- Humana (Austin, TX)
- …team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical ... offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development &… more
- HCA Healthcare (Dallas, TX)
- …preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time ... Manages and ensures the timely processing of worker's compensation claims . Communicates with department directors and payroll regarding status...the State of Texas - Compact is accepted + Associate Degree in Nursing is required - BSN is… more
- Ascension Health (Austin, TX)
- …all state and federal regulations. + Perform benefits verification and adjudicate claims , resolving rejections by identifying the appropriate next steps. + Initiate ... standards, adjudication efficiency, and error-rate goals. **Requirements** Licensure / Certification / Registration: + Pharmacy Tech credentialed from the Pharmacy… more
- Acosta Group (Fort Worth, TX)
- …to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting any employment related injury to ... possible following an incident resulting in an injury. **QUALIFICATIONS** _Education/Experience:_ Associate Degree and/or Technical Diploma or one to two year's… more
- Acosta Group (Plano, TX)
- **DESCRIPTION** **Overview** The Associate is responsible for completing in-store food and non-food demonstrations. Acquires and maintains knowledge of products ... to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …primary contacts for medically needy patients. Responsibilities include processing provider claims , using computer system to record and report patient information, ... director or supervisor. + Functions under the immediate supervision of a Research Associate and Project Director with whom close communication is needed. + Have… more
- Walmart (Spring, TX)
- …* _Schedules are subject to change to meet business need and due to associate availability._ _*Must have flexibility to work any day during the week between shift ... customer queries and forward complex queries to the pharmacist. + Process insurance claims and manage payments. + Comply with all security measures and quality… more
- CVS Health (Austin, TX)
- …healthcare fraud cases. - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, customer members, etc. - Facilitates ... of New Jersey Medicaid - Credentials such as a certification from the Association of Certified Fraud Examiners (CFE)...a timely basis. **Education** - Bachelor's degree and/or an Associate 's degree with three additional years working in health… more
- Humana (Austin, TX)
- …optimal pharmaceutical services that meet all legal, accreditation, and certification requirements. This position will coordinate day-to-day pharmacy operations ... Pharmacy Solutions ensuring compliance with programmatic requirements, such as claims processing, prior authorization, formulary management and clinical programming… more
- Texas Tech University Health Sciences Center - Lubbock (Lubbock, TX)
- …services for UMC/ 500 bed hospital. Rank of Assistant Professor/ Associate Professor/Professor and applicable salary are dependent upon candidate's qualifications ... am To 7:00 pm + Keeping and maintaining appropriate records, reports, claims and correspondence necessary in connection with all professional services performed by… more