- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …basic life, accidental death & dismemberment, short-term and long-term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k) ... sex, gender identity or gender expression, sexual orientation, age, disability , religion, national origin, veteran status, marital status, or...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …basic life, accidental death & dismemberment, short-term and long-term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k) ... sex, gender identity or gender expression, sexual orientation, age, disability , religion, national origin, veteran status, marital status, or...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Sedgwick (Austin, TX)
- …support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor. + Identifies issues ... and problem solves with a creative thinking approach + Negotiates treatment and disability duration with providers through use of medical and disability duration… more
- Sedgwick (Austin, TX)
- …and monitor successful return to work of claimants within appropriate disability duration guidelines; to determine specific physical tolerances and vocational skills ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with… 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 ... + Determine reasons for denials and appropriate appeal pathways. + Escalate claims when necessary and recommend strategic actions. + Collaborate with analysts to… more
- USAA (San Antonio, TX)
- …tools and resources to evaluate SIU referrals and identify potential fraud within claims or policies. Monitor and identify fraud trends through ongoing analysis and ... teams. **What you'll do:** + Reviews data such as claims or policy files, medical bills, vendor billing, damage...color, religion, sex, sexual orientation, gender identity, national origin, disability , or status as a protected veteran._ **If you… more
- TEKsystems (Houston, TX)
- …just picking up the phone to communicate and solve problems - determine why claims are denied - determine where to send appeals - determine whether a claim ... follow up, root cause analysis, EHR, EMR, EPIC, Cerner, medical billing, claims audit, appeals process, appeals letter, denials, insurance follow ups Top Skills… more
- Southern Glazer's Wine and Spirits (Dallas, TX)
- …prescription drug coverage, dental and vision plans, tax-saving Flexible Spending Accounts, disability coverage, life insurance plans, and a 401(k) plan. We also ... and sample withdrawals + Electronic imaging + Research shortage and miss-shipped claims + Process/enter orders and pick-ups + Handle calls from customer service… more
- Prime Therapeutics (Austin, TX)
- …+ Available for consultation in pharmacy related questions to resolve claims submission related to medication edits. + Contacts physicians/prescribers to obtain ... plan`s required timeframes. + Regularly reviews and monitors information on pended claims identified as outliers by internal and/or external analysis of pharmacy … more
- Sharecare (Austin, TX)
- …eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, ... vision plans + Support for spending accounts, pharmacy, and disability . + Assistance with incentives and rewards + Aid...resolution with providers, payers or 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization… more