- Alight (TX)
- …Be Alight. Learn more at careers.alight.com **About the Role** The Health Navigation Claims Specialist position exists to work on behalf of our customers to resolve ... special review + Assisting in reviewing medical, dental, vision, and pharmacy related claims for accuracy to ensure customers are receiving proper benefit coverage +… more
- Humana (Austin, TX)
- …of encounter submissions to Medicaid/Medicare. Ensures encounter submissions meet or exceed all compliance standards via analysis of data and develops tools to ... Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between...contractors who live and work from home in the state of California will be provided payment for their… more
- Humana (Austin, TX)
- …responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion into new ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- DriveTime (Fort Worth, TX)
- …experience in complaint resolution and/or loss mitigation; accounts payable, insurance or claims experience preferred + Associate degree or bachelor's degree in ... and resolve any vendor invoice escalations + Handle customer complaint claims due to repossession activity through customer calls, research and communication… more
- Sysco (San Antonio, TX)
- …Oversee the performance management process and work with OpCo leaders on their associate reviews and evaluations. + Provide training and consultation as necessary. + ... action, leaves of absence, harassment, and terminations. + Facilitate the Sysco Speaks Associate Survey efforts in the OpCo. + Analyze findings and review trends… more
- Humana (Austin, TX)
- …offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & ... Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of...contractors who live and work from home in the state of California will be provided payment for their… more
- Humana (Austin, TX)
- …achieving operational and compliance key performance indicators. In addition, the associate will participate in cross functional teams and support analyzing business ... Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of...contractors who live and work from home in the state of California will be provided payment for their… more
- Walgreens (Cypress, TX)
- …pharmacy transfers where applicable for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all ... Availability and is responsible for receiving, counting, pricing, returns, and all in-store inventory processes. Validates and ensures accuracy of planograms. +… more
- Humana (Austin, TX)
- …in Texas and other states. This is accomplished by analysis and adjudication of claims , appeals, and potential quality of care issues. The Dental Director - Texas ... with review policies, procedures, and performance standards. o Review dental claims consistent with current ADA CDT terminology and current professional standards… more
- Evolent (Austin, TX)
- …require technical experts to find the most valuable defects. The IQA reports to a associate director or a manager. One or many IQAs may be engaged in any testing ... - Payer side, Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1 years of experience in… more