- 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
- Mass Markets (TX)
- …to resolve issues when needed + Accurately document and process customer claims in appropriate systems + Utilize knowledge base and training to accurately ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Mass Markets (TX)
- …plan environment). + Proficiency with computers is essential. + Proficiency in claims management systems, contact center platforms, and MS Office products. + Strong ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Robert Half Accountemps (Fort Worth, TX)
- …role is vital for ensuring accurate billing processes, resolving insurance claims , and maintaining patient documentation. As a Contract-to-permanent position, it ... healthcare environment. Responsibilities: * Manage patient billing and insurance claims efficiently using Lytec and TriZetto platforms. * Handle insurance… more
- Sedgwick (San Antonio, TX)
- …for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- Mass Markets (Killeen, TX)
- …+ Utilize internal systems and tools to manage customer accounts and process claims + Accurately document customer interactions and resolutions in CRM systems + ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Centene Corporation (Austin, TX)
- …tools. Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity ... with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay Range: $55,100.00 -… more
- Marathon Petroleum Corporation (San Antonio, TX)
- …and approves complex freight, lightering, time charter hire invoices and post fixture claims for chartered vessels per the charter party contract. * Maintains close ... and spot-chartered vessels.* Reconciles and negotiates complex off hire/underperformance claims for company-chartered vessels.* Completes accurate review and payment… more
- Prime Therapeutics (Austin, TX)
- …+ Pharmacy Benefit Management (PBM) experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Campaign management ... software experience (eg Adobe Campaign, Salesforce, IBM Campaign/Unica, etc.) + Proficient in Excel Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all… more
- Centene Corporation (Mcallen, TX)
- …+ Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics + Perform ... care or medical group experience, provider relations, quality improvement, claims , contracting utilization management, or clinical operations. Project management… more