- Kemper (Dallas, TX)
- …more than 10 years of expertise in software development, solution architecture, and system design. The ideal candidate will bring deep technical skills in **IBM ... optimization initiatives. + Participate in the modernization of legacy systems using modern tech stacks and architectural best practices....enjoy great benefits:** * Qualify for your choice of health and dental plans within your first month. *… more
- Greene Tweed (Houston, TX)
- …and process related documentation is updated + Create, maintain, and use electronic data systems (SAP, QDS, etc) to ensure accurate data + Interpret customer and GTC ... of LSS tools & manufacturing fundamentals a plus. + ISO/AS Quality Management System experience preferred. + GD&T, CMI and/or ASQ experience a plus. + May… more
- Molina Healthcare (Fort Worth, TX)
- …timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance outcomes. + Requests and reviews medical ... + Research claims processing guidelines, provider contracts, fee schedules and system configurations to determine root cause of payment error. + Resolves… more
- TEKsystems (San Antonio, TX)
- …and non-regulatory flags and classify risks appropriately in case management system to ensure customer issues are addressed while maintaining compliance with ... meeting deadlines. Tech Savvy - will toggle between various systems + screens and will also be working from...employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee… more
- TEKsystems (San Antonio, TX)
- …and non-regulatory flags and classify risks appropriately in case management system to ensure customer issues are addressed while maintaining compliance with ... deadlines. + Tech Savvy - will toggle between various systems + screens and will also be working from...employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee… more
- TEKsystems (Plano, TX)
- …various back-office functions throughout the closing process. The position requires strong system navigation skills, the ability to manage a high volume of calls, ... in the closing process. + Navigate and utilize internal systems efficiently to complete daily tasks. + Maintain a...employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee… more
- Molina Healthcare (San Antonio, TX)
- …in presentations and audits. Researches claims appeals and grievances using support systems to determine appeal and grievance outcomes. + Requests and reviews ... + Research claims processing guidelines, provider contracts, fee schedules and system configurations to determine root cause of payment error (provider). +… more
- Palo Alto Networks (Plano, TX)
- …with over 1,000 eligible items selected by employees, our mental and financial health resources, and our personalized learning opportunities - just to name a few! ... steps, timely updates, and comprehensive closure summaries in the ticketing system + Conduct multi-vendor troubleshooting on complex customer engagements, ensuring a… more
- Molina Healthcare (Dallas, TX)
- …ongoing monitoring of sanctions and exclusions process for practitioners and health delivery organizations according to Molina policies and procedures. This position ... and regulatory requirements, while meeting production goals. * Communicates with health care providers to clarify questions and request any missing information.… more
- CenterWell (Port Arthur, TX)
- **Become a part of our caring community and help us put health first** The Medical Assistant 3 is the first point of contact for patient care. Responsible for ... rooms, and documenting information into the electronic medical records system . Collaborates closely with Physicians and Advanced Practice Providers. Delivers… more