- Elevance Health (Houston, TX)
- …with fraud and abuse. **How you will make an Impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities ... fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately… more
- Elevance Health (Houston, TX)
- …with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities ... fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately… more
- Zurich NA (Houston, TX)
- …be filled at either the Account Executive or Senior level. The hiring manager will determine the appropriate level based upon the selected applicant's experience and ... and 6 or more years of experience in the Claims or Underwriting Support area + Zurich Certified Insurance...color, religion, sex, sexual orientation, gender identity, national origin, disability , or protected veteran status. Zurich does not accept… more
- Elevance Health (Houston, TX)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... research and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to audit … more
- Quality Technology Services, LLC (Fort Worth, TX)
- …organized, and safe workplace. Provide updates and reporting to the Critical Operations Manager and Site Director. Stand-in for the Critical Operations Manager ... competitive benefits package that includes: medical, dental, vision, life, and disability insurance; 401(k) retirement plan; flexible spending and HSA accounts; paid… more
- International (San Antonio, TX)
- …Supervisor to join the plant's maintenance staff, reporting to the Maintenance Manager . This candidate will be responsible for daily corrective and preventive ... (eg, H-1B status) Desired Skills + Strong maintenance experience at the supervisor/ manager level + Experience tracking key metrics and responding to meet… more
- Meta (Temple, TX)
- …will review and approve all Extension of Time (EOT) requests and support the Area Manager and Area Cost Lead on the review and approval of schedule related changes ... risks are identified and communicated up to their Area Manager and the Capacity Planning process. This position will...for Delay Tracking, Extension of Time (EOT) requests and claims . Coordinate the change evaluation in collaboration with the… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …Texas DepartmentLegal Affairs FTE1 FLSAExempt Scope of Job An individual contributor and manager of a team of attorney(s) and risk-management staff handling a broad ... reimbursements, including governmental and private payors; accreditation-related issues; false claims ; tax; anti-trust; tissue or organ transplantation; collections; risk… more
- Sedgwick (Bedford, TX)
- …Automotive Customer Case Coordinators. We help auto customers through the manufacturing claims process. **_We offer benefits on day one:_** + **_401K_** + ... + Escalate customer, dealer or 3rd party issues to manager as appropriate + Ensure quality of service on...limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or… more
- CVS Health (Marshall, TX)
- …customers, caregivers, and colleagues on your team + Support your Pharmacy manager in motivating, inspiring, and developing their Pharmacy Support Staff by balancing ... + Resolve third party rejections and complete any manual claim forms + Perform all prescription pick-up procedures, in...Complete any additional tasks as directed by supervisor or manager + Complete all required training and obtain required… more