- Elevance Health (Houston, TX)
- …+ Requires a HS diploma or equivalent and a minimum of 4 years of claims processing and/or customer service experience; or any combination of education and ... responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the...level degree preferred. + Knowledge and experience with CIW processing . Please be advised that Elevance Health only accepts… more
- Humana (Austin, TX)
- …make an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing and ... cross functional teams and support analyzing business processes, error processing , issues and ticket creations with the product management...researching medical claims + Proficient in Microsoft Office (Word, Excel, Access,… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- **Company Overview:** Otsuka is a global healthcare company driven by our purpose "to defy limitation, so that others can too." Patients are at the center of our ... purpose as we seek to discover and deliver innovative healthcare solutions. Otsuka is a leader in the CNS...offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more
- Canon USA & Affiliates (Austin, TX)
- …and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business, ... protocol development, data acquisition, phantom studies, equipment evaluations, post processing , and development of presentations. + Provide evidence-based guidance… more
- Elevance Health (Grand Prairie, TX)
- …associated with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies ... document determinations and continue to next step in the claims lifecycle. + Researches new healthcare related...in the claims lifecycle. + Researches new healthcare related questions as necessary to aid in investigations… more
- Otsuka America Pharmaceutical Inc. (Abilene, TX)
- **Job Summary** Otsuka America Pharmaceutical Inc. is a global healthcare company with the corporate philosophy: "Otsuka-people creating new products for better ... In its evolved customer engagement model, a Neuroscience Specialist engages healthcare providers (HCPs) using in-person, virtual, and digital tools, offering… more
- Elevance Health (Grand Prairie, TX)
- …associated with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies ... document determinations and continue to next step in the claims lifecycle. + Researches new healthcare related...in the claims lifecycle. + Researches new healthcare related questions as necessary to aid in investigations… more
- ManpowerGroup (Houston, TX)
- …general business systems and their related control structures, extensive knowledge healthcare regulatory environment, including CMS, HIPAA, and HITECH regulations. * ... to the problems identified. * Must be able to utilize computer word processing , spreadsheet and graphics software applications. * Must be able to work effectively… more
- Mass Markets (TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... RESPONSIBILITIES Key Responsibilities: + Provide information to customers about various healthcare options and insurance policies. + Help customers choose the… more
- Evolent (Austin, TX)
- …Be Doing:** Job Description **Analyst, Integration Quality** Integration testing in the healthcare ecosystem requires complete end to end testing in the specialty ... source & target integrity across various databases supporting transaction processing based on the end-to-end data flow + create...work experience + General knowledge of data flow and healthcare end to end system landscape + Good knowledge… more