- Elevance Health (San Antonio, TX)
- …impact.** The Grievance/Appeals Representative II is responsible for reviewing, analyzing and processing policies related to claims events to determine the ... part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers… more
- Methodist Health System (Dallas, TX)
- …role, you will proactively collaborate with a multidisciplinary team to deliver exceptional health and welfare benefit services to our employees who are dedicated to ... to our patients. You will be responsible for administering the Methodist Health System Benefits Plans Plan and supporting day-to-day benefits administration, the… more
- Kestra Medical Technologies, Inc (Dallas, TX)
- …by the Order Processing Manager to help facilitate the submission of claims to payers + Regularly communicate with patients to discuss their insurance benefits, ... Supervisor is responsible for supervising the day-to-day operations for the Order Processing Team by supporting the order processing needs of customers,… more
- Option Care Health (Austin, TX)
- …up on invoices submitted to ensure prompt and timely payment. Calls to verify that claims submitted were received and are in processing . Sends letters to the ... limit to the growth of your career.** Option Care Health , Inc. is the largest independent home and alternate...our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients,… more
- CVS Health (Irving, TX)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...client clinical set up. + Expertise on EZTEST (claim processing tool), Sales force, EZQYERY, EXCEL Macro, Formulary management… more
- Baylor Scott & White Health (Lakeway, TX)
- …interprets explanation of benefits from payers. This helps patients and guarantors understand claims processing or denial of services. **Key Success Factors** + ... **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals,...to time off benefits At Baylor Scott & White Health , your well-being is our top priority. Note: Benefits… more
- CVS Health (Richardson, TX)
- At CVS Health , we're building a world of health...who enjoys being consultative to work with the broader Claims Adjudication team as an SME for modern RPG ... ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health ...and replace native file IO with SQL Set based processing . + Demonstrated successful completion of several medium to… more
- Highmark Health (Austin, TX)
- …analytical and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs...of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines.… more
- Ethos Veterinary Health (San Antonio, TX)
- …Financials : Create and audit estimates/invoices, handle payments, deposits, and insurance claims . + Diagnostics : Collect and track lab samples, manage imaging ... and client satisfaction. + Proficient in administrative tasks such as word processing , file management, transcription, and email communication, as well as using… more
- Baylor Scott & White Health (Frisco, TX)
- …received from payers in order to assist patients and guarantors with understanding of claims processing or denial of services by payer. **KEY SUCCESS FACTORS** + ... highly stressful and emotional environment, to include crime, behavioral health and suffering patients in addition to life or...our offerings, which may include: + Immediate eligibility for health and welfare benefits + 401(k) savings plan with… more