- HCA Healthcare (San Antonio, TX)
- …Dispute Resolution Inventory + Maintains inventory status of Denial Escalation claim reviews and prepares monthly reporting + Manually validates expected ... reimbursement on inventory using available contracts and claims billed + Assists with field communication, providing updates, and resolving issues + Assists with… more
- Omni Hotels (San Antonio, TX)
- …accurate documented enrollment for all eligible associates. + Monitor unemployment insurance claims and actively work to reduce claim liability through detailed ... documentation and hearing compliance. + Conduct pre-screening of line/management position applicants + Develop networking contacts and coordinate local job fairs with local colleges. + Conducts exit interviews for all terminating associates and ensures final… more
- Elevance Health (Grand Prairie, TX)
- …to create predictive impact decision making tools + Recommends policy changes and claim 's system changes to pursue cost savings. + Reviews results ... Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider… more
- The Walsh Group (Dallas, TX)
- …scenarios and develops contingency plans. + Acts as an experienced resource for claims and mitigations. + Produces complex modeling and ensures scheduling system ... paths, float trending, percent complete, float ownership, and constraints + Claim experience required + Time impact analysis experience required + Significant… more
- Seventh Dimension (Fort Worth, TX)
- …operational point of contact for COR/VA Police/Safety/AOD, manages incidents/ claims , oversees equipment/signage/cleanliness, and enforces contractor policies (eg, no ... response, including immediate reporting/testing and coordination with VA Police/Safety; manage claim resolution timelines. + Professional conduct; photo ID badge and… more
- Highmark Health (Austin, TX)
- …participate in and support project meetings related to underwriting system enhancements, financial modeling tool development, and overall operational efficiency ... rates utilizing Company rating algorithms, adjusting accordingly to cover questionable claim patterns or unusual situations not otherwise contemplated within the… more
- NTT America, Inc. (Plano, TX)
- …security, audit readiness, and business continuity while transitioning mission-critical systems supporting core banking, payments, trading, underwriting, claims , ... applications into Managed Services, including core banking, policy administration, claims , underwriting, billing, payments, trading, risk, and financial reporting … more
- Baylor Scott & White Health (Dallas, TX)
- …department and has direct oversight and management responsibility for the patient accounting system charge review, charge DNB, and charge claim edit. Oversees ... utilization of edit outputs from patient accounting system and other revenue cycle systems to provide information and training to charge capture teams and… more
- CVS Health (TX)
- …including co-morbid and multiple diagnoses that impact functionality. - Reviews prior claims to address potential impact on current case management and eligibility. ... cases at case conferences for multidisciplinary focus to benefit overall claim management. - Utilizes case management processes in compliance with regulatory… more
- CVS Health (TX)
- …including co-morbid and multiple diagnosis the impact functionality.** **-Reviews prior claims to address potential impact on current case management and ... cases at case conferences for multidisciplinary focus to benefit overall claim management.** **-Utilizes case management processes in compliance with regulatory and… more
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