- Molina Healthcare (Dallas, TX)
- …experience and knowledge to research and resolve claim /encounter issues, pended claims and facilitate system update(s) as necessary. Works with fluctuating ... claims databases. Synchronizes data among operational and claims systems and application of business rules...housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting,… more
- Humana (Austin, TX)
- …products, or other medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group practice ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Molina Healthcare (Austin, TX)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems when available, and the application of business rules as ... to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network management and… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- Associate Director, Field Strategy, Nephrology/Immunology Position overview: The Associate Director, Field Strategy plays a critical role in enabling sales ... into action. Rather than creating new tools, data, or systems , this individual orchestrates the seamless integration and application...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …Data Integration & Management Explore and analyze common pharmaceuticals data (eg, claims ) as well as novel data sets based on lab and EHR ... systems . Work with Omnichannel Data Engineer to Integrate data...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Walgreens (Lubbock, TX)
- …direct supervision, in the practice of pharmacy. Responsible for using pharmacy systems to obtain patient and drug information and process prescriptions. Customer ... by Pharmacy Manager, Staff Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and drug information, ensuring information is entered… more
- Intermountain Health (Austin, TX)
- …an overall goal of account resolution. Abel to navigate various payer claim portals and understand payer functionality. Interacting with others by effectively ... knowledge of reading EOB Accurately identifying trends not limited to payer behavior, system or workflow issues, and escalating in a timely manner Advanced knowledge… more
- Sedgwick (Austin, TX)
- …Services & Insurance OSS Coordinator PRIMARY PURPOSE : To support and maintain the claims management system for a local office or multiple office locations; and ... internal and external logins and the applicable security access for the company's claims management systems by determining the validity for incoming requests and… more
- Allied Universal (Fort Worth, TX)
- Company Overview Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation ... Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators,… more
- Humana (Austin, TX)
- …Degree Minimum of 3 years of medical claims auditing experience (interpreting if claims initially paid correctly in the system ) Minimum of 2 years Provider ... or financial risk that arises from inadequate or failed processes, people, systems , or external events. Maintains a balance between risk mitigation and efficiency.… more
