- Molina Healthcare (San Antonio, TX)
- …members, providers, team members, and manager. Basic understanding of managed healthcare systems and Medicare. **PREFERRED EDUCATION:** Associate's or Bachelor's ... years experience in customer service, consumer advocacy, and/or health care systems . Experience conducting intake, interviews, and/or research of consumer or… more
- Molina Healthcare (Houston, TX)
- …established. * Tracks referrals and case documents via designated state systems . * Tracks activities occurring within the transitional, assessment and authorization ... processes - using internal systems and designated state systems , and reports...position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Molina Healthcare (San Antonio, TX)
- …timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and grievance outcomes. * Requests and reviews ... * Researches claims processing guidelines, provider contracts, fee schedules and systems configurations, to determine root causes of payment errors. * Resolves… more
- Molina Healthcare (San Antonio, TX)
- …(DRG) requests. * Enters and updates recovery applications and claim systems for multiple states and prepares/creates overpayment notification letters with accuracy; ... processes claims as a refund or auto debit in claim systems and in recovery application. * Follows department processing policies and procedures including, claims… more
- Molina Healthcare (Houston, TX)
- …and/or regulatory timelines are measured correctly. * Researches claims using support systems to determine **Provider No Surprise Act** cases outcomes. . * Requests ... * Researches claims processing guidelines, provider contracts, fee schedules and systems configurations, to determine root causes of payment errors. **Required… 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 ... assures timeliness and appropriateness of responses per state, federal and Molina Healthcare guidelines. + Responsible for meeting production standards set by the… more
- Molina Healthcare (Houston, TX)
- …prepares documentation for further review. * Researches claims issues utilizing systems and other available resources. * Assures timeliness and appropriateness of ... for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- City of Baytown (Baytown, TX)
- Facilities Specialist I/II/III Print (https://www.governmentjobs.com/careers/baytowntx/jobs/newprint/4942212) Apply Facilities Specialist I/II/III Salary ... The Public Works & Engineering Department is seeking a detail-oriented Facilities Specialist to support the maintenance, repair, and operation of municipal buildings… more
- City of Baytown (Baytown, TX)
- Maintenance Mechanical Specialist I/II - Wastewater Treatment Print (https://www.governmentjobs.com/careers/baytowntx/jobs/newprint/5005567) Apply Maintenance ... Mechanical Specialist I/II - Wastewater Treatment Salary $19.02 - $26.57...completing preventive maintenance requirements on pump, motors, blowers, conveyor systems , and production machines. The ideal candidate will maintain… more
- City of Baytown (Baytown, TX)
- …and water systems operations. Preferred: + Experience with Automatic Reading Systems and/or Handheld Computers. Meter Specialist III Required: + High School ... Meter Technician/ Specialist I/II/III Print (https://www.governmentjobs.com/careers/baytowntx/jobs/newprint/5123991) Apply Meter Technician/ Specialist I/II/III… more