- CDM Smith (Austin, TX)
- …Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. ... Management: The candidate must understand and be knowledgeable in project delivery systems , contracting strategies, and typical contract forms and terms. The role… more
- Cummins Inc. (Houston, TX)
- … claims , quality documents via handwritten forms or business system input screens. Identifies additional service opportunities with customer. Completes training ... claims , quality documents via handwritten forms or business system input screens. Identifies additional service opportunities with customer. Completes training… more
- Mass Markets (Killeen, TX)
- …the necessary information and notify business partners regarding messages, inquiries, and claim reporting + Works under close supervision + Utilize knowledge base ... to customers, understand their needs, and resolve customer issues + Research systems to find missing information; coordinate with other departments to resolve issues… more
- GAF (Ennis, TX)
- …change notices (PCN's), and other in-plant processes. Lead jobsite inspections and claim analysis at plant level. Perform root cause analysis for reported issues ... the field. Maintain communication with main lab at Parsippany to track claims , elaborate reports, and lead improvement projects associated with customer claims… more
- CVS Health (TX)
- …regulatory updates are operationalized. This role requires a thorough knowledge of claim adjudication, internal MAC & non-MAC related processes, and being a leader ... science, and information technology. + Execute process improvements and system enhancements, including coordinating activates across diverse departments and ensure… more
- Prysmian (Mckinney, TX)
- …specified territory categorized by Encore Independent Sales Representatives + Resolve pricing claims / deductions by requesting and / or validating customers debit ... memos against the support in the system while working directly with our customers and Encore...+ Work with QC / Shipping / Sales on claims and when necessary, schedule pick-up of requested return… more
- Cognizant (Austin, TX)
- …closely with configuration analysts and other operational stakeholders to maintain and improve claims reimbursement systems . **In this role, you will:** + Review ... standards (CPT, CCI, CMS). + Manage and update the Claims Reimbursement database to ensure edit rules and tables...with CPT, CCI, CMS, or health plan-specific rules for claim payment. + Knowledge of health plan/provider contracting and… more
- Prime Healthcare (Farmers Branch, TX)
- Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 ... annually. It is one of the nation's leading health systems with nearly 57,000 employees and physicians. Eighteen of...are not limited to: 837 files, billing edits, clean claim rate standards, billing errors and trends, as well… more
- EFI Global (Dallas, TX)
- …manner; documents all relevant facts pertaining to files in the appropriate claims handling system (s) and keeps management informed of developments that ... buildings or residences. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss, large… more
- HCA Healthcare (San Antonio, TX)
- …of safety and the elimination of avoidable harm.** Essential Job Functions: Systems Thinking and Reliable Design Expectations: - Assists Patient Safety Director with ... future harm by initiating and overseeing proactive evaluation and redesign of systems to improve care processes (eg forcing functions, checklists, error causation… more