- CVS Health (Austin, TX)
- …routine nature. + Handle incoming calls from members and providers regarding claims status, benefits and eligibility, PPO participation, etc + Maintain department ... all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit… more
- Centene Corporation (Austin, TX)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... calls with members and provider offices to provide resolution to claims (ie: additional information requests and medication determination updates) + Thoroughly… more
- Evolent (Austin, TX)
- …software/data engineering, with a focus on healthcare data. Previous leadership or management experience is preferred. + 3+ years of experience in designing ... as HIPAA, as well as healthcare systems and domains (FHIR/HL7, EMR/EHR, Claims , Members, Providers, Payors, etc.). + Experience with designing and implementing… more
- CenterWell (Vernon, TX)
- …for day-to-day coordination of telephone / personnel communication systems, overall management of agency supplies / mail, and processing of accounts payables. ... team at the branch to ensure other billing requirements are satisfied to release claims timely. + Adhere to and participate in Agency's mandatory HIPAA / Privacy… more
- Deloitte (Dallas, TX)
- …+ Prepare self-insured financial projections and support health plan management , including financial reporting, premium rate setting, and employee contributions. ... by reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against strategy. +… more
- NTT DATA North America (Plano, TX)
- …Required Skills: * 8 years in BPS process re-engineering or delivery (Lending, Claims , KYC, etc.) * Lean Six Sigma certification preferred * Strong business process ... intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We are one of the… more
- Humana (Austin, TX)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with health insurance organizations, hospitals… more
- Walmart (Tyler, TX)
- …equipment in accordance with company guidelines handling customer and merchandise claims and returns zoning the area ordering arranging and organizing merchandise99 ... Certification from Automotive Technical Institute, Bachelor of Science in Business Management and Leadership through Live Better U and Bellevue University,… more
- United Rentals (Cedar Park, TX)
- …and submitted for warranty + Monitor warranty reporting to ensure that all claims are properly brought to closure + Run Preventive Maintenance reports and schedule ... equipment maintenance related issues with a high sense of urgency + Keep Management informed of customer concerns + Ensure all service-related invoices are properly… more
- J&J Family of Companies (Dallas, TX)
- …on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local ... + Minimum of 5 years of relevant professional experience + Account Management and/or Reimbursement experience working in the hospital and/or provider office setting,… more