- Centene Corporation (Austin, TX)
- …calls with members and provider offices to provide resolution to claims (ie: additional information requests and medication determination updates) + Thoroughly ... 2 years of experience Call center/customer service experience. Experience in healthcare environment (pharmacy operations, managed care, pharmacy hospitals and or… more
- Lundbeck (Dallas, TX)
- …Sales, Market Access, Trade, and Marketing + Identify customer, program and/or healthcare industry trends and escalate appropriately + Leverage expertise and skills ... and reimbursement, account management or relevant roles + Experience in claims reimbursement, including billing and coding; managed care coverage processes and… more
- SAIC (TX)
- …and integration with internal systems. Experience with both Financial and Healthcare EDI transactions using the Accredited Standards Committee (ASC) X12 standards. ... tools. + Understanding the financial procurement process. + Knowledge of Medical claims processing. + Provide excellent customer service experience. + Experience in… more
- Rush Enterprises (Dalhart, TX)
- …customers. Ensure that parts are in new re-saleable condition. + Must file freight claims for any shortages or damaged parts received within 24 hours of receipt. + ... out. Benefits: + We offer an exceptional Total Rewards package with outstanding healthcare benefits, a robust 401(k) plan with company matching, and an employee… more
- Intermountain Health (Austin, TX)
- …service behavior standards + Perform other duties as assigned **Skills** + Insurance Claims + Medical Billing + Explanation of Benefits (EOB) + Translations + ... medical billing experience, required + Minimum of six (6) months in a healthcare Cash Posting role, required + Knowledge of CPT (procedures), ICD-10 (diagnoses), and… more
- Amgen (Houston, TX)
- …and resource plan of action, considering the patient's family and team of healthcare providers to empower the patient to become their own advocate + Educate ... access + Investigate access challenges pre and post-infusion to include support for denied claims and claim reviews + Partner with Safety and PV and report AE's and… more
- Public Consulting Group (Austin, TX)
- …Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost ... Plans and Time Studies + Cost Settlement and Supplemental Payment Strategies + Healthcare Access and Markets A Test Leader oversees the testing process, developing… more
- The Cigna Group (Austin, TX)
- …to Have** + Prior **PBM/specialty pharmacy** platform knowledge (eg, claims /benefit management, care coordination, specialty workflows). + Earlier **hands‑on ... improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of… more
- CVS Health (Austin, TX)
- …- Healthcare Insurance and PBM knowledge including Prior Authorizations, Claims , Rebates, Network contracting, Sales, Call Center Ops and Pharmacy Ops - ... Business process design and development experience using SSMS (Sql Server Management Studio) Agent - SQL job monitoring, troubleshooting and issue resolution with the potential of off hour support - SQL programming, MS PowerShell, Open Query integration and… more
- Mass Markets (TX)
- …technology solutions across a wide range of industries, including healthcare , retail, government, education, telecom, technology e-commerce, and financial services. ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more