- Humana (Austin, TX)
- …closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid ... APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing basic… more
- Mass Markets (Killeen, TX)
- …coordinate with other departments as needed + Accurately document and process customer claims and interactions + Use training and knowledge base to answer questions ... confidentiality and care + Escalate complex issues to the appropriate team or manager + Stay current with updates by attending training sessions and reviewing new… more
- Mass Markets (Killeen, TX)
- …departments as needed + Accurately document customer interactions and process claims + Follow all client-specific procedures, scripts, and compliance requirements + ... customer questions + Escalate complex issues to the appropriate team or manager + Ensure first-call resolution through effective problem-solving + Stay current on… more
- Utilities Service, LLC (Longview, TX)
- …the benefits available for this role, please contact the recruiter or hiring manager . **Individuals with a disability who desire a reasonable accommodation can ... Insurance (Medical/Dental/Vision) + Employee Assistance Program + Life, long-term/short-term disability insurance **Essential Functions & Responsibilities:** + Plans, coordinates,… more
- HCA Healthcare (Houston, TX)
- …+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, ... From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) + Employee Health Assistance Fund that offers… more
- Elevance Health (Grand Prairie, TX)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions as… more
- Southland Industries (Schertz, TX)
- …and Fire Protection industry. Primary responsibility is to assist the Safety Manager in enforcing and regulating all safety procedures to ensure that Southland ... record of industrial equipment training. + Report and manage all company vehicle claims . + Assist in reporting workers compensation claims . + Update Material… more
- Southland Industries (Houston, TX)
- …and Fire Protection industry. Primary responsibility is to assist the Safety Manager in enforcing and regulating all safety procedures to ensure that Southland ... record of industrial equipment training. + Report and manage all company vehicle claims . + Assist in reporting workers compensation claims . + Update Material… more
- Robert Half Finance & Accounting (Houston, TX)
- …located in Downtown, Houston, TX is seeking a dedicated and experienced Assistant Risk Manager to join our team. The ideal candidate will possess a strong background ... strategies and policies. Oversee insurance programs, including policy renewals, claims management, and coverage analysis. Collaborate with fleet managers to… more
- UIC Government Services and the Bowhead Family of Companies (San Antonio, TX)
- …+ Information Assurance Security Specialist + Sr. Network Engineer + Program Manager + Change Management Specialist + Database Engineer Bowhead seeks to network ... color, religion, sex, sexual orientation, gender identity, national origin, disability , veteran status, and other protected characteristics EOE/D/V. In furtherance,… more