- Molina Healthcare (Austin, TX)
- …focused reviews and recommends corrective actions. + Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. ... + Attends or chairs committees as required such as Credentialing, P&T and others as directed by the Chief Medical Officer. + Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review, and manages the… more
- Siemens (Dallas, TX)
- …minimal intervention from Sales. Will assist and support in warranty related claims while balancing best bottom-line results and customer experience. You'll win us ... over by having the following qualifications:Basic Qualifications: BS/BA, BS in engineering, business, or related field or equivalent. 3 plus years of experience in the application and concepts of Low Voltage Products. Experience with (COMPAS GO, COMPAS, SAP,… more
- Mass Markets (TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, ... Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse… more
- Molina Healthcare (Houston, TX)
- …setting. **Required Experience** + 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed ... healthcare administration and/or Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie, physician, group and hospital contracting, etc. + Working… more
- Saia, Inc (Odessa, TX)
- …within a defined geographic area. Ensures freight is delivered in a claims -free and cost-efficient manner. **Major Tasks and Responsibilities** + Drives tractor ... trailers to deliver and pick up customer freight. + Sorts, handles, loads, and unloads freight at various company and customer locations. + Plans routes and schedules to ensure timely deliveries and pickups. + Follows established pre-trip, post-trip, freight… more
- PNC (Houston, TX)
- …portfolio strategy design & branding, product value propositions and claims development, integrated go-to-market strategy and planning and launches, in-market ... campaign optimization, and/or full lifecycle, end-to-end customer experience program management. * Ownership of full customer lifecycle marketing program, with accountability for the program P&L * Development and implementation of strategic and integrated,… more
- Molina Healthcare (Fort Worth, TX)
- …**Required Experience** + 2 - 3 years customer service, provider service, or claims experience in a managed care setting. + Working familiarity with various managed ... healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to, fee-for service, capitation, and various forms of risk, ASO, etc. **Preferred Education** Bachelor's Degree. **Preferred… more
- Walgreens (Victoria, TX)
- …technology. Finds opportunities to improve productivity + Ensures insurance claims are processed accurately to prevent payment rejections. Resolves patient ... issues by working with insurance companies and medical providers and conducting or participating in third party audits. + Follows-up with medical providers to clarify prescribed medications, dosages, refills, interactions, and allergies to suggest alternative… more
- Covenant Health (Lubbock, TX)
- …Patient Services + Patient Care + Patient Access + Insurance / Medical Claims + Customer Service - Healthcare (Medical, Dental, Vision, Veterinary) + Healthcare: ... Nutrition + Pharmacy + Customer Service - Retail + Customer Service - Hospitality + Customer Service - Call Center **Why Join Providence?** Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally,… more
- Saia, Inc (Austin, TX)
- …+ Follows established bill and quality control procedures to ensure timely, claims -free, and cost-efficient shipments. + Logs, reports, and processes any shortages ... and damages to freight. + Promotes and maintains a safe and clean work environment. **Preferred Qualifications** + High school diploma or GED. + Warehouse, freight, dock, forklift, or pallet jack experience. + Forklift certification or hazmat training. +… more