- Walgreens (Corpus Christi, TX)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Molina Healthcare (Fort Worth, TX)
- …Ability to influence across multiple organizational functions - Payment Integrity, Claims , Encounters, Finance, and Actuarial + Proven experience in managing complex ... implement efficient enterprise-wide processes and governance structures that span claims , encounters, clinical, finance and actuarial functions. + Identifies,… more
- Bechtel Corporation (Sugar Land, TX)
- …teams, suppliers, and other BEO functional departments to resolve performance issues, claims , and contractual matters. + Ensure invoices are reviewed in a timely ... contract formation, and administration. + Experience resolving supplier performance issues, claims , and disputes. + Effective communication skills, both oral and… more
- Baylor Scott & White Health (Dallas, TX)
- …of patient registration procedures and documentation. + Knowledge of medical insurance claims procedures and documentation. Needs to have thorough knowledge of the ... preparing and maintaining patient records. + Able to examine unpaid third-party claims and delinquent accounts to resolve appropriate follow-up actions to ensure… more
- Veterans Affairs, Veterans Health Administration (El Paso, TX)
- …Act as subject matter expert (SME). Examine clinical health records and claims folders to determine eligibility and entitlement for items and services. Advise ... performance, resolves conflicts in administering purchase orders, such as protests, claims , duplicate billing & terminations for convenience or default, work… more
- Kemper (Dallas, TX)
- …on assigned cases Aggressively pursues files referred to Staff Counsel by the Claims Department. + Creates and maintains a documented strategy for case handling in ... of pleadings, briefs and memorandums. + Prepares and submits timely status reports to claims handlers on all significant activities as they occur, but at no greater… more
- Walgreens (Houston, TX)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Humana (Austin, TX)
- …first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data Management Professional work assignments are varied ... make an impact** **Required Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience in conducting thorough root cause… more
- Texas A&M University System (Bryan, TX)
- …to leadership based on the collected and analyzed data, including claims history of medical malpractice policies, workers' compensation, and bloodborne pathogen ... with System, State, and Federal requirements. + Provides insurance verification and claims history for requestors, proof of insurance to Colleges/Centers every FY,… more
- Defense Contract Management Agency (San Antonio, TX)
- …(unofficial are acceptable at the time of application) to support your educational claims . Or, if you are using education to qualify in lieu of specialized ... (unofficial are acceptable at the time of application) to support your educational claims . The transcripts must include your name, the name of the college or… more