- Prime Therapeutics (Austin, TX)
- …conclude preliminary investigation in accordance with procedures or to present to management to recommend for audit or investigation. Serves as a corporate resource ... Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the United States without the… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …related updates, strategies, and initiatives to key stakeholders and senior management . + Develop and manage comprehensive budgets for various projects ensuring ... 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
- ManpowerGroup (Irving, TX)
- …vendors and internal teams to validate labor and invoices related to damage claims . + Analyze performance data and identify opportunities for improvement in the ... new methods for data collection to enhance the efficiency of claims processing. **What's Needed?** + Comprehensive knowledge of telecommunications equipment,… 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
- Siemens (Fort Worth, TX)
- …an impact by: Warranty Claim Analysis: Manage the process of warranty claims submitted by customers, including documentation, tracking, and resolution in accordance ... switchboard installations, and conduct on-site assessments to assess warranty claims and determine appropriate actions. Customer Communication: Communicate effectively… more
- Elevance Health (Grand Prairie, TX)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... DUTIES: + Review medical record documentation in support of Evaluation and Management CPT codes. + Reviews company specific, CMS specific, and competitor specific… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …+ Work with bioanalytical team members on activities related to sample management , pharmacogenomics and biomarker development and provide analysis support related to ... 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
- CVS Health (Austin, TX)
- …Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/ Claims Research Medicaid team. Extensive claims research on ... all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit… more
- CVS Health (Austin, TX)
- …Senior Claim Benefit Specialist reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. They will act as ... customer service inquiries and problems. **Key Responsibilities** + Reviews pre-specified claims or claims that exceed specialist adjudication authority or… more
- Houston Methodist (Houston, TX)
- …for resolving all outstanding third party primary and secondary insurance claims for professional services. This position performs collections activities on simple ... denial trends for future prevention. **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with management to reduce aging of accounts by providing verbal and written… more