- CenterWell (Waco, TX)
- …Also, responsible for day-to-day coordination of telephone / personnel communication systems , overall management of agency supplies / mail, and processing of ... 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
- Elevance Health (Grand Prairie, TX)
- …visits, referral practices, and specialty care procedures. + Recommends policy changes and claim 's system changes to pursue cost savings. + Reviews results ... will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing...a BA/BS in Computer Science, Business Administration, Management Information Systems , or related field of study and a minimum… more
- Baylor Scott & White Health (Austin, TX)
- …electronic claims submission (ECS) rejections by making corrections in system , and resubmitting for payment. Request or post charge corrections and appropriate ... responsible for the timely submission of hospital or professional claims to Payers including but not limited to Medicare,...than 1 Year of Experience As a health care system committed to improving the health of those we… more
- Cardinal Health (Austin, TX)
- …their distribution channels, ensuring broader access to innovative therapies. + ** Claims Adjudication:** Oversee the claims adjudication process, ensuring timely ... and accurate processing of ATSP claims for CGT treatments. + **Compliance:** Ensure all contracting...for cell & gene therapies, either at a health system or payor) highly preferred + Experience with prior… more
- Houston Methodist (Katy, TX)
- …as needed. + Meets or exceeds threshold goal for department and/or system metrics on employee engagement indicators. Provides leadership to ensure operational ... efficiency of admission, concurrent and retrospective utilization management and medical claims functions to meet and exceed service-level goals and contract… more
- Towne Park (Houston, TX)
- …- 10% Explains parking rates and retrieval procedures to guests upon arrival. Issues claim checks only after receiving vehicle keys and collects claim checks ... tag, guest folio, location of vehicle, damage survey and claim check receipt from all vehicles taken into the...check receipt from all vehicles taken into the valet system . Consistently completes location on all key tags after… more
- Towne Park (Austin, TX)
- …shift if business conditions dictate, using an approved method. - 15% + Issues claim checks to guests only after receiving vehicle keys and collects vehicle claim ... guest folio, and location of vehicle, damage surveys and claim check receipt for all vehicles taken into the valet system . Secures all keys on a belt clip or in… more
- Elevance Health (Grand Prairie, TX)
- …research and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to ... eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing… more
- Intermountain Health (Austin, TX)
- …and alignment with charge, coding and charge edits. + Audits and evaluates system automation by comparing the charge/ claim data to the clinical record. ... Leverages other system functionalities to expediate the claim processing for compliant and optimized hospital accounts. + Evaluates, provides education and… more
- Amazon (Austin, TX)
- …with WFM Legal team on regulatory requirements o Reviewing applicable product claims /statements and determining claim validation criteria o Developing and ... and automation tools to enhance food safety and quality systems * Monitors formulation and label review for WFM,...new technical tools for food safety management o Designing systems for predictive quality analytics * Stays abreast of… more
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