- Walgreens (Spring, TX)
- …duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and drug information, ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more
- Molina Healthcare (San Antonio, TX)
- …heavy negotiations. Minimal ongoing engagement after contract. Synchronizes data among multiple claims systems when applicable, and the application of business ... accurate and timely maintenance of critical provider information on all claims and provider databases. Responsible for contracting/re-contracting of standard deals,… more
- Elevance Health (Houston, TX)
- …preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems , provider billing guidelines, payer ... and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims … more
- Zurich NA (Austin, TX)
- …Underwriter Executive Underwriter OR AVP, Underwriting Director level. The hiring manager will determine the appropriate level based upon the selected applicant's ... 120 days prior to effective date. + Update required systems with details of broker / client visits and...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Allied Universal (Coppell, TX)
- …can build a schedule that works for you and explore new roles using our Claim a Shift platform. Learn more: aus.com/earnmore. As a Patrol Unarmed Officer with Allied ... Tools:** Access to our exclusive technology to view and claim additional shifts to earn more. + **Career Growth:**...enforcement experience or 2 years of security supervisor or manager experience or 3 years of security-related experience. +… more
- Baylor Scott & White Health (Temple, TX)
- … claims processing issues for all Health Plan products, utilizing pharmacy claims systems and appropriate departmental tools. Provide clear guidance and ... benefits, assist with understanding the prior authorization process, and resolve claims processing and eligibility issues while adhering to department policies and… more
- Sedgwick (Dallas, TX)
- …Sedgwick's Client Facing Applications (viaOne, mySedgwick and Smart.ly). The project manager is responsible for organizing, defining, and overseeing all facets of ... application development projects preferred. Skills & Knowledge + Knowledge of claims management business and technology + Excellent oral and written communication… more
- Houston Methodist (Houston, TX)
- …responsible for resolving all outstanding third-party primary and secondary insurance claims for professional services. This Specialist is required to perform ... ESSENTIAL FUNCTIONS** + Collaborates with management to target complex claims and reduce aging of accounts by providing verbal...support to other team members as advised by the Manager and/or Supervisor. + Identifies denial trends and notifies… more
- USAA (San Antonio, TX)
- …P&C Litigation Claims Operations and/or Optimization experience. + 2+ years Manager , Claims Operations experience. + Deep operational knowledge of end-to-end ... assistance is not available for this position. **These positions will support Claims Litigations.** **What you'll do:** + Develop and implement strategic customer… more
- Kemper (Harlingen, TX)
- …Summary:** We are seeking a **District Administrator** to support the District Manager , district staff, agents, and policyholders in our Harlingen, TX office. This ... Salesforce processes. + Communicate with Home Office regarding policy status, claims , and underwriting. **Payment Processing & Balancing:** + Process payments… more