- Texas A&M University System (Bryan, TX)
- …of risk management and compliance across multiple areas, including university, healthcare , and research. + Ability to multitask and work cooperatively with ... to comprehend and interpret policies and procedures. + Knowledge of word processing , spreadsheet, and database applications. + Knowledge of accounting methods and… more
- Walgreens (Longview, TX)
- …Seeks new and better ways to further promote productivity. + Ensures the accurate processing of insurance claims to resolve patient issues and prevent payment ... medications, awareness with drug interactions. Offers preventive and clinical healthcare services, including immunizations, diagnostic testing, and patient outcomes… more
- Humana (Austin, TX)
- …to make an impact** **Required Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience in conducting thorough root ... first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data Management Professional work assignments are varied… more
- Ascension Health (Cedar Park, TX)
- …accrediting agencies as required. Work with legal counsel to coordinate the investigation, processing , and defense of claims against the organization. + Enhance ... safety information. Collect, evaluate, and maintain data concerning injuries, complaints, claims , and/or other patient safety-related data. + Educate and train the… more
- Humana (Austin, TX)
- …of experience researching MS-DRG, APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience ... IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- Elevance Health (Grand Prairie, TX)
- …+ Experience with PBM/Plan insurance setup, including but not limited to the processing of claims adjudication and resolution of reject messaging strongly ... workflow in our contact center tool and our prescription processing system. + Partner and support pharmacists in the...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Walgreens (Carrollton, TX)
- …enhancements to pharmacy systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent ... usage of medications, awareness with drug interactions and offering preventive healthcare services such as immunizations. Responsible for ensuring the proper… more
- Methodist Health System (Dallas, TX)
- …years of experience in Human Resources, with a preference for experience in the healthcare field Your Job Responsibilities: + Act as a proactive point of contact for ... insurance carriers/vendors. + Ensure proper filing of benefits forms after processing and maintaining organized employee files. + Proactively manage and process… more
- Kelsey-Seybold Clinic (TX)
- …Preferred: N/A **Special Skills** Required: Strong knowledge of HMOPlan Design and Claims Processing Managed Care Representatives must build and maintain ... to health plan operations including benefit interpretation for providers, claims resolution, referral inquiries, general plan benefits, Kelsey-Seybold Clinic… more
- Kelsey-Seybold Clinic (TX)
- …Skills** Required: Strong knowledge of HMOPOS and TPA Plan Design and Claims Processing Member Service Representatives must build and maintain productive ... to administrative issues related to health plan operations including claims resolution, premium billing, medical benefit interpretation, organization and coverage… more