- Evolent (Austin, TX)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion… more
- HCA Healthcare (San Antonio, TX)
- …**Benefits** Methodist Hospital offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and ... a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and...of the Safe Medical Device Act. + Initiates Probable Claims Report (PCR) as appropriate. Investigates, utilizing record review,… more
- Prime Therapeutics (Austin, TX)
- …in committee review meetings within the Commercial, Medicare, Medicaid, and Health Insurance Marketplace for the assigned department. This position is responsible ... Programs, Compliance, Healthcare Reform, Legal, Networks, Clinical Operations, Paper Claims , Member Materials, IT, etc.) to ensure effective collaboration,… more
- Xcel Energy (Amarillo, TX)
- …for upcoming jobs as requested. + Responsible for initiating and resolving claims when there are shortages and/or returns with suppliers and carriers. Resolve ... Medical/Pharmacy Plan, Dental, Vision, Life Insurance, Dependent Care Reimbursement Account, Health Care Reimbursement Account, Health Savings Account (HSA) (if… more
- Walgreens (Houston, TX)
- …of a pharmacist assists with healthcare service offerings including administering vaccines, health screenings, and any health services allowed by law. + ... Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with… more
- Walgreens (Weatherford, TX)
- …to medical provider as needed to ensure medication is taken correctly, health needs addressed, and satisfaction with service. + Performs pharmacist tasks including ... to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows- up with… more
- Houston Methodist (Houston, TX)
- …and mentor to less experienced staff. This position supports timely, accurate claims submission and may perform registration and/or other revenue cycle functions. ... department results. Collaborates with all members of the interprofessional health care team by actively communicating and reporting pertinent...work and live. As part of the Houston Methodist health system - one of the nation's leading … more
- Humana (Austin, TX)
- …Bonus/plus qualifications: + Cloud/Snowflake/Databricks experience + Working with Service Ops ( claims , B&E, etc. **Preferred Qualifications** + Health insurance ... part of our caring community and help us put health first** The Business Informatics Shared Services (BISS) Team...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
- Molina Healthcare (Houston, TX)
- …needs to appropriate leadership. * Assists Molina member services, pharmacies, and health plan providers in resolving member prescription claims , prior ... Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. **Essential Job… more
- HCA Healthcare (Leander, TX)
- …**Benefits** Austin Endoscopy Center offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and ... a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and...and insurance information to ensure accurate coding, billing and claims submission. **What you will do:** + You will… more