- Molina Healthcare (Fort Worth, TX)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... areas of responsibility (eg, Provider Services/Provider Inquiry Research & Resolution , Provider Contracting/Provider Relationship Management). + Provides timely, accurate… more
- Republic Finance, LLC (Cedar Hill, TX)
- …in the financial services industry for you, apply today! As a Sr. Consumer Loan Specialist , you will be a key team member in the branch. Your primary responsibility ... core values, company policies, operational procedures and compliance. Processes insurance claims , follow-ups and payments daily and maintains insurance log. Provides… more
- TEKsystems (Houston, TX)
- Our Client is seeking a Procurement/Contract Specialist who can work onsite daily in Houston, Texas performing the following responsibilities: * Solicitation, ... but not limited to: Agreement/contract/amendment negotiation Contract administration Invoice resolution , supplier relations management, etc. * Contributing to Procurement… more
- Molina Healthcare (TX)
- …for reviewing and resolving member & provider complaints and communicating resolution to members (or authorized) representatives in accordance with the standards ... to appeals and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists with interdepartmental issues… more
- Republic Finance, LLC (Bedford, TX)
- …in the financial services industry for you, apply today! As a Consumer Loan Specialist , you will be a key team member in the branch. Your primary responsibility ... to quickly and efficiently resolve any customer issues. Processes insurance claims , follow-ups and payments daily and maintains insurance log. Provides excellent… more
- Mass Markets (TX)
- …partner in the industry. We are seeking a detail-oriented and analytical Quality Assurance Specialist to join our team. This role is critical in ensuring the highest ... forms to score calls based on communication skills, adherence to scripts, and problem resolution . + Analyze call data to identify trends and areas for improvement. +… more
- Bechtel Corporation (Sugar Land, TX)
- …teams, suppliers, and other BEO functional departments to resolve performance issues, claims , and contractual matters. + Ensure invoices are reviewed in a timely ... purchase orders and contracts. Background in contract negotiations and dispute resolution . # Required Skills and Knowledge: + Strong negotiation skills, including… more
- Caris Life Sciences (Irving, TX)
- …whistleblower and anonymous reporting mechanisms, ensuring timely response and resolution . * Prepare executive-level summaries and dashboards for leadership and ... Working knowledge of federal healthcare regulations, including HIPAA, Anti-Kickback Statute, False Claims Act, and Stark Law. * Strong writing skills, especially in… more
- MTC (Rosharon, TX)
- …of available insurance benefits, procedures, etc. Coordinate with insurance company regarding claims , resolution of problem cases, etc. 6. Provide follow-up ... correspondence to applicants and agencies regarding employment status. 7. Complete and maintain accurate weekly and monthly reports. 8. Type reports, maintain records and files. Maintain calendar of events, schedule appointments and take minutes of meetings.… more
- Methodist Health System (Dallas, TX)
- …as a proactive point of contact for benefit vendors, ensuring timely resolution of inquiries related to eligibility file reconciliation. + Provide exceptional ... maintaining organized employee files. + Proactively manage and process FMLA/LOA claims across the organization, ensuring compliance with Methodist policies and… more