- Sedgwick (Austin, TX)
- …damage resulting from collisions or motor failures. + Receives and reviews new claims and maintains data integrity in the claims system. **ADDITIONAL FUNCTIONS ... 100 pounds + Ability to drive up to 4 hours per day + Ability to work in wet...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Sedgwick (Austin, TX)
- …qualified opinion as to the cause of loss. + Receives and reviews new claims and maintains data integrity in the claims system. **ADDITIONAL FUNCTIONS and ... pounds. + Be able to drive up to 4 hours per day. + Must have continual use of...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Intermountain Health (Austin, TX)
- …**Essential Functions** + Oversees the day-to-day revenue cycle functions including claims processing, denials, payments, customer service, and follow up on ... contractual arrangements affecting payments, to research incomplete, incorrect or outstanding claims and/or patient issues. Investigates and resolves claims … more
- USAA (San Antonio, TX)
- …assistance is not available for this position. **These positions will support Claims Litigations.** **What you'll do:** + Develop and implement strategic customer ... to collect and analyze data. **What sets you apart:** + P&C Litigation Claims Operations and/or Optimization experience. + 2+ years Manager, Claims Operations… more
- CenterWell (Austin, TX)
- …+ Assist clinical pharmacists in troubleshooting prescription third party claim rejections by accessing and understanding formulary restrictions, plan limitations, ... up tasks for medication reconciliation/education. + Processing of select medication claim updates (lists) as requested by the clinical pharmacists or providers.… more
- Humana (Austin, TX)
- …certification from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement methodologies, ICD, CPT, and HCPCS + ... field + Knowledge of internal Medical Coverage Policies and Claims Payment Policies + CAS claims processing...protect member PHI / HIPAA information **Additional Information** + Hours : Monday-Friday with a start time between the … 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 ... English. **Skills** + Recognizing true overpayments from false credits + Researching claim cycle + Understanding Coordination of Benefits + Understanding EOB +… more
- CVS Health (Austin, TX)
- …and every day. The Senior Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with ... complex issues with sensitivity. Including but not limited to claim reviews for legal, compliance or rework projects. +...(CPC) + GED or High School diploma **Anticipated Weekly Hours ** 40 **Time Type** Full time **Pay Range** The… more
- National Nuclear Security Administration (Amarillo, TX)
- …Federal Regulation (CFR) 410.309(a) any employee selected for training exceeding eg,180 hours must sign a written agreement to continue his/her employment with DOE. ... current covered service for comparable special retirement or those individuals who claim veterans' preference. Subject to Random Drug/Alcohol Testing. Must pass a… more
- Health Care Service Corporation (Mesquite, TX)
- …office/facility - up to 5 days a week for the entire workday. Minimal working hours will be spent in a work-from-home office or in a Luminare Health office. The ... associate meets face-to-face with members to resolve claim issues, assist with understanding of benefits, assist with...the client(s) office/facility on a regular basis. + Prior claim processing/health insurance experience + Ability to work in… more
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