- Army Installation Management Command (Fort Sam Houston, TX)
- …retirees and the third party administrators. Examines, adjudicates and authorizes claims for benefits under the benefit plans. Applies and interprets statutory, ... contributions plans and other insurance plans, including enrollment processing, claims administrations, processing retirement annuities, and providing customer service… more
- Keurig Dr Pepper (Frisco, TX)
- …and reporting improvements resulting in an efficient and effective Supplier Claims process, leveraging technology, and connecting sites/users of the goods and ... category leads, and manufacturing to reduce non-conformance incidents, resolve outstanding claims , and improve fulfillment rates. + Provides support to in-bound… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …and regulations and UTRGV policies. To review and analyze medical records, claims , and workflow processes to ensure accuracy, completeness, and compliance with ... processes. + Reviews, assesses and analyzes medical records, coding, billing, claims , reimbursements and workflow processes to ensure accuracy, completeness, and… more
- Baylor Scott & White Health (Lakeway, TX)
- …patient registration procedures and documentation. + Knowledge of medical insurance claims procedures and documentation. Needs to have thorough understanding of the ... and maintaining patient records. + Ability to examine unpaid third-party claims and delinquent accounts to establish appropriate follow-up actions to ensure… more
- New Jersey Resources (Houston, TX)
- …and subsequent response analysis reviews. * Assist in managing Workers' Compensation Claims , Return to Work programs, accident reports, claims and lead ... root cause analysis. * Interface with all levels of management to maintain collaborative inter-departmental relationships and cross-functional working relationships with office and field employees. Position Requirements: * Bachelor's degree in a related… more
- UIC Government Services and the Bowhead Family of Companies (Plano, TX)
- …and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual ... based on the provisions contained within The Alaska Native Claims Settlement Act. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. All… more
- US Physical Therapy (Houston, TX)
- …expanding Houston team. Your role will be critical in our billing and claims department, and you will be asked to facilitate procedural requirements, including data ... to obtain prior authorizations and verify coverage. + Follow up on unpaid claims and denials. + Maintain accurate and up-to-date patient account information. +… more
- R1 RCM (Austin, TX)
- …and obtain appropriate information in pursuit of resolving unpaid claims . Responsibilities: Reads and interprets expected reimbursement information from EOB's ... in the health insurance industry (Commercial Insurances, Medicare, Medicaid); health claims billing and/or Third-Party contracts, minimum of two years experience in… more
- Humana (Austin, TX)
- …problems within the encounter process between Humana and CMS using data analysis, claims research, and other resources to provide insight and ensure data integrity ... for Medicare/Medicaid claims errors. **Key Role Functions** + Develop business processes to ensure successful submission and reconciliation of encounter submissions… more
- Simplot (College Station, TX)
- …the region. Work with Crop Advisors and sales leadership to evaluate crop claims . Provide feedback and suggestions to the Digital Platform Manager for the digital ... regional research results including product performance and placement. + Evaluate crop claims for Crop Advisors and sales leadership. + Provide feedback and… more