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Health Claims Jobs in San Antonio

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Search Results - Health Claims Jobs in San Antonio
University Health-San Antonio
written and telephonic resolutions to external customer issues (with both providers and members) in accordance with the health plan's policies and procedures. Develops claim procedure improvement methodology(s), directions and strategic plans...
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San Antonio
processing, and adjudicating suspended healthcare claims to ensure accurate and timely payment. You will apply Medi-Cal policies, regulations, and reimbursement guidelines while evaluating member eligibility, provider information, authorizations, benefits...
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icims.com -
University Health-San Antonio
Job Description Job Description We are looking for an experienced Claims Analyst for our Claims department with Community First Health Plans! POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility...
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University Health-San Antonio
is required. Bachelor's degree in business, health care, communications, or other related area is preferred. Recent experience as a provider relations representative, member service representative, or relevant claim experience is highly preferred. LICENSURE...
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CHRISTUS Health-San Antonio
CHRISTUS services. These services will be provided by monitoring cases and claims, analyzing biometric and health risk assessment data, organizing disease management programs and proactively interacting with members, physicians and other providers...
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University Health-San Antonio
impact on other areas (i.e. Membership, Finance, Claims, HSM, Network Management ) and to ensure accurate configuration. Provide staff training, responsible for issue resolution and testing changes to existing software used in business operations...
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CHRISTUS Health-San Antonio
CHRISTUS services. These services will be provided by monitoring cases and claims, analyzing biometric and health risk assessment data, organizing disease management programs and proactively interacting with members, physicians and other providers...
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University Health-San Antonio
with healthcare data including claims, clinical records, and EHR data.  •  Experience with contract modeling tools and systems.  •  Working knowledge of AI applications in healthcare analytics.  •  Working knowledge of predictive modeling. Domain Knowledge  •  Strong...
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Rula Health-San Antonio
PMHNP with CA License The opportunity: Location requirement: This opportunity is only open to Psychiatric Mental Health Nurse Practitioners (PMHNPs) who hold an active, unrestricted license to practice in the state of California...
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Christus Health-San Antonio
These services will be provided by monitoring cases and claims, analyzing biometric and health risk assessment data, organizing disease management programs and proactively interacting with members, physicians and other providers. Incumbent oversees integrated...
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University Health-San Antonio
communication and organizational skills. Proficiency in health information systems, electronic health records (EHRs), HEDIS, RADV, and claims data analysis is a plus. LICENSURE/CERTIFICATION Coding certification within 2 years of employment (e.g., Certified...
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Christus Health-San Antonio
These services will be provided by monitoring cases and claims, analyzing biometric and health risk assessment data, organizing disease management programs and proactively interacting with members, physicians and other providers. Incumbent oversees integrated...
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Amazon-San Antonio
Play a leading role in operational risk improvements at Amazon.com, where we have a tradition of leading the world in innovative technologies and services. Amazon is seeking an experienced Casualty and Litigation Claim professional who will work...
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amazon.jobs -
Adecco-San Antonio
Claims Examiner – San Antonio, TX ($22.50/hr, Mon–Fri 8am–5pm) Adecco is hiring a Claims Examiner responsible for processing health plan claims and supporting provider inquiries. Key Requirements Recent medical claims experience REQUIRED...
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adecco.com -
Defense Health Agency-San Antonio
is not required for federal civilian healthcare providers as they are covered by the Federal Tort Claims Act (28 U.S.C. § 1346(b)) while acting within the scope of their employment. This is a Direct Hire Solicitation. Who May Apply: US Citizens Responsibilities...
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