- HCA Healthcare (Plano, TX)
- …relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims . This job requires regular outreach to payors and Practices. **In ... Benefits (EOB) information + Update patient accounts as appropriate + Submit uncollectible claims for adjustment timely and correctly + Resolve claims impacted… more
- Sedgwick (Austin, TX)
- …partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work ... medical/clinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Sedgwick (Bedford, TX)
- …Automotive Customer Case Coordinators. We help auto customers through the manufacturing claims process. **_We offer benefits on day one:_** + **_401K_** + ... as assigned + Understand and become proficient within our various case management systems **Scope of Work:** + Daily contact with dealership personnel, financial… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …Systems for managing the batch record review and release process Quality Management Activities supporting all phases of clinical development as well as Commercial ... and compliance. + Manages reports and trends to the Management Representative to help in the preparation of ...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Sedgwick (Fort Worth, TX)
- …from an accredited college or university with major in Risk Management , Business Administration or Finance preferred. Advance degree with professional designation ... Account Executive experience on national accounts and five (5) years claims /supervisory experience. **Skills & Knowledge** + In-depth understanding of workers… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …teams: Strategic Planning, Business Solutions & Analytics, Vendor & Contracts Management , Governance & Procedures, and Global Medical Evidence Operations ensuring ... and tactical planning and execution. **Operational Excellence and Team Management ** + Lead and manage core operational pillars within...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Sedgwick (Dallas, TX)
- …adjuster questions In Regard to ALE remaining and spent + Assist with monitoring management caps and cut off or apply credits as needed. + Assist with adjuster ... and other charge-to file processes + Expert knowledge of insurance programs, claims and implications to outstanding receivables + Expert knowledge of loss processing… more
- Sedgwick (Austin, TX)
- …to work in conjunction with and provide recommendations and education to the claims examiner, claimant, and clinical team; to work with the clinical team and ... of claimant, physician, employer and attorney if appropriate. + Creates a case management plan based on the assessment with measurable goals and objectives utilizing… more
- Lowe's (Kyle, TX)
- …at Lowe's** As a Market Delivery Inventory Specialist, your skillful management of inventory processes and positive stakeholder relationships directly boost our ... Your tasks include managing various product categories, monitoring crucial reports, and resolving claims with our third-party logistics partner - all in a day's work… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …working with Business Analysis to enhance field intelligence capabilities. + **Compliance Management :** Must comply with all state and federal laws, regulations and ... expertise in business analytics, business operations, sales support, and resource management within a commercial pharmaceutical organization. + Ability to focus on… more