- USAA (Plano, TX)
- …process engineering/optimization. + Experience in successfully applying quality management , process improvement, and problem-solving tools and methodologies. + ... and validating process documentation. + Understanding and application of process management standards and policies, and knowledge of applicable regulations and risk… more
- Meta (Austin, TX)
- …Rx channels. **Required Skills:** Product Marketing Manager - Prescription Payer Management Responsibilities: 1. Lead the definition and execution of vision ... and channel needs and mindsets 8. Manage prescription product claims , content, and pricing in B2C and B2B contexts,...9. 7+ years of experience in product marketing, product management , management consulting, business strategy in vision… more
- Elevance Health (Houston, TX)
- …Specialist Lead** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to ... cash receipts, cash application, claims audits, collections, overpayment vendor validation, and ...reporting, or other research. + Interacts with staff and management from various departments on a regular basis to… more
- Zurich NA (Austin, TX)
- …investigates, evaluates, and concludes low exposure, low complexity, mechanical breakdown claims by following established protocols to ensure that claims ... handled in the most efficient, effective way while delivering a customer-centric claims service. Determines causes of failures and reviews specific contract language… more
- Molina Healthcare (San Antonio, TX)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of… more
- Methodist Health System (Dallas, TX)
- …The ideal candidate will bring a robust background in healthcare revenue cycle management , with a particular emphasis on addressing and resolving no response ... claims , rejected or denied claims , and managing...trends, payer requirements, and best practices in revenue cycle management . Maintain assigned WQ metrics. Fill in as manager… more
- Molina Healthcare (Dallas, TX)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... Analysis** + Use a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Apply understanding of… more
- The Hartford (San Antonio, TX)
- Claims Representative - CH09CNSr Representative Claims - CH08BE We're determined to make a difference and are proud to be an insurance company that goes well ... for planning, recommending, and executing the investigation of workers' compensation claims . Our dynamic team of claim professionals provide superb customer service… more
- Sedgwick (Austin, TX)
- …General Adjuster - Southwest Region **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- Cardinal Health (Austin, TX)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more