- R1 RCM (Austin, TX)
- …knowledge in the health insurance industry (Commercial Insurances, Medicare, Medicaid); health claims billing and/or Third- Party contracts, minimum of two years ... experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines...to conduct research analysis and work closely with third party payers to answer relevant questions and obtain appropriate… more
- Bank of America (Plano, TX)
- …processes, and fraud subject matter expertise in the areas of KYC, KYB, Identity Theft, First Party Fraud and Synthetic Identities are keys to excelling in this ... improvements and efficiencies via data analysis. + Partner with claims , policy, strategy, and product teams to deliver data...matter expertise in these domains: KYC, KYB, Identity Theft, First Party Fraud and Synthetic Identities +… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …pharmaceutical experience + Prior experience in field leadership roles such as first or second line leadership, regional operational and customer strategy roles or ... a minimum of 5 business days. **Company benefits:** Comprehensive medical , dental, vision, prescription drug coverage, company provided basic...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- System One (Austin, TX)
- …including coordination with EPC partners, MEP contractors, commissioning teams, and third- party technical groups. + Oversee protection & controls, EMS/SCADA systems, ... quality troubleshooting, and other technical needs through internal experts and OEM/third- party providers. + Support incident command processes and lead Root Cause… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first ** This role supports Medicaid state reporting initiatives for its managed care operations across ... timely and accurate submission of mandated reports, leveraging their understanding of claims data and Medicaid program requirements to drive accurate and timely… more
- Norstella (Austin, TX)
- …in Product Marketing or Product Management; experience with real-world data ( claims , labs, EMR/EHR, Rx, hub/specialty pharmacy) strongly preferred. * Proven ability ... **Our Guiding Principles for success at Norstella:** 01: Bold, Passionate, and Mission- First 02: Integrity, Truth, and Reality 03: Kindness, Empathy, and Grace 04:… more
- Actalent (Irving, TX)
- …refill requests, eligibility verification, and generate refill documentation. + Process third- party claims adjudication accurately. + Read and interpret ... and assist with communications involving leadership, pharmacists, program management, and third- party hubs. Essential Skills + Pharmacy Technician License in Texas.… more
- Robert Half Finance & Accounting (Houston, TX)
- …for customers. * Document and map customer business processes and third- party integrations, identifying areas for increased client satisfaction during the sales ... * Must have a deep understanding of benefit functions * Experience in claim administration is necessary * Proficiency in Cobra administration is essential Robert… more
- Walgreens (League City, TX)
- …companies and medical providers and conducting or participating in third party audits. + Follows-up with medical providers to clarify prescribed medications, ... generics, less expensive medicines, and over-the-counter products. Refers to the medical provider, as needed, to ensure medication is taken correctly, health… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …of assigned divisions for both physician and hospital coding within the Medical Coding SOM Department. + Provide direct oversight, training and guidance to ... needed for coding and or to clarity conflicting or ambiguous information in the medical record. + Serve as a consultant, subject matter expert and liaison to TTUHSC… more