- Meta (Austin, TX)
- …Rx channels. **Required Skills:** Product Marketing Manager - Prescription Payer Management Responsibilities: 1. Lead the definition and execution of vision ... and channel needs and mindsets 8. Manage prescription product claims , content, and pricing in B2C and B2B contexts,...9. 7+ years of experience in product marketing, product management , management consulting, business strategy in vision… more
- Elevance Health (Houston, TX)
- …Specialist Lead** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to ... cash receipts, cash application, claims audits, collections, overpayment vendor validation, and ...reporting, or other research. + Interacts with staff and management from various departments on a regular basis to… more
- Zurich NA (Austin, TX)
- …investigates, evaluates, and concludes low exposure, low complexity, mechanical breakdown claims by following established protocols to ensure that claims ... handled in the most efficient, effective way while delivering a customer-centric claims service. Determines causes of failures and reviews specific contract language… more
- Towne Park (Grapevine, TX)
- …claims are reported timely and accurately and cooperates with the Risk Management department to resolve claims + Consistently follows the progressive ... company-paid basic life and AD&D insurance as well as short-term and long-term disability . Employees are also able to enroll in the company's 401k retirement savings… more
- CVS Health (Austin, TX)
- …to determine the nature of a member's illness or injury + Identify claim cost management opportunities and refer claims for follow up + Make claim payment ... heart, each and every day. **Claim Benefit Specialist** Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists have… more
- Methodist Health System (Dallas, TX)
- …The ideal candidate will bring a robust background in healthcare revenue cycle management , with a particular emphasis on addressing and resolving no response ... claims , rejected or denied claims , and managing...trends, payer requirements, and best practices in revenue cycle management . Maintain assigned WQ metrics. Fill in as manager… more
- Sedgwick (Austin, TX)
- …General Adjuster - Southwest Region **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- Cardinal Health (Austin, TX)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Prime Therapeutics (Austin, TX)
- …business stakeholders, development team, broader project team and various levels of management . With consistent Senior Leadership visibility, the IT BSA Sr is also ... to elicit, define, and document the requirements for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements and IT… more
- Bank of America (Addison, TX)
- …quantitative metrics to demonstrate adherence to best practices + Day-to-day oversight, management , and support of Claims platform + Reviewing tools & ... **Position Summary:** + Technology architecture and design of the Claims Technology capabilities. + Stability, resiliency, performance, and disaster recovery… more