- Molina Healthcare (San Antonio, TX)
- …goals. **Job Qualifications** **REQUIRED QUALIFICATIONS:** + 5+ years of experience in medical claims processing, research, or a related field. + Demonstrated ... **Job Description** **Job Summary** The Senior Claims Research Analyst provides senior-level support...cause analysis, and project management. + Advanced knowledge of medical billing codes and claims adjudication processes.… more
- UTMB Health (Galveston, TX)
- Senior EHR Clin Apps Analyst (Resolute Hospital and Professional Claims ), Remote - ITS-Clin Revenue Cycle **Galveston, Texas, United States** Information ... **Preferred Qualifications:** Certified or Accredited in Epic Resolute Hospital Billing Claims and Remittance Administration and Epic Resolute Professional Billing … more
- WelbeHealth (Austin, TX)
- …Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate ... pre-payment or denial of claims while meeting federal/state regulations, provider agreements terms, and/or...environment where every person feels uniquely cared for. + Medical insurance coverage ( Medical , Dental, Vision) starting… more
- Molina Healthcare (Austin, TX)
- … function efficiency. **Required Qualifications** * At least 3 years of medical claims processing experience, or equivalent combination of relevant education ... JOB DESCRIPTION Job Summary Provides analyst support for claims research activities...and experience. * Medical claims processing experience across multiple states,… more
- Highmark Health (Austin, TX)
- … terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards....years of prior experience processing 1st dollar health insurance claims + 3 years of experience with medical… more
- Highmark Health (Austin, TX)
- …including but not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims , and Medical Policy. The person in this position must ... resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a...of the job. Assess benefit limitations in accordance with Medical Policy Guidelines. + Monitor and identify claim processing… more
- Houston Methodist (Bellaire, TX)
- …and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis and medical record reviews of complex claims ... At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing...Conducts risk-based and baseline reviews of complex and escalated claims or records in a timely manner, evaluates corrective… more
- Molina Healthcare (Austin, TX)
- **JOB DESCRIPTION** **Job Summary** Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and ... of provider reimbursement changes * Provides data driven analytics to finance, claims , medical management, network, and other departments to enable critical… more
- The Hartford (San Antonio, TX)
- …Disability and Absence Management Disability Team. The Short-Term Absence Management Disability Analyst quickly investigates claims to determine if the insured ... Ability Analyst - C410ANSr Ability Analyst -...create a positive team environment that achieves Group Benefit Claims culture initiatives and objectives Qualifications: + 1+ yeas… more
- Norstella (Austin, TX)
- Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Jan 5, 2026 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more