• Appeals & Grievance Specialist (remote)

    Cognizant (Austin, TX)
    **Appeals & Grievance Specialist (remote)** This is a remote position open to any qualified applicant in the United States. **Job Summary:** We are seeking a ... dedicated Appeals & Grievance Specialist with 2 to 3 years of experience to...**Responsibilities:** Reviewing available Appeals & Grievances for the pending claims to verify due process was followed. Determine if… more
    Cognizant (09/04/25)
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  • Specialist , Configuration Oversight

    Molina Healthcare (Austin, TX)
    …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... unresolved errors issued on daily transactional audits and communicates with Core Operations Functional Business Partners to ensure resolution within 30 days of… more
    Molina Healthcare (09/07/25)
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  • Coding Charges & Denials Specialist…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial ... ESSENTIAL FUNCTIONS** + Analyzes data from various sources (medical records, claims data, payer medical policies, etc.), determines the causes for denials… more
    Houston Methodist (07/18/25)
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  • REMOTE Appeals Specialist

    TEKsystems (Austin, TX)
    Overview We are seeking a highly analytical and proactive Revenue Cycle Appeals Specialist to join our team. This role is ideal for someone with strong experience in ... steps. 2. Rebilling & Appeals Submission + Focus on claims ready for appeal-already vetted and prioritized. + Write...our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions.… more
    TEKsystems (09/06/25)
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  • Cash Balancing POD Adj Specialist I

    Woodforest National Bank (The Woodlands, TX)
    …Operations * **Organization:** **Texas - Houston* **Title:** *Cash Balancing POD Adj Specialist I* **Location:** *Texas-The Woodlands* **Requisition ID:** *069395* ... largest employee-owned banks in the country! The Cash Balance POD Adjustment Specialist I provides administrative and customer service support within Deposit … more
    Woodforest National Bank (08/29/25)
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  • Resource Pool Specialist

    Zurich NA (Houston, TX)
    …is highly skilled and trains in various centers providing keen insights to the operations of Travel Guard. The Resource Pool Specialist is expected to understand ... Resource Pool Specialist 119449 Zurich Cover More is seeking a...include selling and servicing our insurance products, supporting our claims centers, or providing travel assistance to our clients… more
    Zurich NA (06/20/25)
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  • Specialist - Debit Card Fraud Services I

    Woodforest National Bank (The Woodlands, TX)
    …is an Equal Opportunity Employer, including Disability and Veterans. **Job:** ** Operations * **Organization:** **Texas - Houston* **Title:** * Specialist - Debit ... of the largest employee-owned banks in the country! The Specialist , Debit Card Fraud Services I - is responsible...questions and issues resolution. . Processing debit card dispute claims initiated by customers. . Review fraud trends and… more
    Woodforest National Bank (07/22/25)
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  • Senior Quality Specialist

    CVS Health (Austin, TX)
    …both internal and external customers. Performs regular quality audits for service operations for multiple products and platforms to drive full and consistent ... both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from standard practices to… more
    CVS Health (09/02/25)
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  • Inventory Specialist

    Walgreens (Dickinson, TX)
    …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... (eg, offering help proactively, identifying needs, servicing until satisfied, etc.). ** Operations ** + Executes and coaches team members on warehouse and vendor… more
    Walgreens (09/06/25)
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  • Leave of Absence Specialist

    Elior North America (Houston, TX)
    …a multi-state environment. + Prior experience in food service, hospitality, or large-scale operations . + Leave of Absence (LOA) Specialist or Certified Leave ... some of life's most important moments. As a Leave of Absence Specialist , you will administer and coordinate company leave programs-including FMLA, ADA, short-term… more
    Elior North America (09/06/25)
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