- University Health (San Antonio, TX)
- …end-to-end reviews of clinical documentation, coding assignments, charge capture, and claim submissions, ensuring that coding is accurate, complete, and supported by ... preserving the confidential nature of information. EDUCATION/EXPERIENCE Bachelor's or Associate 's degree from an accredited college or university strongly preferred.… more
- Oracle (Austin, TX)
- …grow your career in this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to engineering for ... developing the Claim Denial Prevention and Appeals features of Oracle Health...validation) to lead the appeals initiative to review denied claims , create write-ups for appeals packets, identify trends/improvement opportunities… more
- Capital One (Plano, TX)
- Work From Home Bilingual (Spanish) Senior Fraud Recovery Coordinator- Complex Claims **Are you looking for a challenging role that includes the convenience of ... to solve customer concerns and provide in-the-moment feedback to ensure the associate is connected to the right resources. **_**Successful candidates will need to… more
- Humana (Austin, TX)
- …type population (disabled or >65 years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license in ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Austin, TX)
- …type population (disabled or >65 years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license in ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Mass Markets (Killeen, TX)
- …are highly motivated and dedicated and should possess the below qualities: + Associate Degree, Certification or Equivalent Combination of Training and Experience ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- **Job Summary** The Associate Director, Global Product Quality - GMP Process is responsible for enabling the optimization and harmonization of key GMP quality ... and digital tools (eg, TrackWise, Veeva). Preferred Experience: + Certification in Lean, Six Sigma, or Quality Auditing. +...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Walgreens (Dallas, 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
- R1 RCM (Cedar Park, TX)
- …are obtained. + Complete appropriate electronic forms with detailed benefit and pre- certification / authorization information to ensure a clean claim . + ... intelligent automation, and workflow orchestration. The Patient Access Insurance Verification Associate 's primary focus for this role is to mitigate the financial… more
- Rexel USA (Missouri City, TX)
- …locations throughout the US **Job Description** **We are looking for a Warehouse Associate to join our Rexel team in Missouri City, TX!** **Summary:** Employee's ... on their level of experience, knowledge, and capabilities. The Warehouse Associate - Combined is responsible for efficiently and accurately filling customer… more
