- Elevance Health (Grand Prairie, TX)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and ... fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions as… more
- UIC Government Services and the Bowhead Family of Companies (Houston, TX)
- …required. + Extensive computer/PC knowledge required including; spreadsheet software, word processing software and knowledge of MS Office Suite. + Must be ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- US Anesthesia Partners (Austin, TX)
- …without a reasonable accommodation) + Contacts insurance companies for status on outstanding claims . + Process and follow up on appeals to insurance companies. + ... Refiles claims as needed. + Works correspondence daily. + Maintains...Understanding of Medical terminology. + Advanced knowledge of insurance processing , guidelines, laws, and EOBs. + Knowledge of managed… more
- Cardinal Health (Austin, TX)
- …to patient care + Consults with appeals department for disputed / denied claims . + Works / Understands electronic claim interchange + Understands life cycle of ... primary and secondary claims + Maintains front office support relationship + Takes...accomplishing related results as needed. + Ensures that all processing and reporting deadlines are consistently achieved. + Perform… more
- Dairy Farmers of America (Winnsboro, TX)
- …concerns and disputes, escalating and recommending appropriate actions + Oversee payroll processing and process payroll as needed. Ensure that payroll processes are ... Maintain personnel files in assigned locations + Manage Worker's Compensation claims as needed. Participate in safety and risk initiatives, including… more
- Houston Forensic Science Center, Inc (Houston, TX)
- …trial programs. + Provide significant support to contracts management, ensuring timely processing of requests for contract review, drafting, and editing. + Ensure ... of the Public Information Act, Open Meetings Act, Tort Claims Act, and Local Government Code. + Demonstrated understanding...of the Public Information Act, Open Meetings Act, Tort Claims Act, and Local Government Code. + Demonstrated understanding… more
- Fresenius Medical Center (Tyler, TX)
- …AND RESPONSIBILITIES: + Under general supervision, identify and resolve routine outstanding claims . + Generate and analyze diverse reports and work lists in the ... from past due accounts. + Ensure timely receipt of claim payments; processing payments accordingly and reconciling all necessary data. + Perform all responsibilities… more
- UMB Bank (Austin, TX)
- …relationships in areas of insurance, farm, ranch, oil/gas management, and real estate processing ; serve as a vendor liaison where required. + You will review monthly ... of required Administrative Compliance reviews. + You will ensure accurate processing of all account and/or maintenance activities, resolve operational problems, and… more
- US Foods (Houston, TX)
- …warehouse:** * Ensure optimal warehouse operations by preparing and processing routine forms, reports, and documents (inbound documents, outbound documents, ... discrepancy reports, stock and damage claims , time sheets, requisitions, shipping labels, etc.) following standard procedures. * Communicate with internal and… more
- Molina Healthcare (Houston, TX)
- …applicants. * Completes data corrections in the credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems ... to determine provider status, as necessary. * Completes follow-up for provider files on 'watch' status, as necessary, following department guidelines and production goals. * Reviews and processes daily alerts for federal/state and license sanctions and… more
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