- DriveTime (Fort Worth, TX)
- …all inbound calls in a timely manner + Handle customer complaint claims resulting from repossession activity through customer calls, research, and appropriate vendor ... communicate accurate information to customers, vendors, and third parties to resolve claims and invoice disparities + Work independently with customers and vendors… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …tour of duties, timely requests for leave in VA Time and Attendance System (VATAS) and for clinic cancellations. Clinical Management including indirect patient care: ... open encounter & open consult management, Computerized Patient Record System (CPRS) documentation rules and requirements, adherence to clinic procedures for patient… more
- Molina Healthcare (TX)
- …information system and prepares documentation for further review. * Researches claims issues utilizing systems and other available resources. * Assures ... JOB DESCRIPTION Job Summary Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …management, and Study Management as applicable * Ensure compliance with clinical systems use and updates * Provide support for internal audit and regulatory ... Financial management skills as applicable to oversee initiatives and system expenditures. * Ability to handle and prioritize multiple...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Keurig Dr Pepper (Frisco, TX)
- …launch of marketed products, including developing mandatory product label text, regulated claims , and nutritional information in the form of Label Information Notes ... input for early innovation of new products by reviewing marketing concepts and claims for consumer studies. + Ensure appropriate scientific support of product … more
- Sedgwick (Austin, TX)
- …renewals, and quoting, plus proficiency in Microsoft Office and underwriting systems , will set you apart. Exposure to workers' compensation, professional liability, ... as a liaison with other departments and partners including customers, Sedgwick/Pools, claims , loss control, and accounting departments as well as reinsurers and… more
- Baylor Scott & White Health (Temple, TX)
- … claims processing issues for all Health Plan products, utilizing pharmacy claims systems and appropriate departmental tools. Provide clear guidance and ... assist with understanding the prior authorization process, and resolve claims processing and eligibility issues while adhering to department...- 3 Years of Experience As a health care system committed to improving the health of those we… more
- Sedgwick (Fort Worth, TX)
- …+ Set up new Medicare Lien Resolution (MLR) referrals in the Medicare Compliance System + Electronically sort and index Medicare mail in the SIR and Medicare ... Compliance systems + Responds to questions from examiners about Medicare...**Experience** One (1) year of general office experience required. Claims or medical records/billing industry experience preferred. Two (2)… more
- Entergy (The Woodlands, TX)
- …knowledge of Microsoft Office products and working knowledge of HR management systems , queries, and system reports. Accountable for Results: Embraces challenging ... any discrepancies identified. + Reviews and responds to benefit eligibility claim request received from employees and retirees. + Supports contract negotiations… more
- Sedgwick (San Antonio, TX)
- …computer systems , networks and information. + Identifies and defines system security requirements. + Designs computer security architecture and develops detailed ... of security measures to protect company data, networks, and computer systems . To focus on executing security fundamentals for threat detection, investigation,… more
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