- CVS Health (Irving, TX)
- …is accountable for CVS Health's Health Care Benefits division (Aetna) commercial claim processing and the surrounding ecosystem of commercial claim ... and other IT partners. As part of the AT Claim Organization, you will be responsible for code deliverables...experience in one or more of these areas: + Claim Adjudication + Claim Payment/Banking, Electronic Funds… more
- Walgreens (Dallas, TX)
- …all required documentation for billing is completed and accurate prior to claim submission (ie, medical claims billing). + Process reimbursement checks/payment ... + Process and file all SDL (submit direct link) claims in accordance with company policy. + Processing... claims in accordance with company policy. + Processing of prescription exceptions including prior authorizations, triaging of… more
- Johnson Thermal Systems (Abilene, TX)
- …practices using leading and trailing indicators. + Facilitates the workers' compensation claims process including initial entering of claim ; assisting in the ... investigation; communicating with employees, adjusters, and investigators; and processing documents pertaining to the incident and claim . + Facilitate onboarding… more
- Molina Healthcare (Dallas, TX)
- …managed care or payer environment. + In-depth knowledge of medical and hospital claims processing , including CPT/HCPCS, ICD, and modifier usage. + Strong ... requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …+ Transact and document inventory movements and reconciliations, return and claim approvals, and product destructions. + Manage inventory reporting and communicate ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Reynolds & Reynolds (Austin, TX)
- …- Obtaining any needed documentation from the customer to assist with processing maintenance claims - Assisting customers with general questions related to ... inbound calls from AGWS Customers to assist with questions related to maintenance claims . You will assist customers by walking them through and helping them… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... service agents to support inbound customer service, help desk, and back-office processing representatives . In this role, you will provide full lifecycle customer… more
- Intermountain Health (Austin, TX)
- …guidelines + Responsible for primary oversight of revenue cycle functions such as claims processing , denials, payments, customer service, and follow up on ... or commercial payer enrollments for both technical and/or professional fee claim reimbursement. Assist in minimizing provider enrollment AR by monitoring enrollment… more
- Cardinal Health (Austin, TX)
- …broader access to innovative therapies. + ** Claims Adjudication:** Oversee the claims adjudication process, ensuring timely and accurate processing of ATSP ... for CGT treatments. + **Compliance:** Ensure all contracting and claims activities comply with regulatory requirements and company policies. + **Documentation:**… more
- CenterWell (Waco, TX)
- …personnel communication systems, overall management of agency supplies / mail, and processing of accounts payables. Depending on branch census you may be responsible ... 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