- Integrative Emergency Services (Dallas, TX)
- …system updates and identifying/resolving problems. Handles corrections or rejections of claims due to enrollment errors and/or claim submission requirements. ... + Conveys issues and status of problems to Enrollment Manager . + Ensures Held A/R enrollments are submitted on...are submitted on timely basis to avoid risk of claims /adjustments and an unnecessary increase of Held AR. Maintain… more
- Brown-Forman (Dallas, TX)
- … claim settlement activities, including both insured and self-insured claims , ensuring accurate records and facilitating efficient resolution processes. + _Drive ... to interpret complex data, identify trends, and develop actionable insights. + Systems Proficiency: Advanced proficiency in Word, Excel, and PowerPoint (or Google… more
- Evolent (Austin, TX)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... health plan regarding the accurate and timely submission of claims /statements. + Works with management to obtain corporate financial...plan, line by line, to make sure that the claim is billed to the proper payer source, in… more
- Prime Therapeutics (Austin, TX)
- …in Microsoft Word, Excel, Project, PowerPoint, and Visio **Preferred Qualifications** + Rx Claims system proficiency + Previous PBM or healthcare experience + ... Consultant The Functional Business Consultant serves as a project manager **,** business system or business process...satisfaction + May facilitate testing for new or improved systems or processes including creation of a test plan,… more
- CenterWell (Mineral Wells, TX)
- …Also, responsible for day-to-day coordination of telephone / personnel communication systems , overall management of agency supplies / mail, and processing of ... computer programs as appropriate. + Complete End of Period claim workflow as part of Billing Specialist responsibilities. This...to ensure other billing requirements are satisfied to release claims timely. + Adhere to and participate in Agency's… more
- CenterWell (Athens, TX)
- …Also, responsible for day-to-day coordination of telephone / personnel communication systems , overall management of agency supplies / mail, and processing of ... computer programs as appropriate. . Complete End of Period claim workflow as part of Billing Specialist responsibilities. This...to ensure other billing requirements are satisfied to release claims timely. . Adhere to and participate in Agency's… more
- Catholic Health Initiatives (Houston, TX)
- …requirements. Reports are produced for Revenue Cycle functions such claims submission, insurance follow‐up, cash management, credits/refunds, charge/payment posting, ... leaders and Information Technology (IT), facilitating technology/tools enhancements and system maintenance/modification; and 4) providing training/guidance to other Revenue… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …Texas DepartmentLegal Affairs FTE1 FLSAExempt Scope of Job An individual contributor and manager of a team of attorney(s) and risk-management staff handling a broad ... reimbursements, including governmental and private payors; accreditation-related issues; false claims ; tax; anti-trust; tissue or organ transplantation; collections; risk… more
- Elevance Health (Grand Prairie, TX)
- …patient, and prescriber encounters, including, but not limited to prescription claim adjudication exceptions, returns, reships, drug recalls, and patient and ... failures and workflow in our contact center tool and our prescription processing system . + Partner and support pharmacists in the performance of their duties,… more
- Elevance Health (Houston, TX)
- … adjustments. **How you will make an impact:** + Audits paid claims for overpayments, using various techniques, including systems -based queries, specialized ... responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more