- Humana (Austin, TX)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies,… more
- USAA (Plano, TX)
- …to product development, compliance, operational and process improvements, claims management, vendor management, product documentation, fulfillment, and/or system ... releases. We offer a flexible work environment that requires an individual to be **in the office 4 days per week.** This position can be based in one of the following locations: **San Antonio, TX, Plano, TX, Phoenix, AZ, Colorado Springs, CO, Charlotte, NC,… more
- Walmart (Tyler, TX)
- …equipment in accordance with company guidelines handling customer and merchandise claims and returns zoning the area ordering arranging and organizing merchandise99 ... supplies and monitoring the Auto Care Center and automotive area for environmental disposal for example batteries tires oil and OSHA compliance and ensuring customer safety and satisfaction Coordinates completes and oversees jobrelated activities and… more
- Humana (Austin, TX)
- …processes + Solid understanding of healthcare operations, particularly around claims processing, enrollment, provider data management and clinical operations; ... Medicaid preferred + Comprehensive understanding of a Medicaid Managed Care architecture, tools, utilities and processes utilized to deliver on core competences + Possess 10+ years of progressive experience leading continuous improvement efforts, evaluating… more
- United Rentals (Cedar Park, TX)
- …and submitted for warranty + Monitor warranty reporting to ensure that all claims are properly brought to closure + Run Preventive Maintenance reports and schedule ... work as appropriate to maintain a high level of fleet currency + Handle equipment maintenance related issues with a high sense of urgency + Keep Management informed of customer concerns + Ensure all service-related invoices are properly coded within the… more
- Travelers Insurance Company (Dallas, TX)
- …to keep the business informed of emerging threats that could lead to cyber claims . + Stay current on evolving risk trends and partner with Underwriting, Actuary, ... Data Science, Technology, Marketing, and Product to turn our threat insights into action that reduces our loss ratio. + Build and maintain relationships with individuals across Travelers who are critical to achieving our target outcomes. + Serve as a subject… more
- J&J Family of Companies (Dallas, TX)
- …on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local ... payers, government payers, etc.) for core and launch products. + Collaborate with field support team members such as sales representatives and key account managers and serve as reimbursement expert for the local team. + Act with a sense of urgency to address… more
- J&J Family of Companies (Dallas, TX)
- …on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local ... payers, government payers, etc.) for core and launch products. . Collaborate with field support team members such as sales representatives and key account managers and serve as reimbursement expert for the local team. . Act with a sense of urgency to address… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …computer applications, upgrades to coding and billing systems, dictionary databases, claims submission, and other bolt on software products. + Monitor payer ... denial data. Recommend and implement operational procedures and protocols to improve services, reduce lag days and increase cash flow. + Extensive knowledge and understanding and/or experience with CMS regulations/industry standards and medical terminology… more
- Kemper (Lufkin, TX)
- …Responding promptly to policyholder service requests such as beneficiary changes, claims , loans, etc. + Appropriately keeping records, accounting for money ... collected, and processing paperwork **Our agents are expected to:** + Increase the agency size + Build strong working relationships with customers + Devote whatever time is necessary to fulfill the responsibilities of the position + Commit to ongoing… more