- Public Consulting Group (Austin, TX)
- …Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies ... Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory...cooperate with medical team throughout the entire case management process + Interacts with patients to keep track of… more
- Fun Town RV (Amarillo, TX)
- …service and offer top RV brands for less, backed by a rigorous 100+ point inspection process on every RV we sell. At Fun Town RV, we prioritize hiring candidates who ... competitive earning opportunities, we encourage you to apply! Overview: The Service Manager will oversee all aspects of the service, parts and warranty departments,… more
- Evolent (Austin, TX)
- …for the culture. **What You'll Be Doing:** **Job Summary:** The **Software Engineering Manager ** at Evolent will lead a team of software/data engineers in designing, ... and maintaining data pipelines to support healthcare data integration and operations . This role involves managing data from various healthcare systems, ensuring… more
- Molina Healthcare (Austin, TX)
- …participates in state, federal, and internal audits as needed + Participate in process improvement initiatives to improve operations + Understands the compliance ... a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the...accuracy and oversight of data entered through both automated process and manual input + Ensure quality control of… more
- AdventHealth (Burleson, TX)
- …directors, physicians, and hospital management in conjunction with the Finance Manager to provide relevant, accurate, and timely information. Performs research, ... with management based on the information. . Focus on process improvement strategies of financial outcomes in support of...to coordinate projects as required in conjunction with the manager and staff. . Ensures all documentation is current… more
- Molina Healthcare (TX)
- …highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of ... confirm outcomes meet the specific state/federal requirements. + Assists manager in establishing standards, guidelines, and best practices for...operations + Must have strong understanding of QNXT claims processes + Must be able to identify and… more
- Academy Sports + Outdoors (Katy, TX)
- …controlling for other potential avenues for fraudulent activity such as carrier claims fraud, returns fraud, social engineering of Academy's Customer Care team. + ... teams such as Loss Prevention, Customer Care, and Store Operations to create holistic processes and procedures for detecting...teams, speaking to the impact that future systems or process changes may have from a fraud perspective. +… more
- WM (Houston, TX)
- …filing and remittance of all necessary taxes resulting from company operations . **II. Essential Duties and Responsibilities** To perform this job successfully, ... filing positions. + Manages the company's response to all unemployment claims and verifications. Maintains the working relationship with the company's outside… more
- Methodist Health System (Dallas, TX)
- … improvements to optimize billing workflows and increase efficiency. Collaborate with manager and leadership to streamline operations and enhance overall revenue ... a particular emphasis on addressing and resolving no response claims , rejected or denied claims , and managing...cycle management. Maintain assigned WQ metrics. Fill in as manager back up when needed. Work special projects. -… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …job offer. For more information about the Act and the complaint process , visit Human Resources and Administration/ Operations , Security, and Preparedness ... activities, including patient transport, Special Mode Travel, mileage reimbursement claims , transportation contracts, 911 ambulance claims , inter-facility… more