- EMCOR Group (Manchaca, TX)
- …highly motivated team provides full-service mechanical, HVAC, and specialty piping systems . Our clients encompass a wide range of industries, including commercial, ... bulk chemical systems for semi-conductor manufacturers, high-tech fabrication, pharmaceutical companies, medical...Manager for inclusion of terms and discounts. + Coordinate claims issues and legal activity with EMCOR Construction Services… more
- Allied Universal (Corpus Christi, TX)
- …files associated with the program + Assist with the workers' compensation claims management by issuing and obtaining claim paperwork, collecting statements, ... of payroll discrepancies, compliance reporting, uniform/equipment management, and unemployment claims . This hands-on position is responsible for branch-level administration.… more
- Zelis (Plano, TX)
- …and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by ... Data Analyst will be responsible for analyzing and managing healthcare repricing claim data, with a focus on various pricing methodologies including Medicare,… more
- CVS Health (Austin, TX)
- …-Explains member's rights and responsibilities in accordance with contract. -Processes claim referrals, new claim handoffs, nurse reviews, complaints ... (member/provider), grievance and appeals (member/provider) via target system . -Educates providers on our self-service options; Assists providers with credentialing… more
- UTMB Health (Galveston, TX)
- …and inventory management is optimized to maximize benefits. Performs audits including claim analysis to determine if use is compliant per the 340B regulations ... and tools are working properly and accurately. + Performs other information systems related duties and responsibilities as assigned or defined. + Monitors and… more
- TEKsystems (Austin, TX)
- …to determine next steps. 2. Rebilling & Appeals Submission + Focus on claims ready for appeal-already vetted and prioritized. + Write appeal letters, make calls ... Key Responsibilities + Communicate effectively via phone and email to resolve claim issues. + Determine reasons for denials and appropriate appeal pathways. +… more
- BrightSpring Health Services (Grand Prairie, TX)
- …+ Triage, interpret and input orders into computerized medication order system while meeting accuracy and productivity standards of the pharmacy. Audits ... resolve issues of denials identified through adjudication, and follow-up claims in Point of Sale (POS) + Maintains current...of Sale (POS) + Maintains current knowledge of Medicaid claim regulations and processes + May produce reports and… more
- Metro One Loss Prevention Services Group (Plano, TX)
- …of all new hire paperwork, following-up as required. . Manage all workers' compensation claims - work directly with our insurance carrier to file and provide all ... necessary claim information and identify training or process improvements to reduce future claims . . Administer benefits program - ensure accuracy of all… more
- Philadelphia Insurance Companies (Plano, TX)
- Description Marketing Statement: TM Claims Service (TMCS) is an independent global claims management firm established in 1987 to provide clients with a broad ... range of claims related services in the areas of transportation, product...limited to responding to inquiries pertaining to the E-Billing system , troubleshooting system issues, status of invoices,… more
- Insight Global (Houston, TX)
- …billing, claims , and revenue cycle management Experience with complicated claims Extensive Epic system knowledge Strong understanding of billing procedures, ... the specialist will be responsible for reviewing denied or rejected insurance claims , investigating the reasons for denial, correcting any errors in billing or… more