- Walgreens (Bee Cave, TX)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- TAD PGS, Inc. (Plano, TX)
- …employees on the interaction of leave laws with paid time off, workers' compensation , and short-term medical leave of absence, and FMLA. + Facilitates other leave ... navigating sensitive or complex leave scenarios. + Analyze FMLA, STD and WC claims to determine eligibility and certification in compliance with State and Federal… more
- Zelis (Plano, TX)
- …team to refine into user stories with acceptance criteria, including creating test cases/ claims with expected pricing outcomes . + Perform analysis of various data ... understanding of public and private healthcare payment systems, medical claims , standard claim coding, claim editing, contracting, preferred-provider organizations,… more
- Elevance Health (Grand Prairie, TX)
- …requirements. + Develop and analyze business performance reports (eg, for claims data, provider data, utilization data) and provides notations of performance ... Microsoft Excel experience. + Facets systems knowledge considered a plus. + Claims and/or Encounters experience preferred. + Experience with Medicaid data preferred.… more
- Saia, Inc (Sherman, TX)
- …packed with opportunity - from learning new skills and advancing to competitive compensation and great benefits. It's all here and it's exactly what _going further_ ... overages, shortages, and damages to reduce or eliminate loss and damage claims . **Major Tasks and Responsibilities** + Researches and investigates reported freight… more
- Centene Corporation (Austin, TX)
- …in the Continental United States. **Position Purpose:** Direct and oversee claims audit operations and medical code editing scenarios. Oversee payment integrity ... years of Managed Care or CMS related experience, including compliance, claims , payment integrity, or special investigation experience required. + Previous management… more
- Allied Universal (Houston, TX)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... to** **report** **to!** **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types, including workers' … more
- US Physical Therapy (Houston, TX)
- …expanding Houston team. Your role will be critical in our billing and claims department, and you will be asked to facilitate procedural requirements, including data ... to obtain prior authorizations and verify coverage. + Follow up on unpaid claims and denials. + Maintain accurate and up-to-date patient account information. +… more
- R1 RCM (Austin, TX)
- …and obtain appropriate information in pursuit of resolving unpaid claims . Responsibilities: Reads and interprets expected reimbursement information from EOB's ... in the health insurance industry (Commercial Insurances, Medicare, Medicaid); health claims billing and/or Third-Party contracts, minimum of two years experience in… more
- Walgreens (Fort Worth, TX)
- …the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more