- CenterWell (Austin, TX)
- …+ Support new business implementations with a goal of ensuring all pharmacy claims are processing appropriately + Drive project development and support project ... management for all product improvement initiatives + Create monthly business reviews and present to client + Escalate issues for immediate review and action whenever necessary + Request, review and approve data used for prioritization purposes + Analyze data… more
- Highmark Health (Austin, TX)
- …analytical and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong ... education/training background in coding and reimbursement **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain… more
- Zodiac Pool Systems (Dallas, TX)
- …and Fluidra sales managers + Instruct dealers on Fluidra's warranty guidelines and claims processing procedures + Represent Fluidra at local and national trade ... shows and seminars, in conjunction with Fluidra sales and marketing personnel + Work closely with Fluidra sales managers to help promote Fluidra products and services + Ability to read and interpret documents such as safety rules, operating and maintenance… more
- Baylor Scott & White Health (Temple, TX)
- …interprets explanation of benefits from payers. This helps patients and guarantors understand claims processing or denial of services. **Key Success Factors** + ... 3 years of healthcare experience or education equivalency required. + Proven ability to problem-solve, perform critical thinking. + Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette.… more
- Baylor Scott & White Health (Round Rock, TX)
- …received from payers in order to assist patients and guarantors with understanding of claims processing or denial of services by payer. **KEY SUCCESS FACTORS** + ... 3 years of healthcare experience or education equivalency required. + Proven ability to problem-solve, perform critical thinking. + Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette.… more
- Public Consulting Group (Austin, TX)
- …+ Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + ... Cost Allocation Plans and Time Studies + Cost Settlement and Supplemental Payment Strategies + Healthcare Access and Markets **Duties and Responsibilities** + Responsible for helping program recipients, family members, and caretakers navigate healthcare… more
- Humana (Austin, TX)
- …and processes + Solid understanding of healthcare operations, particularly around claims processing , enrollment, provider data management and clinical ... operations; Medicaid preferred + Comprehensive understanding of a Medicaid Managed Care architecture, tools, utilities and processes utilized to deliver on core competences + Possess 10+ years of progressive experience leading continuous improvement efforts,… more
- Consolidated Electrical Distributors (San Antonio, TX)
- …Training 6 weeks + Safety and equipment operation; shipping/receiving; freight claims ; paper processing ; backorders; warehouse organization; product familiarity ... + Counter Sales 5 months + Product knowledge; customer interface and sales ability + Operations 10 weeks + Includes credit office, service center, and administration + Inside Sales 6-7 months + Phone sales techniques; develop job requirements; joint calls with… more
- Walmart (Manor, TX)
- …by ensuring proper policies and procedures are followed Ensures the timely processing of claims forexample damaged defective returned liquidated items and ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
- Sedgwick (Houston, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation - Omaha, NE or Irving TX or Houston, TX ... PURPOSE OF THE ROLE** : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims … more