- Humana (Austin, TX)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... requested level of care, and/or requested site of service should be authorized. All work occurs with a context of regulatory compliance, and work is assisted… more
- Humana (Austin, TX)
- …on beneficiary needs; assists with beneficiary related issues which may include claims inquiries, enrollment issues, travel attestations, access to care, wait lists, ... ASD diagnoses. + Provide professional and courteous service to all callers and work to resolve any complaint or...Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will… more
- Texas Veterans Commission (Odessa, TX)
- …to hiring Veterans and is proud to employ the highest percentage of Veterans among all state agencies. Additional info may apply via the job posting.* *AN EQUAL ... *Please Note:* All applications must contain complete job histories, which includes job title, dates of employment, name of employer, supervisor's name and phone… more
- Cardinal Health (Austin, TX)
- …employment, and regulatory law, among other areas. This function also litigates all company legal matters, manages outside counsel and manages legal operations. ... issues and business risks and escalate appropriately + Effectively communicate with all levels of the Cardinal Health organization + Identify and collaborate with… more
- UTMB Health (Galveston, TX)
- …is a plus. **Licenses, Registrations, or Certifications:** CCA - Certified Coding Associate American Health Information Management (AHIMA) Or CCS - Cert-Cert Coding ... for multiple specialty areas to ensure accuracy and optimal reimbursement from all third-party payers. **Job Duties:** * Reviews documentation in EPIC and/or on… more
- Molina Healthcare (San Antonio, TX)
- …have experience working in Medicare + Must have experience analyzing claims . **Job Qualifications** **REQUIRED EDUCATION:** Associate 's Degree and/or equivalent ... and recommend business practices to ensure adherence to and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and performs audits… more
- University of Texas Rio Grande Valley (Edinburg, TX)
- …variety of accounting documents including invoices, promissory notes, travel expense claims , vouchers and payrolls, and other financial reports. * Prepares original ... Posts data to ledgers and reports. * May prepare state sales tax, record monthly bank interest, code and...sales tax, record monthly bank interest, code and log all budget changes, and, code and log interdepartmental transfers.… more
- Community Health Systems (Lufkin, TX)
- …applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in ... of safety and compliance. + Oversee the investigation and management of legal claims and suits, ensuring timely and accurate responses to legal inquiries and… more
- CRC Insurance Services, Inc. (Dallas, TX)
- …job description:** Serves as a partner to Broker providing superior support regarding all policies and key accounts. Provides high quality service to agents and ... activities may change from time to time. 1. Respond promptly to all requests from brokerage team, underwriters or retailers regarding account servicing issues.… more
- Humana (Austin, TX)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... approved by leadership + Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment… more
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