- Highmark Health (Austin, TX)
- …to resolve issues and provide advice on new programs. Provides guidance to system entities in response to external coding audits conducted by the Medicare ... the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems , missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure… 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
- 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
- USAA (Plano, TX)
- …make recommendations and changes in order to improve and support business systems and activities and/or to deliver greater effectiveness and efficiency. + Ensures ... Process Management, or similar methodology. + Demonstrated experience with utilizing various systems to collect and analyze data. **What sets you apart:** + Broad… more
- Towne Park (Austin, 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
- Zurich NA (Houston, TX)
- …Guard. This may include selling and servicing our insurance products, supporting our claims centers, or providing travel assistance to our clients around the world. ... in all areas (call handling, email, etc.) Ability to navigate multiple systems while effectively handling calls. Creative and critical thinking to provide… more
- PulteGroup (Coppell, TX)
- …determine insurability of real estate transactions and minimize exposure arising from claims on policies issued by Premier and the other title underwriters. Support ... and provide advice on leases, agency, and vendor contracts; + Assist with claim review and investigation; + Maintain expertise on title and escrow issues,… more
- Adecco US, Inc. (Irving, TX)
- …focused on supporting specific drug (including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer ... high-impact reimbursement cases by overseeing benefit investigations, prior authorizations, claims escalations, and appeals, ensuring timely patient access. 3.… more
- The Cigna Group (El Paso, TX)
- …and trends. + Navigate multiple Cigna systems including client self-service portals, claim systems , and tracking systems . + Compile monthly service ... conditions or technical/non-clinical needs + Research, analyze, and track customer call/ claim inquiries from employees. Communicate outcome and next steps directly… more