- Kelsey-Seybold Clinic (Houston, TX)
- …all provider adjustments, and complete provider invoices received. **Job Title: Claims Appeals & Adjustment Analyst ** **Location: Remote** **Department:** ** ... School Diploma or equivalent. Preferred: 3 month course in business school. **Experience** Required: 5 years of claims...PPO, or TPA environment. Preferred: 3 years experience as Claims Payment Analyst with KSC and demonstrated… more
- Molina Healthcare (Houston, TX)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network… more
- Elevance Health (Houston, TX)
- …which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:** + Business Analyst or Business Systems Analyst ... **Epic Professional Billing Analyst (Systems Analyst Senior Advisor)** **Location:**...is responsible for defining and managing the scope of Business Systems projects. **How you will make an impact:**… more
- Elevance Health (Houston, TX)
- ** Business Analyst ** A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies and a ... of one of our Elevance Health PulsePoint locations. The ** Business Analyst III** is responsible for serving...and/or healthcare operations is required. + Exposure to PBM Claims Adjudication is a significant advantage. Please be advised… more
- Robert Half Technology (Houston, TX)
- Description We are seeking a Business Analyst to become an integral part of our Wholesale Distribution team located in Houston, Texas. In this role, you will be ... tasked with analyzing business processes and functions, conducting AB testing, and using...Apply Agile Scrum methodologies in project management * Administer claims in accordance with company policies and procedures *… more
- UT Health (Houston, TX)
- …Professional Billing (PB), and it would be helpful if they are familiar with PB Claims and remittance. The focus of this analyst will revolve around claims ... EPIC Professional Billing Application Analyst III **Location:** Texas Medical Center-Houston, Texas **Hot**...with end users to help communicate improvements needed for business processes and contribute directly to the success of… more
- Robert Half Technology (Houston, TX)
- …We are offering an exciting opportunity for a Senior PeopleSoft Functional HCM Analyst in the Energy/Natural Resources industry, based in Houston, Texas. As a Senior ... PeopleSoft Functional HCM Analyst , your role will be crucial in managing and analyzing business processes, handling CRM systems, and utilizing tools such as… more
- Molina Healthcare (Houston, TX)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… more
- Live Nation (Houston, TX)
- …on! THE ROLE Reporting to the Supervisor-Payroll Analysis & Reporting, the Payroll Analyst will research unclaimed property claims related to payroll, contact ... on the repayments to ensure appropriate tax treatment. The Analyst will also assist with the handling of special...WHAT THIS PERSON WILL BRING + Bachelor's degree in Business related field from an accredited college or university… more
- Molina Healthcare (Houston, TX)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary. + Works with… more
- Molina Healthcare (Houston, TX)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… more
- Molina Healthcare (Houston, TX)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...in contracts and benefits configuration. + Strong background in claims is required. + Experience working on Networx, QNXT… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Accounting and Reporting Analyst position is responsible for identifying and compiling information for various governmental reports, ... Medicaid Cost Reports, Annual Tax Returns, Federal Emergency Management Agency (FEMA) claims , etc. Assists in researching government program rules and other complex… more
- Catholic Health Initiatives (Houston, TX)
- …requirements. Reports are produced for Revenue Cycle functions such claims submission, insurance follow‐up, cash management, credits/refunds, charge/payment posting, ... Indicator (KPI) dashboards, reimbursement and payer mix analyses and clinic/ business operational reports; 2) interpreting/explaining report findings to clinic… more
- Sedgwick (Houston, TX)
- …their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Data Analyst **PRIMARY PURPOSE** : To create comprehensive reporting and analysis of… more
- Quanta Services (Houston, TX)
- …out how our people power modern life. About this Role The Risk Analyst supports various activities relating to risk management finance including performing financial ... analysis of Quanta Services' insurance costs and claims , while also assisting with contract reviews and project risk assessments, including appropriate insurance… more
- Molina Healthcare (Houston, TX)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits,… more
- Molina Healthcare (Houston, TX)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network… more
- Molina Healthcare (Houston, TX)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… more
- Molina Healthcare (Houston, TX)
- …opportunities to support clinical savings initiatives. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze claims and authorization data to identify trends or other issues ... exhibits and data visualizations to illustrate key trend drivers + Work with business owners to track performance indicators of medical interventions + Extract and… more