- Republic Finance, LLC (Missouri City, TX)
- …in the financial services industry for you, apply today! As a Consumer Loan Specialist , you will be a key team member in the branch. Your primary responsibility ... are as follows: + Actively seeks opportunities to originate new loan business with new and existing customers. + Evaluates customer needs to recommend… more
- Cognizant (Austin, TX)
- …to the Health Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a valued ... accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well as timely filing deadlines and… more
- Cardinal Health (Austin, TX)
- …Hours: Monday - Friday, 7:00 AM - 3:30 PM PST (or based on business need)** **_What Accounts Receivable Specialist contributes to Cardinal Health_** Account ... and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing cycle… more
- Molina Healthcare (San Antonio, TX)
- …and tests assumptions through data, but leads with contextual knowledge of claims processing , provider contracts, and operational realities. + Creates succinct ... Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of… more
- Molina Healthcare (San Antonio, TX)
- …appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims processing . * Validates member medical records and claims ... for medical claim review activities. Responsible for ensuring timely claims payment processes, providing counsel to members regarding coverage...federal regulations based on specific state and line of business . Must be able to work in a fast… more
- Molina Healthcare (San Antonio, TX)
- …**Preferred Experience** + 2+ years of experience working in the group health business preferred, particularly within claims processing or operations. + ... + Experience with UNET, Comet, Macess/CSP, or other similar claims processing systems. + Demonstrated ability to...+ AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified Fraud Examiner and/or AHFI professional… more
- Highmark Health (Austin, TX)
- …regression models, tree-based learning, neural networks, clustering techniques, natural language processing ) + Consult with the business to contextualize and ... work will directly impact millions of lives. As our Lead Graph Intelligence specialist , you will be the spearhead of cutting-edge research projects. This means… more
- Walgreens (Waxahachie, TX)
- …manner using internal epro management system. + Ensures completion of accident processing , claims , investigation, and corporate reporting. + Responsible for ... Participates in the development of the strategies of the business and understands the need for an effective transportation...procedures on new or special assignments. Acts as a specialist in the field, uses professional concepts in developing… more