- Elevance Health (Houston, TX)
- …with fraud and abuse. **How you will make an Impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...document determinations and continue to next step in the claims lifecycle. + Researches new healthcare related questions as… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- Amazon (TX)
- …needs via 1Life's tasking system to provide the best customer service. Investigating claims through insurance to ensure they were processed according to the patient ... from One Medical patients (customers) regarding their medical bills, insurance claims , and payment inquiries. Daily activities include reviewing patient accounts,… more
- BrightSpring Health Services (Grand Prairie, TX)
- …milligrams) + May resolve issues of denials identified through adjudication, and follow-up claims in Point of Sale (POS) + Maintains current knowledge of Medicaid ... processes + May produce reports and keep management informed of unpaid claims and claims pending follow-up + Provides excellent customer service to external and… more
- Travelers Insurance Company (Austin, TX)
- …key decisions. You will be working with the Pricing, Product, Underwriting, and Claims teams to both learn the business and communicate your findings and ... customer segments in the Financial Institutions business unit. + Work with the Claims department to ensure best estimates are appropriately reserved for key … more
- Norstella (Austin, TX)
- …service offerings leveraging Norstella's unified Real World Data asset, a combination of claims , lab, SDOH and EMR data. You will be joining an organization hard ... by querying and analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), and other real-world data *Your… more
- USAA (San Antonio, TX)
- …documentation may result in disqualification.** + Experience leading $1B+ Claims transformation programs. + Demonstrated experience managing programs with ... business needs into technical specifications. + Recent experience supporting Claims in a Program Management role. + PMP, Agile...role. + PMP, Agile and Change Management Certification. + Claims experience. + Proficient in Box, Rally, Clarity and… more
- Norstella (Austin, TX)
- …offerings leveraging Norstella's unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be joining an organization ... accuracy and quality. *Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, to uncover actionable insights and drive… more
- USAA (Plano, TX)
- …for consultation on and programming of instructions and alerts within the Claims Center (Guidewire) and Training Environments. These alerts will be programmed within ... apart:** + 2 years of experience adjusting or managing Claims within Guidewire. + 2 years of experience programming...2 years of experience adjusting and/or leading in aP&C Claims environment. + US military experience through military service… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more