- Molina Healthcare (San Antonio, TX)
- …software and medical record vendors, and other Molina departments, such as Claims , Enrollment, IT etc,. to get appropriate responses and manage contracts and ... + Maximizes use of information from multiple sources, including claims /encounters, pharmacy, utilization management, clinical indicators, industry benchmark, and/or… more
- TEKsystems (Plano, TX)
- …and denials, ensuring timely resolution and follow-up. + Process approximately 15-40 claims per day, depending on volume. + Support collections efforts by ... identifying and addressing outstanding claims . + Ensure compliance with all applicable regulatory guidelines, payer policies, and internal procedures. + Collaborate… more
- Walgreens (Bee Cave, TX)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Sedgwick (Austin, TX)
- …in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face ... AND LICENSING** RN licensure preferred; or bachelor's degree in health or human services field required with one of...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Walgreens (Fort Worth, TX)
- …the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
- IQVIA (Houston, TX)
- …cards or vouchers. The **Care Navigator** is primarily responsible for receiving medical claims from HCPs or patients and vetting the claim against program specific ... employee. **Job Responsibilities:** + Primary responsibilities involve receiving medical claims from HCPs or patients, ensuring the adequate supporting documentation… more
- Walgreens (San Antonio, TX)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Sedgwick (Austin, TX)
- …in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy ... PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._ Sedgwick is an… more
- Marathon Petroleum Corporation (San Antonio, TX)
- …and approves complex freight, lightering, time charter hire invoices and post fixture claims for chartered vessels per the charter party contract. * Maintains close ... and spot-chartered vessels.* Reconciles and negotiates complex off hire/underperformance claims for company-chartered vessels.* Completes accurate review and payment… more