- HCA Healthcare (Dallas, TX)
- …relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims . This job requires regular outreach to payors and Practices. We ... in compliance with departmental policies and procedures + Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate +… more
- PennyMac (Fort Worth, TX)
- …including identifying workflow for a loan prior to claim filing, filing claims for reimbursement of expenses and incentives, reconciliation of claim proceeds and ... filing supplemental claims as needed, and management of claim receivables, including...process and control infrastructure; policies, procedures, and operational routines, audit functions; and quality assurance of key processes, to… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …with Sales and Marketing on sample allocation and planning. + Support audit readiness and compliance reviews. **Operational Efficiency & Field Partnership** + ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- City of College Station (College Station, TX)
- …dependent verifications, earnings and deductions administration; billing/invoicing; claims reviews; system administration, vendor audits and reconciliations, ... to ensure reasonable responses to employee concerns, resolution of issues related to claims or service disruptions, and to confirm accuracy in the application of… more
- Houston Methodist (Sugar Land, TX)
- …efficiency of admission, concurrent and retrospective utilization management and medical claims functions to meet and exceed service-level goals and contract ... Generates reports to identify trends and opportunities for process improvement. Develops audit reports to identify quality issues and areas for enhanced staff… more
- Scottish Rite for Children (Dallas, TX)
- …Ensure revenue integrity functions, including charge capture, denials management, unbilled claims , and maintenance of chargemaster + Provide support to departments ... and report inquiries are handled + Reports included Unbilled claims , Denials Recap details/summary + Maintain the Charge Master...in a hospital or clinical setting with revenue integrity audit and compliance required + EPIC experience preferred At… more
- Elevance Health (Houston, TX)
- …the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. **How ... in a timely manner to ensure prompt resolution. + Tracks and trends audit results, providing feedback effectively and professionally to management. + Identifies and… more
- Verint Systems, Inc. (Austin, TX)
- …Monitor, track and effectively respond to escalations regarding benefit programs or claims issues + Conduct audits on benefit enrollments and employee deductions as ... needed to ensure accuracy + Audit , review and process all benefit invoices + Assist...including health insurance, retirement plans, and other benefits + Audit benefits data, costs, and utilization to identify areas… more
- Public Storage (Plano, TX)
- …indirect tax specialist will be responsible for assisting with compliance and audit management for Public Storage, including third parties and related entities in ... local indirect tax audits and appeals, amended returns, refund claims and internal reverse audits + Perform general indirect...experience. + 1 plus years' experience in indirect tax audit management, compliance, or related work + Strong skills… more
- Mass Markets (Killeen, TX)
- …are administered fairly and consistently throughout the area of responsibility + Perform audit and compliance functions as requested on items such as audit ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more