- 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
- Walgreens (Corpus Christi, 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
- Elevance Health (Grand Prairie, TX)
- … claims , by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria.** PRIMARY ... DUTIES: + Review medical record documentation in support of Evaluation and...reimbursement policies, and editing rules, as well as conducts clinical research, data analysis, and identification of legislative mandates… more
- Adecco US, Inc. (Houston, TX)
- …to HIPAA regulations, and organizational policies always. . Utilize prescription claims data to generate clinical recommendations according to Medication ... Therapy Management and Retrospective Drug Utilization Review program protocols providing clinical recommendations pertaining to, but not limited to, gaps in… more
- HCA Healthcare (Houston, TX)
- …collections for patient services. Under the supervision of the Business Office Manager /Business Office Supervisor, you will obtain payment from third party payers ... work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims...network. We do so with the backing of the clinical , operational, and financial expertise of a Fortune 100… more