- CDM Smith (San Antonio, TX)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...of the disaster on the applicant's assets, inventory, and operations . * Expert Testimony and Litigation Support: In cases… more
- Elevance Health (Grand Prairie, TX)
- …the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. **How ... + Participates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider inquiries, enrollment… more
- Kelly Services (Rosharon, TX)
- …partnership with a rapidly growing electrical company, is looking for Risk and Safety Manager in Rosharon, TX. This is a direct hire opportunity meaning you will be ... performance across the organization. + Collaborate with fleet and operations leadership to implement vehicle monitoring systems (telematics), maintenance standards,… more
- Molina Healthcare (TX)
- …with Customer/Member services, Provider Services, Sales, Enrollment, UM, Case Management, Claims , and other departments within Molina Medicare and Medicaid regarding ... A&G operations and dependencies. * Responsible for the A&G department service levels to include internal and external reporting requirements. * Reviews and analyzes,… more
- Catholic Health Initiatives (Houston, TX)
- …requirements. Reports are produced for Revenue Cycle functions such claims submission, insurance follow‐up, cash management, credits/refunds, charge/payment posting, ... interpreting/explaining report findings to clinic management/organizational leadership and recommending process improvements; 3) serving as principle liaison between business… more
- Zurich NA (Austin, TX)
- …ZNA business and service units as well as cross functional teams of underwriting, operations , IT, and other business partners + Work with the business and IT to ... transform the operating model through process design and technology improvements, using impactful change management...and complexity with guidance from team leads, and/or team manager . Partners with team across the business to determine… more
- Houston Methodist (Houston, TX)
- …responsible for resolving all outstanding third-party primary and secondary insurance claims for professional services. This Specialist is required to perform ... ESSENTIAL FUNCTIONS** + Collaborates with management to target complex claims and reduce aging of accounts by providing verbal...support to other team members as advised by the Manager and/or Supervisor. + Identifies denial trends and notifies… more
- Meta (Temple, TX)
- …and ensure the proper risks are identified and communicated up to their Area Manager and the Capacity Planning process . This position will work closely within ... of a North America Mega Campus Schedule Execution & Operations . The Area Schedule Lead will be the technical...Extension of Time (EOT) requests and support the Area Manager and Area Cost Lead on the review and… 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 ... and written communication. + Identifies denial trends and notifies supervisor and/or manager to prevent future denials and further delay in payments. Collaborates… more
- Walgreens (Midland, TX)
- …Supports the efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory management and ... promoting the shift of the pharmacy role from transactional to interpersonal. ** Operations ** + Counsels patients and answers their questions regarding usage of… more