- CVS Health (TX)
- …timely resolution of requests/inquiries, which include: Pharmacy, Shipping, Customer Care, Finance, Claims Processing , and Eligibility. This position may work in ... multiple types of queues and databases to resolve issues. This position also involved extensive phone interactions with member and possibly Prescribers as well. Techs will serve as the initial point of contact for Customer Care and Members before the required… more
- Highmark Health (Austin, TX)
- …(AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must ... have understanding of technical and financial aspects of the health insurance industry + Strong personal computer skills, along with the ability to use fraud/abuse data mining tools are required + Must possess excellent communication skills and be detailed… 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 + Delivery focused - time, scope, quality + In-depth knowledge of Medicaid regulations,… more
- Humana (Austin, TX)
- …make an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing and ... cross functional teams and support analyzing business processes, error processing , issues and ticket creations with the product management...researching medical claims + Proficient in Microsoft Office (Word, Excel, Access,… more
- HCA Healthcare (San Antonio, TX)
- …require HCPCS/CPT coding based on the chargemaster expertise and that are delaying claims from processing in the Patient Accounting and/or Relay Health systems. ... regulatory requirements, in order to resolve edits or exceptions detected during system processing of the claim in Patient Accounting, Relay Health or the payer.… more
- BrightSpring Health Services (Grand Prairie, TX)
- …systems. + Stay current with Medicaid claim regulations and ensure compliance in processing . + Track unpaid or delayed claims ; generate reports for management. ... Our Company PharMerica Overview PharMerica is hiring a Pharmacy Processing Tech/Cycle Process Fill in Grand Prairie, TX ! Join our closed-door pharmacy team where… more
- Consolidated Electrical Distributors (Fort Worth, TX)
- …Training 3 weeks + Safety and equipment operation; shipping/receiving; freight claims ; paper processing ; backorders; warehouse organization; product familiarity ... + Operations 10 weeks + Includes credit office, service center, and administration + Project Management 6-7 months + Track orders, Perform Take-Offs, develop job requirements, joint calls with outside salesmen, train on CED Net + Purchasing 2 months +… 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 (Fort Worth, 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
- Molina Healthcare (Dallas, TX)
- …as the Provider Online Directory, Utilization Management, Customer Experience, Enrollment, and Claims Payment and Processing . + Develop and enforce operating ... and business leaders to enable enterprise wide capabilities. Synchronizes data among multiple claims systems and application of business rules as they apply to each… more