- Centene Corporation (Mcallen, TX)
- …managed care or medical group experience, provider relations, quality improvement, claims , contracting utilization management, or clinical operations . Project ... to external provider related issues + Investigate, resolve and communicate provider claim issues and changes + Initiate data entry of provider-related demographic… more
- UNUM (Austin, TX)
- …Summary:** This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The ... services to the Benefits Center. The Medical Consultant adheres to current regulatory, claim process, and internal workflow standards as set forth in the Benefits… 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 accounts. ... Assigns daily work schedules. Acts as a resource in the daily operations and activitiesof the department. Performs staff level duties as required.* Develops,… more
- Fresenius Medical Center (Tyler, TX)
- …- Credit provides high level administrative support to the daily operations within the assigned function(s). The incumbent provides high-level administrative support ... to the Collections operations within the assigned function(s). The Sr. Patient Account...Credit and refund experience a must have + Processing claims experience and must have + Understands EOB and… more
- Towne Park (Austin, TX)
- …- 10% Explains parking rates and retrieval procedures to guests upon arrival. Issues claim checks only after receiving vehicle keys and collects claim checks ... tag, guest folio, location of vehicle, damage survey and claim check receipt from all vehicles taken into the...divide with 10's and 100's; ability to perform these operations using units of American money + Ability to… more
- The Cigna Group (El Paso, TX)
- …conditions or technical/non-clinical needs + Research, analyze, and track customer call/ claim inquiries from employees. Communicate outcome and next steps directly ... tasks (customer/provider outreach calls, create out-of-pocket ledgers, etc). + Pull claim reports and analyze data and trends. + Navigate multiple Cigna… more
- Methodist Health System (Dallas, TX)
- …receivable management system including but not limited to billing, claim corrections, reconciliation, payment posting, refunds/credit balances, customer service, and ... and profitability. Also depending upon assigned role may be responsible for reviewing claim information to ensure accuracy and provide feedback to the clinical and… more
- Prime Healthcare (Farmers Branch, TX)
- …and plans of reach / exceeding key performance indicators (KPI) relating to billing operations , which include but are not limited to: 837 files, billing edits, clean ... claim rate standards, billing errors and trends, as well as claim rejections and trends. Through strategy development, aligning the annual initiatives and… more
- Walmart (Temple, TX)
- …and policies Lists common tasks and activities performed by operations functions and subfunctions Partnership Collaboration Possesses knowledge of Stakeholder ... assigned area of work Creates action plans to address audit findings Validates claim records work with workers compensation case managers for investigation of … more
- CVS Health (Austin, TX)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost ... both internal and external customers. Performs regular quality audits for service operations for multiple products and platforms to drive full and consistent… more