- Humana (Austin, TX)
- …Humana Pharmacy Solutions ensuring compliance with programmatic requirements, such as claims processing , prior authorization, formulary management and clinical ... programming + Represents Humana at all Pharmacy Medicaid meetings including those with the Michigan Department of Health and Human Services (MDHHS) **Use your skills to make an impact** **Required Qualifications** + Bachelor's degree in Pharmacy or Doctor of… more
- Symetria Recovery (Houston, TX)
- …+ Supports revenue cycle by recording and updating financial data, processing charges, collecting payments, managing credit, and filing/expediting third-party ... claims . + Oversees office supplies and equipment by monitoring inventory, anticipating needs, placing and expediting orders, and verifying receipt of goods and… more
- Citizens (Irving, TX)
- …GNMA/FHA, USDA and VA + Supervise department efficiency, pipeline management and processing time frames + Provide positive ongoing leadership and mentor, including ... and customer service + Strong collaboration skills across departments (eg, claims , legal, compliance) Communication & Customer Focus + Excellent written and… more
- City of College Station (College Station, TX)
- …crime victim's compensation applications. + Follow up with crime victim's compensation claims and status. + Communicate and work with detectives, patrol officers, ... + Intermediate level of computer knowledge and experience. + Ability to utilize word processing and data entry programs. + Ability to work with a high degree of… more
- Walmart (Conroe, TX)
- …types programs and benefits to current and prospective members processing memberships upgrades and credit accounts encouraging membership renewals participating ... up orders are filled Oversees assigned area of responsibility by handling claims and returns zoning the area arranging and organizing merchandise identifying shrink… more
- Santander US (Dallas, TX)
- …and business glossaries for operational data (eg loan origination, servicing, payment processing , claims ) + Understanding of data architecture, data models, BI ... platforms (Power BI), and integration with analytics/AI initiatives + Ability to interact with all levels of management and negotiate project priorities and deliverables. + Ability to work across multiple lines of business and facilitate large cross-functional… more
- Evolent (Austin, TX)
- …at Evolent will serve as a point of contact for processing prior authorization requests in accordance with departmental policies, regulatory requirements, ... requesting or submitting prior authorization requests and/or relevant health care experience in claims or appeal & grievances is required. + Ability to read, write… more
- JPMorgan Chase (Fort Worth, TX)
- …external events, including catering and transportation + Process invoices and T&E expense claims for team members, ensuring all policies are followed and items are ... banking, consumer and small business banking, commercial banking, financial transaction processing and asset management. We offer a competitive total rewards package… more
- Caris Life Sciences (Irving, TX)
- …needed to complete coverage verification. + Verifies insurance eligibility to ensure claims are billed accurately and in accordance to payer guidelines. + Ensures ... manage frequent changes effectively and efficiently + Basic knowledge of insurance processing , guidelines and general laws related to all payers. + Basic knowledge… more
- Pedernales Electric Cooperative (Johnson City, TX)
- …+ Update the UC mapping system + Participate in the process for damage claims + Resolve customer complaints and answer customers' questions + Provide employees with ... setting up and using hardware and software programs, entering data or processing information + Knowledge of principles and processes for providing customer service… more