- NTT America, Inc. (Plano, TX)
- …adaptable, and forward-thinking organization, apply now. We are currently seeking a Delivery Senior Manager to join our team. NTT DATA is seeking to hire a ... **Medicare Appeals Clinical Leader** to lead service delivery engagements and...recommendations and interpretations of records. + Prepare reports for senior management on appeal trends and compliance status. **Requirements:**… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... denial management and appeals process, as applicable, in collaboration with clinical team partners. This position uses sound clinical judgement in the Utilization… more
- CVS Health (Austin, TX)
- …every day. **Position Summary** CVS Health has an exciting opportunity for a Senior Rep within our Prior Authorization & Appeals Administration department. In ... - 1+ years of experience in the CVS Caremark Prior Authorization and Appeals Administration department - Must be considered in good attendance and performance… more
- The Cigna Group (Austin, TX)
- …team seeks dedicated, compassionate, and empathetic Japanese speaking Customer Service Senior Representatives to join our team who are genuinely interested in ... points of their lives. In this pivotal role, Customer Service Senior Representatives effectively handle inquiries from customers, clients, or providers received… more
- UTMB Health (Galveston, TX)
- Senior Employee Relations Advisor (Partial Remote) - HR Employee Relations **Galveston, Texas, United States** Business, Managerial & Finance UTMB Health Requisition ... advice and guidance to managers regarding the employee grievance and appeals processes. + Administers, interprets, communicates, and leads training regarding various… more
- CVS Health (Austin, TX)
- …written inquiries related to requests for pre-approval/pre-authorization, reconsiderations, or appeals . - Ensures all compliance requirements are satisfied and all ... payments are made against company practices and procedures. - Identifies and reports possible claim overpayments, underpayments and any other irregularities. - Performs claim rework calculations. - Distributes work assignment daily to junior staff. - Trains… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …investigation, discovery, motions practice, mediation, trial preparation, and appeals ; ensure effective coordination between the University, the Office ... of General Counsel at UT System, and the Attorney General or other outside counsel. + Draft and review legal documents including without limitation contracts, memoranda of law, policies, procedures, and litigation-related documents. + Support and provide legal… more
- Sysco (Houston, TX)
- …audits with taxing authorities.** **Assist in the annual real estate tax appeals process.** **Assist in filing annual business personal property and inventory ... returns.** **Support the tax bill payment process.** **Work with leadership to scope, propose, and execute value creation and expense reduction opportunities.** **Manage property tax audits.** **Business Incentives** **Maintain credits and incentives… more
- CenterWell (Austin, TX)
- …to, managing and monitoring all payer requests for additional documentation (ADR), appeals and denials. Works with branch staff to gather required information and ... branch and billing staff to determine appropriate response, manages appeals process. + Monitors and responds to all requests...at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of… more
- Houston Methodist (Houston, TX)
- …and monitoring the coding-specific clinical charges and denial management and appeals process in a collaborative environment with revenue cycle management and ... clinical subject matter expert related to coding denials and appeals . **PEOPLE ESSENTIAL FUNCTIONS** + Communicates openly in a...and findings to both front line team members and senior executives. + Communicates to partners, revenue cycle staff,… more