- Evolent (Austin, TX)
- …and health plan guidelines. + Conduct research and analysis of case documentation, claims data, and medical records to ensure case files are complete. Contacts ... effectively by moving cases through the appropriate stages timely to ensure service level agreements are met. + Maintain accurate documentation and tracking in… more
- United Therapeutics (Dallas, TX)
- …criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution + Educate physician office staff on the use of ... complex reimbursement process + Experience educating HCPs on client specific patient service programs (ie copay, nurse education, patient assistance, etc.) + Ability… more
- AIG (Dallas, TX)
- …client-specific exposures and align with underwriting intent. + Work with Underwriting, Claims and Legal in drafting new policy forms and endorsements. + Support ... of prioritizing projects and responding promptly in an appropriate manner + Client Service - Ability to anticipate client (internal and external) needs and act… more
- The Cigna Group (Houston, TX)
- …database manipulation and SQL scripting skills + Strong experience with medical claims data (CPT/ICD10) + Experience with HHS ACA (or Medicare) risk adjustment ... connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this… more
- Fujifilm (Austin, TX)
- …including customer, distributor and vendor agreements; development, manufacturing and service agreements; clinical trial agreements; group purchasing agreements; and ... respect to healthcare regulatory compliance, anti-kickback statutes, the False Claims Act, US government programs and contracting compliance requirements, antitrust… more
- The Cigna Group (Austin, TX)
- …of managed care business processes, data, systems, and applications for claims payment, enrollment, benefit design, and utilization management + Strong analytical ... connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this… more
- Fresenius Medical Center (Plano, TX)
- …capacity, the Patient Account Representative - Collections provides outstanding customer service to customers and vendors through effective and timely communication. ... AND RESPONSIBILITIES: + Under general supervision, identify and resolve routine outstanding claims . + Generate and analyze diverse reports and work lists in the… more
- Voltyx (Richardson, TX)
- …pregnancy, gender identity, and sexual orientation), political affiliation, military service , national origin, age, or any other characteristics protected by ... recruiters or third-party recruiting agencies, and will not recognize claims to any unsolicited resumes or candidate information.** \#WEEMPOWERPOSSIBLE… more
- ABM Industries (Dallas, TX)
- …record information using electronic device or manual ticket * Provide excellent customer service to guests; respond to guest inquiries in a courteous manner, give ... coordinates bus evacuation activities as appropriate * Immediately reports any incidents or claims to Operations Manager or Shift Lead * Refuel and maintain shuttle… more
- Evolent (Austin, TX)
- …Ubuntu + Experience with designing and implementing well-thought-out APIs in a service -oriented architecture + Good knowledge of SQL + Good understanding of software ... creative ways is preferred + Previous healthcare experience with a focus in claims and prior authorization data is preferred **To comply with HIPAA security… more