- Humana (Austin, TX)
- …timely and accurate submission of mandated reports, leveraging their understanding of claims data and Medicaid program requirements to drive accurate and timely ... pivot tables and summarizing data into reports and dashboards + Experience working with claims data + Experience working with big and complex data sets within large… more
- Sedgwick (Houston, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Data Analytics Manager **PRIMARY PURPOSE OF THE ROLE:** We are looking for a ... **QUALIFICATIONS:** + Business Acumen and Communication Skills + **Strong understanding of Insurance - Property line of business is** **a must** **.** + Ability… more
- R1 RCM (Austin, TX)
- …Qualifications: High School diploma Demonstrated extensive knowledge in the health insurance industry (Commercial Insurances, Medicare, Medicaid); health claims ... and obtain appropriate information in pursuit of resolving unpaid claims . Responsibilities: Reads and interprets expected reimbursement information from EOB's… more
- Utilities Service, LLC (Longview, TX)
- …Hourly **Benefits:** + Company-sponsored Retirement Plan + Health Insurance (Medical/Dental/Vision) + Employee Assistance Program + Life, long-term/short-term ... disability insurance **Essential Functions & Responsibilities:** + Plans, coordinates, and...be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims… more
- Metro One Loss Prevention Services Group (Plano, TX)
- …of all new hire paperwork, following-up as required. . Manage all workers' compensation claims - work directly with our insurance carrier to file and provide ... claim information and identify training or process improvements to reduce future claims . . Administer benefits program - ensure accuracy of all benefits enrollments… more
- Walgreens (Dallas, TX)
- …policies inclusive of participating in the billing and submission of claims to government- sponsored health care programs, including Medicare, Medicaid, and ... payment rejections. Resolves third-party rejection problems promptly and resubmits rejected claims for payment promptly. + Manages and attains inventory budgets to… more
- Highmark Health (Austin, TX)
- …medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior ... school diploma or GED + Experience in pharmacy prescription claims processing/submission/payment. **Preferred** + Associate degree + Pharmacy technician… more
- UIC Government Services and the Bowhead Family of Companies (Plano, TX)
- …and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual ... based on the provisions contained within The Alaska Native Claims Settlement Act. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. All… more
- Cognizant (Austin, TX)
- …accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well as timely filing deadlines and ... Medicare, Medicaid, and third-party guidelines. . Effectively document and log claims /appeals information on relevant tracking systems . Utilize critical thinking… more
- Aston Carter (Irving, TX)
- …interactions. The ideal candidate will have experience in lien and claims management as well as collections duties for accounts receivable within ... company management. + Prepare preliminary lien notices and bond claims that comply with state statutes to secure account...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more