- Kelsey-Seybold Clinic (Houston, TX)
- …of high dollar claims and present summary to management. **Job Title: Medicare Claims Analyst ** **Location: Remote** **Department:** ** Claims ** **Job ... certifications, etc.)** **Qualifications** **Education** Required: Associate degree or 2 years Claims Payment Analyst experience in lieu of education Preferred:… more
- The Cigna Group (Houston, TX)
- …spreadsheets **Qualifications** + 2+ years' of experience working with healthcare administrative claims data, EHR, and/or laboratory data + 2+ years' of experience ... with SQL, plus one analytics-focused programming language such as Python, R and/or SAS + Ability to use dashboard and data visualization tools (Tableau, RShiny, Plotly, etc.) + Ability to use basic features of common version control software (eg, Git) +… more
- Kelly Services (Houston, TX)
- …isn't always easy. That's where **Kelly(R)** comes in. We're seeking a **Medical Claims Analyst ** to work at a premier healthcare organization in **Houston, ... your life. **What's a typical day as a Medical Claims Analyst ? You'll be:** * Maintaining workflow...billing forms (HCFA/UB04). * Have a strong knowledge of Medicare claims processing guidelines and payment methodologies.… more
- Texas Health Resources (Arlington, TX)
- **Revenue Cycle Manager Charge Capture Senior Analyst ** _Texas Health Resources is looking for a top skilled Revenue Cycle Manager Charge Capture Senior Analyst . ... or decision support/database management is required. Familiarity with analyzing Medicare fiscal intermediary bulletins, CMS memorandums and have the ability… 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, ... including Medicare & Medicaid Cost Reports, Annual Tax Returns, Federal...Reports, Annual Tax Returns, Federal Emergency Management Agency (FEMA) claims , etc. Assists in researching government program rules and… more
- Adecco US, Inc. (Houston, TX)
- …(PBM) claim adjudication system and translate concepts into practice. . Using knowledge of Medicare Part D and claims processing be able to identify unique ... to $ 30.90/hr **Responsibilities:** . Serve as dedicated resource to multiple complex Medicare Part D plans to manage first level response and resolution of… more
- Baylor Scott & White Health (Austin, TX)
- **JOB SUMMARY** The Risk Adjustment Analyst Sr (Texas Medicaid Encounter Analyst ) is responsible for monitoring and oversight of the end-to-end encounter ... and submissions to government agencies such as Centers for Medicare and Medicaid Services (CMS) or Health & Human...OF THE ROLE** + Monitors and oversees the end-to-end claims encounter management workflow. + Analyzes claims … more
- CVS Health (Austin, TX)
- …and care plans that address problems, goals and interventions. + Based on assessments and claims data creates a care plan for members to follow + Participate as a ... customer service experience + 2+ years of experience with claims **Preferred Qualifications:** + Master's degree preferred + CRC,...+ CRC, CDMS, CRRN, COHN, or CCM certification + Medicare and Medicaid experience + Managed care experience +… more