regional marketing and sales initiatives… more
- Cardinal Health (Austin, TX)
- …for process improvements and efficiencies + Work under the general supervision of senior attorneys and exercise sound judgment as to matters that require attention ... of Legal and Compliance Departments' senior leadership + Promote and ensure compliance with the...regulations, (eg, Stark, Corporate Practice of Medicine, Anti-Kickback, False Claims Act, and HIPAA); and Marketing and Advertising +… more