- Molina Healthcare (Austin, TX)
- …Verify enrollment status, make changes to records, research and resolve enrollment system rejections. Address a variety of enrollment questions or concerns received ... via claims , call tracking, or e-mail. Maintain records in the...enrollment State, Federal, and business regulatory requirements and strong system knowledge of QNXT and other state specific applications… more
- Mass Markets (TX)
- …(GAAP/IFRS), and audit requirements. + Monitor and improve accounting processes and systems to increase accuracy and efficiency. + Support internal and external ... financial reporting standards, and internal controls. + Proficiency in ERP systems (eg, SAP, Oracle, NetSuite) and Microsoft Excel. + Excellent organizational… more
- Atlas (San Antonio, TX)
- …mentoring, and problem-solving for staff. + Use automated design and engineering systems . + Coordinate with clients, contractors, and consultants to address designs ... requirements:** + Proficient in performing constructibility reviews and managing construction claims on transportation projects + Knowledge of State and local… more
- Academy Sports + Outdoors (Katy, TX)
- …controlling for other potential avenues for fraudulent activity such as carrier claims fraud, returns fraud, social engineering of Academy's Customer Care team. + ... in discussions with cross-functional business teams, speaking to the impact that future systems or process changes may have from a fraud perspective. + Keep abreast… more
- Metro One Loss Prevention Services Group (Plano, TX)
- …of all new hire paperwork, following-up as required. . Manage all workers' compensation claims - work directly with our insurance carrier to file and provide all ... necessary claim information and identify training or process improvements to reduce future claims . . Administer benefits program - ensure accuracy of all… more
- Towne Park (Austin, TX)
- …standards are met or exceeded. Under the direction of the Account Manager , the Guest Service Captain has additional duties involving coordination and administration, ... as well as providing troubleshooting and/or guidance when the manager is not on-site. The Guest Service Captain is...dictate, using an approved method. - 15% + Issues claim checks to guests only after receiving vehicle keys… more
- AUI Partners (TX)
- …and tool inspections. + Investigate accidents, incidents, and worker compensation claims , ensuring timely and effective resolution. + Coordinate and conduct safety ... + Assist the Safety Supervisor/Safety Team on Worker Compensation claims and other claims involving the public,...as guidelines. Accident and Incident Investigations + Conduct Utility Claim Investigations within 24 hours and provide a report… more
- Elevance Health (Houston, TX)
- …identified overpayments. **How you will make an Impact:** + Audits paid claims for overpayments using various techniques including systems -based queries, ... claim and trend analysis, validation and recovery of claims payment errors. **Minimum Requirements:** + Requires a BA/BS...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- HCA Healthcare (Mckinney, TX)
- …Works all identified insurance requirement edits through the electronic billing system . Communicates issues with department manager . Researches required ... Summary and Qualifications** Billing Specialist PHY GENERAL SUMMARY OF DUTIES: Processes claims electronically to insurance carriers. Mails claims to carriers… more
- Highmark Health (Austin, TX)
- …to resolve issues and provide advice on new programs. Provides guidance to system entities in response to external coding audits conducted by the Medicare ... the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems , missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure… more