- Public Consulting Group (Austin, TX)
- …Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost ... efficient, equitable, and client-centered + Handles case assignments, draft service plans, review case progress and determine case closure + Travels within the State… more
- Houston Methodist (Houston, TX)
- …and/or manager regarding trends to avoid further delay in claims processing. + Demonstrates understanding of fundamentals of all payors, including Medicare, ... Office (CBO). This includes, but is not limited to, resolution of charge review (where applicable) and claim edits, payor rejections, unresolved or no response… more
- Elevance Health (Houston, TX)
- …submitted DRG. **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity ... is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …Texas DepartmentLegal Affairs FTE1 FLSAExempt Scope of Job An individual contributor and manager of a team of attorney(s) and risk-management staff handling a broad ... issues arising in medical, podiatric, and allied-health education and related clinical practice(s), and on UTRGV's current or future affiliation(s) with external… more
- Humana (Austin, TX)
- …in compliance with review policies, procedures, and performance standards. o Review dental claims consistent with current ADA CDT terminology and current ... health first** The Dental Director is responsible for providing clinical oversight to promote the oral health of the...states. This is accomplished by analysis and adjudication of claims , appeals, and potential quality of care issues. The… more
- Walgreens (Plano, TX)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (Fort Worth, TX)
- …Walgreen Co. Pharmacy Code of Conduct. Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more
- Walgreens (Austin, TX)
- …as immunizations. Responsible for ensuring the proper compounding, dispensation, review and verification of prescribed medications within regulatory guidelines, ... Supports the efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory management and… more
- Walgreens (Dallas, TX)
- …as immunizations. Responsible for ensuring the proper compounding, dispensation, review and verification of prescribed medications within regulatory guidelines, ... Supports the efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory management and… more
- Walgreens (Austin, TX)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more