- AUI Partners (Fort Worth, TX)
- The primary role of the Operations Schedule Manager is to plan, develop, coordinate and supervise all scheduling functions. Provide planning and scheduling services ... Project Schedules (Resource Load when appropriate) + Assists Project Managers with claims resolution 4) Estimating Support: + Perform product and vendor research +… more
- Woodforest National Bank (The Woodlands, TX)
- …job at any time. Woodforest is an Equal Opportunity Employer, including Disability and Veterans. **Job:** ** Operations * **Organization:** **Texas - Houston* ... assisting with questions and issues resolution. . Processing debit card dispute claims initiated by customers. . Review fraud trends and complete common point… more
- Baylor Scott & White Health (Dallas, TX)
- …and civil litigation matters. Reporting to the system Vice President overseeing claims for Baylor Scott & White Health (BSWH). The Director-Assistant General Counsel ... with a dynamic and growing healthcare system. The Dir-AGC will handle pre-litigation claim matters and other risk management issues. It is important for the Dir-AGC… more
- Zelis (Plano, TX)
- …decks and possesses outstanding presentation and communication skills + Partner with Operations to stand up new client sets and/or make changes to existing ... + Work independently and partners with internal PMO and Operations teams to ensure proper subject matter expertise is...of new EDI interfaces + Moderate knowledge of electronic claim processing knowledge + Expert experience working with healthcare… more
- TEKsystems (Austin, TX)
- …to determine next steps. 2. Rebilling & Appeals Submission + Focus on claims ready for appeal-already vetted and prioritized. + Write appeal letters, make calls ... Key Responsibilities + Communicate effectively via phone and email to resolve claim issues. + Determine reasons for denials and appropriate appeal pathways. +… more
- Southland Industries (Carrollton, TX)
- …to Brandt's/Southland safety department, with heavy emphasis on workers compensation claims management. **What you'll do:** + Provide administrative support to group ... supervisor's first report of injury. Set-up and maintain w/c claim filing system. + Assist with case management of...filing system. + Assist with case management of open claims through to closure; notify safety director of safety… more
- AUI Partners (TX)
- …and tool inspections. + Investigate accidents, incidents, and worker compensation claims , ensuring timely and effective resolution. + Coordinate and conduct safety ... Inspections: + Report Safety Inspection findings to the Project Superintendent and Operations team. + Ensure recommended changes have been implemented. + Routine… more
- Fresenius Medical Center (Plano, TX)
- …Representative - Collections provides administrative support to the collections operations within the assigned function(s). Through ongoing database maintenance, the ... Patient Account Representative - Collections ensures the timely receipt of claim payments and minimizes bad debt accrual. In this capacity, the Patient Account… more
- UTMB Health (Galveston, TX)
- …direction of the 340B Program Manager, this position oversees the day-to-day operations , compliance monitoring, and auditing of the University's 340B Drug Pricing ... management is optimized to maximize benefits. Performs audits including claim analysis to determine if use is compliant per...+ Partners with IS and RCO departments to ensure claims are going out with the correct modifiers and… more
- USAA (San Antonio, TX)
- …Associate Auto Adjuster. Your work will focus on adjusting non-injury auto claims and you'll work under supervision to investigate, evaluate, negotiate, and adjust ... low complexity auto insurance claims presented by or against our members. This will...procedures. + Support workload surges and catastrophe (CAT) response operations as needed, including potential evening, weekends, and/or holiday… more