- Molina Healthcare (Houston, TX)
- JOB DESCRIPTION **Job Summary** Provides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to ... of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other… more
- Mass Markets (Killeen, TX)
- …passionate about helping others? Join our team as a Customer Service Representative , where you'll provide support across customer service, technical assistance, ... + Use internal systems to manage accounts and process claims accurately. + Follow established scripts, policies, and procedures...we offer a variety of benefits and incentives to support and reward our team members. What You Can… more
- ATI (Dallas, TX)
- …compliance, and technology initiatives across the Law Department. Key Responsibilities: Litigation Support & Insurance Claims Management + Assign matters to ... to insurer inquiries in collaboration with ATIs insurance broker. + Support environmental claims management, including tendering environmental claims… more
- CDM Smith (Austin, TX)
- …strategies. Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the ... CDM Constructors' Pacific region, primarily projects in California. The role will support negotiation, setup, and implementation of all contracts necessary for a… more
- DriveTime (Fort Worth, TX)
- …all inbound calls in a timely manner + Handle customer complaint claims resulting from repossession activity through customer calls, research, and appropriate vendor ... communicate accurate information to customers, vendors, and third parties to resolve claims and invoice disparities + Work independently with customers and vendors… more
- RxBenefits (Houston, TX)
- … support the AM and Deal Governance teams for At-Risk accounts + Manage and support the current account claim and data requests + Respond to competing PBM ... team also assists with resolving client issues involving performance discrepancies, claims issues, and reporting. The successful Pharmacy Pricing Senior Manager will… more
- Seventh Dimension (Fort Worth, TX)
- …operational point of contact for COR/VA Police/Safety/AOD, manages incidents/ claims , oversees equipment/signage/cleanliness, and enforces contractor policies (eg, no ... response, including immediate reporting/testing and coordination with VA Police/Safety; manage claim resolution timelines. + Professional conduct; photo ID badge and… more
- Sunrise Senior Living (Frisco, TX)
- …internal business controls. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. + Clearly communicate ... collect and review information needed to assist in billing and accounting support services to meet business performance results, deadlines, and reporting. + Perform… more
- Towne Park (San Antonio, TX)
- …the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover. Manages payroll and ensures that controls ... is delivered consistently on all shifts. Efficiently allocates labor resources to support service delivery. Works with the Area/District Manager and Human Resources… more
- US Anesthesia Partners (Austin, TX)
- Overview The Supervisor - RCM role drives operational support within the Revenue Cycle department. This role is responsible for developing policies and procedures, ... + Supports the development of department policies and procedures, providing guidance, support and leadership to ensure AR team success. + Monitors daily productivity… more
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