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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Blu Omega-San Antonio
/ Suitability: Public Trust eligibility required
Responsibilities
• Conduct Medicaid claims analysis, including encounter, eligibility, and provider data
• Support data quality, validation, and reconciliation efforts across large healthcare datasets
• Develop...
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mindmatch.ai -
International SOS-San Antonio
and document medical, logistical, and contextual information for each case.
This includes gathering clinical details, travel itineraries, insurance coverage, and local healthcare infrastructure to inform safe, cost-effective decisions.
Provide clinical...
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TEKsystems-San Antonio
Overview
In this role, you will support a healthcare/PBM organization by researching, auditing, and remediating pharmacy claims affected by RxClaim system issues. You will work remotely with a cross-functional team to identify root causes...
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Somatus-San Antonio
knowledge of health care regulations and compliance, including Stark and Anti-Kickback, False Claims Act, corporate practice of medicine, licensure regulations, and other applicable laws and regulations.
• Drafting and review experience, particularly focused...
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mindmatch.ai -
CorVel-San Antonio
Overview
As Vice President of Claims, you will steer strategic claims operations to meet revenue and profit goals while developing staff and driving customer satisfaction and retention. You’ll lead cross-functional collaboration to enhance...
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Department of Defense-San Antonio
Safety and Occupational Health or Industrial Hygiene surveys which are not covered by specific Safety and Health Standards or regulations. * Perform system safety studies, and/or ergonomic/design analysis by reviewing all safety standards...
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ProClinical-San Antonio
Overview
As Product Owner, you will drive enhancements to a healthcare payments and reimbursement platform, working with cross-functional teams to deliver value for patients, providers, and businesses. You’ll shape product requirements, prioritise...
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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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Aroha Technologies-San Antonio
healthcare payer operations, and enterprise application architecture. The ideal candidate will lead the design, development, and delivery of integrations between Facets Policy Administration and Claims Processing systems and internal and external healthcare...
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International SOS-San Antonio
and document medical, logistical, and contextual information for each case.
This includes gathering clinical details, travel itineraries, insurance coverage, and local healthcare infrastructure to inform safe, cost-effective decisions.
Provide clinical...
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University Health-San Antonio
Demonstrates individual judgement, initiates work improvement methods. Will conduct administrative investigations related to fraud and abuse. Will conduct research related to eligibility, claims payment, benefits, prior authorization/referrals and contract...
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International SOS-San Antonio
and document medical, logistical, and contextual information for each case.
• This includes gathering clinical details, travel itineraries, insurance coverage, and local healthcare infrastructure to inform safe, cost-effective decisions.
• Provide clinical...
Read more
International SOS-San Antonio
and document medical, logistical, and contextual information for each case.
This includes gathering clinical details, travel itineraries, insurance coverage, and local healthcare infrastructure to inform safe, cost-effective decisions.
Provide clinical...
Read more
Brains Technology Solution-San Antonio
Position: Sr. Synon Developer
Job code: REF2139B
Work Arrangement: Remote
Interview Type: Either Web Cam or In Person
Job Description
• Candidate will work on RxCLAIM/Claim Adjudication enhancement projects which involve changes to Claim...
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