- Elevance Health (Grand Prairie, TX)
- …analyzes, and coordinates prompt resolution to complex provider issues and appeals through direct contact with providers and internal matrixed partners. + ... and long term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name a few. Elevance… more
- Elevance Health (Houston, TX)
- …for services requested. + Makes medical necessity determinations for grievance and appeals appropriate for their specialty. + Ensures consistent use of company ... and long term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name a few. Elevance… more
- Evolent (Austin, TX)
- …of the request and provides clinical rationale for standard and expedited appeals . + Utilizes medical/clinical review guidelines and parameters to assure consistency ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more
- US Anesthesia Partners (Austin, TX)
- …in weekly meetings with vendor partners. + Maintains working knowledge of insurance carriers, keeping up to date and disseminating new policies and procedures. ... including, but not limited to clean claim guidelines, working. denials, writing appeals , resolving balances with carriers and patients. + Ability to work effectively… more
- Marathon Petroleum Corporation (Houston, TX)
- …plans to address adverse state and local property tax regulations. + Initiate appeals and legal challenges on valuations and regulatory issues as directed by Tax ... includes, but is not limited to, access to health, vision, and dental insurance , paid time off, 401k matching program, paid parental leave, and educational… more
- Evolent (Austin, TX)
- …subject matter expert. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls) with requesting ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more
- Elevance Health (Plano, TX)
- …Auditing the performance of Referral Specialists, assisting in the review of audit appeals and documenting audit statistics. + Associates in this role are expected ... and long term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name a few. Elevance… more
- Evolent (Austin, TX)
- …of the request and provides clinical rationale for standard and expedited appeals . + Utilizes medical/clinical review guidelines and parameters to assure consistency ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more
- Evolent (Austin, TX)
- …(NCQA) guidelines. + Provides clinical rationale for standard and expedited appeals . + Ensures documentation of all communications with medical office staff ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more
- UIC Government Services and the Bowhead Family of Companies (Houston, TX)
- …Courts, representing DHS in appellate proceedings before the Board of Immigration Appeals , and providing support and direction to the Department of Justice, Office ... Bowhead offers competitive benefits including medical, dental, vision, life insurance , accidental death and dismemberment, short/long-term disability, and 401(k)… more