- UTMB Health (Galveston, TX)
- …Account Specialist will be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of denied professional and/or ... Texas, United States** **New** Clerical & Administrative Support UTMB Health Requisition # 2502743 **Minimum Qualifications:** High School Diploma...hospital claims . Identifies billing issues affecting hospital and/or physicians … more
- Cardinal Health (Austin, TX)
- …as required, necessary, or appropriate. + Acts as a subject matter expert in claims processing . + Processes claims : investigates insurance claims ; ... administration customer and vendor pricing, rebates, billing (including drop-ships), processing chargebacks and vendor invoices and developing and negotiating… more
- CVS Health (Austin, TX)
- …every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a ... At CVS Health , we're building a world of health...Additional Responsibilities - Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing… more
- City of College Station (College Station, TX)
- …city-wide risk management programs. Key responsibilities include contract and claims administration, loss prevention, insurance policy management, and offering ... 1. Investigate, process, and adjudicate general liability and property casualty claims , ensuring thorough and sufficient supporting evidence. 2. Maintain accurate… more
- Intermountain Health (Austin, TX)
- …**Essential Duties** 1. Oversees the day to day revenue cycle functions including claims processing , denials, payments, customer service, and follow up on ... accounts. Oversees adjustments, insurance processing and verification, accuracy of billing and payment posting. Monitors workflow to ensure timely processing .… more
- Centene Corporation (Austin, TX)
- …growth **Education/Experience:** + Bachelor's degree or equivalent experience. + 3+ years of claims processing or provider contract experience in a managed care ... **Position Purpose:** Manage all activities and personnel within the **Superior Health Plan Claims Operational Auditing Department for Market Place**… more
- CVS Health (Austin, TX)
- …+ Financial acumen + Agile, Lean and/or Six Sigma Project Management skills + Claims processing experience or End-to-End claims knowledge + Vendor management ... At CVS Health , we're building a world of health...+ Bachelor's degree or equivalent work experience with healthcare, claims processing , or vendor management **Anticipated Weekly… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- **About Otsuka Precision Health ** Founded on Otsuka's rich history in delivering breakthrough innovations to solve complex problems for patients, Otsuka Precision ... Health (OPH) is the next step in our evolution....offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more
- Sedgwick (Austin, TX)
- …federal/state leave of absence eligibility review; and to ensure the ongoing processing of claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Informs ... live within the United States. **PRIMARY PURPOSE** **:** To process claims and determine accommodation options following written guidelines and procedures pursuant… more
- CRC Insurance Services, Inc. (TX)
- …This role is focused on technical claim handling of complex general liability claims , both litigated and non-litigated. This role requires an individual to be ... accountable for the handling and disposition of claims including investigation, coverage determination, reserving, negotiation, and settlement or setting trial… more