- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …transfer, validation support, process monitoring, troubleshooting, and lifecycle management activities conducted by external partners. **Key Responsibilities:** + ... 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
- NTT America, Inc. (Houston, TX)
- …per the requirement and according to defined business rules of new claims processing platform. + Evaluation of Configuration Requirement and Formulation of ... system + Support activities to update configuration within the core claims processing system, typically within the areas of Provider Pricing. Potential… more
- Centene Corporation (Austin, TX)
- …pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity with claims payment, utilization management , provider/vendor contracts, risk ... clinical outcomes. + Interpret and analyze data from multiple sources including claims , provider, member, and encounters data. Identify and assess the business… more
- Cardinal Health (Austin, TX)
- …data to insurance providers + Researching and appealing denied and rejected claims + Preparing, reviewing, and transmitting claims using billing software ... and paper claim processing + Following up on unpaid claims within standard billing cycle time frame + Calling...experience as a Medical Biller or within Revenue Cycle Management preferred + Strong knowledge of Microsoft Excel +… more
- Siemens (Fort Worth, TX)
- …an impact by: Warranty Claim Analysis: Manage the process of warranty claims submitted by customers, including documentation, tracking, and resolution in accordance ... switchboard installations, and conduct on-site assessments to assess warranty claims and determine appropriate actions. Customer Communication: Communicate effectively… more
- Elevance Health (Grand Prairie, TX)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... DUTIES: + Review medical record documentation in support of Evaluation and Management CPT codes. + Reviews company specific, CMS specific, and competitor specific… more
- Zurich NA (Houston, TX)
- …Diploma or Equivalent and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 12 or more years of experience in the Claims or Underwriting Support areaAND + Experience with Microsoft...property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We… more
- Texas A&M University System (Bryan, TX)
- …Administrator Agency Texas A&M University Health Science Center Department Risk Management Proposed Minimum Salary Commensurate Job Location Bryan, Texas Job Type ... I collaborates with the Assistant Vice President for Compliance and Risk Management to provide expertise in operational enterprise risk management and… more
- Robert Half Finance & Accounting (Houston, TX)
- … strategies and policies. Oversee insurance programs, including policy renewals, claims management , and coverage analysis. Collaborate with fleet managers ... our team. The ideal candidate will possess a strong background in risk management within a national or international company, along with expertise in insurance… more
- UIC Government Services and the Bowhead Family of Companies (Houston, TX)
- …timeliness, accuracy, and safety. Logistics Operations services consist of: supply management , furniture operations, moving and hauling services, bicycle program and ... maintenance support, equipment management , redistribution and utilization, packing and shipping services, receiving and inspection services, vehicle fleet … more