- Mass Markets (Killeen, TX)
- …expanding, industry-leading organization. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have ... of experience in one or more of the following: call center, claims adjudication , insurance adjusting, or technical customer service (preferably in a high-volume or… more
- CVS Health (Austin, TX)
- …**Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies ... discrepancies, and applies all cost containment. measures to assist in the claim adjudication process. - Handles phone and written inquiries related to requests for… more
- Customs and Border Protection (Marfa, TX)
- …units within the duty location(s) listed above. Responsibilities As a Mission Support Specialist (Generalist) you will plan and carry out a wide variety of ... minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email...the USA Hire Competency Based Assessments, based on your adjudication decision. You must complete all assessments within 48… more
- Datavant (Austin, TX)
- …and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the ... practices, and proficiency in multiple electronic systems and software tools. The specialist serves as a key liaison between coding, billing, utilization review,… more
- RTX Corporation (Plano, TX)
- …Administrator (PDM/PLM)** **Business and Transformation Technologist, Principal Specialist ** **Raytheon Digital Technology - Engineering Digital Solutions** ... is seeking a motivated Business Systems & Transformation Technologist (Principal Specialist ). This candidate will be a **Windchill Application Administrato** r for… more
- Ascension Health (Austin, TX)
- …in accordance with regulatory requirements. + Strong understanding of claims adjudication process, provider contracts, fee schedules and system configurations to ... Additional Preference: + Three (3) years of experience in health-care claims adjudication required. + Expertise in the Facets platform preferred. + Experience… more
- Texas Veterans Commission (Austin, TX)
- …and working with agencies involved in law enforcement, pre-trial processes, adjudication , incarceration, parole, and probation. The role also involves collaboration ... **TEXAS VETERANS COMMISSION* **Title:** *TVC - Justice Involved Veteran Program Manager (Program Specialist V)* **Location:** *Texas-Austin* **Requisition ID:**… more
- Molina Healthcare (Fort Worth, TX)
- …to ensure resolution within 30 days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and regulations ... in order to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims. ( _Use for claims specific positions only_ ) * Prepares, tracks and provides audit findings reports according to designated… more
- Allied Solutions (Plano, TX)
- …is required along with securing all required documentation for claim calculation/ adjudication . Associates in this position must process and investigate a high ... and accurately to more senior level adjusting staff for adjudication and collection; + Adjudicate claims within the guidelines...insurance/recovery claim experience as a Claim Processor or Claim Specialist with a minimum of 9 months to 2… more
- Texas State University (San Marcos, TX)
- …TitleStudent Conduct Officer University Pay Plan TitleStudent Development Specialist II LocationSan Marcos DepartmentDean of Students Recruitment TypeOpen ... Navigate360, or similar software systems. Job Description The Student Development Specialist II (Student Conduct Officer) will review and investigate alleged… more