- CVS Health (Lubbock, TX)
- …labeling all prescriptions + Resolve third party rejections and complete any manual claim forms + Perform all prescription pick-up procedures, in adherence of CVS ... Deliver additional health care services as allowable by state regulation, individual certification , and as directed by pharmacy leadership team, including but not… more
- HCA Healthcare (Houston, TX)
- …preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time ... Under the supervision of the Business Office Manager/Business Office Supervisor , you will obtain payment from third party payers...work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims… more
- University of Texas Rio Grande Valley (Edinburg, TX)
- …entering the completed referral into the electronic medical record system for claims adjudication to ensure services are validated. Description of Duties + Processes ... Communicates effectively with health plans, payor representatives, and network and claims department staff to resolve complex authorization issues. + Coordinates… more
- Dairy Farmers of America (Arlington, TX)
- …with management to create a comprehensive onboarding plan which includes supervisor -led training for new employees + Facilitate talent management initiatives to ... Maintain personnel files in assigned locations + Manage Worker's Compensation claims as needed. Participate in safety and risk initiatives, including… more
- University of Texas Rio Grande Valley (Edinburg, TX)
- …Responsible for reviewing patient accounts for accuracy with regard to billing, claims details and collections to resolve patient concerns and/or provide education. ... information not captured during scheduling process, that is necessary for claims processing. + Displays effective communication skills, active listening skills,… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …and regulations and UTRGV policies. To review and analyze medical records, claims , and workflow processes to ensure accuracy, completeness, and compliance with ... processes. + Reviews, assesses and analyzes medical records, coding, billing, claims , reimbursements and workflow processes to ensure accuracy, completeness, and… more
- Walgreens (Austin, TX)
- …Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... state and federal laws. **Training & Personal Development** + Maintains PTCB certification through the designated PTCB training program and/or state required … more
- AUI Partners (TX)
- …in daily time and quantities reporting * Assist with resolving potential claims with subcontractors/suppliers * Assist and prepare pending change orders * Interprets ... judgment in achieving assigned objectives and performs additional assignments per supervisor 's direction * Comply with all safety policies, practices and procedures.… more
- HCA Healthcare (San Antonio, TX)
- …preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time ... letters utilizing all available documentation, regulations and guidelines to defend the billed claim + Utilize the following resources to identify the root cause of… more
- Veterans Affairs, Veterans Health Administration (Houston, TX)
- …their documentation packets. He/she discusses eligibility for programs or specific claims with vendors, veterans, and/or service officers. Must have thorough ... internal and external stakeholders involved in care coordination. Immediately notifies supervisor /team lead of any problems related to authorizations for OIVC,… more