- GAP Solutions Inc (Austin, TX)
- …into various personnel record systems. + Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating ... of HR topics including but not limited to staffing, classification, processing , benefits, recruitment, compensation, SES programs, work life programs, policy and… more
- Jet Health (Granbury, TX)
- …This position coordinates systems and procedures with medical records, data entry, claims review, and personnel functions to ensure efficient operations. The BOM ... timesheets. + Assures timely approvals and submission of timecards for payroll processing . + Ensures accurate and timely billing processes and works with billing… 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
- Elevance Health (Grand Prairie, TX)
- …with PBM/Plan insurance setup, including but not limited to the processing of claims adjudication and resolution of reject messaging strongly preferred. ... service failures and workflow in our contact center tool and our prescription processing system. + Partner and support pharmacists in the performance of their… 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 ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Sedgwick (Austin, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Site Auto Appraiser (CAT Repair Solution) **PRIMARY PURPOSE** **:** To inspect, ... directly with auto repair facilities to determinate supplemental repair processing and provides a supplemental estimate. **ADDITIONAL FUNCTIONS and… more
- Integrative Emergency Services (Dallas, TX)
- …Provider Groups and individual providers with the various government and insurance healthcare payors, network managed care contracting plans, and third-party billing ... and frequent verbal and written communications with Clinicians, state payors, insurance carriers, third party billing company and internal company staff requiring… more
- Mass Markets (TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... your future with retirement savings programs, where available. + Disability Insurance :Short-term disability coverage is available to help protect you during… more
- Mass Markets (Dallas, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... your future with retirement savings programs, where available. + Disability Insurance :Short-term disability coverage is available to help protect you during… more