- Mass Markets (Killeen, TX)
- …+ Accuratelydocument and process customer claimsin company systems + Follow all requiredscripts, policies, and procedureswhile ensuring customer satisfaction + ... sometimes even cars! + Health Benefits:Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 60 days of employment, and all… more
- Cardinal Health (Austin, TX)
- …Operations Management oversees the business and administrative operations of a medical practice. This position is responsible for reviewing the physician's daily ... limited to radiation, chemotherapy, PET/CT, urology and scans + Follow up within 48 hours on any existing authorizations...any pre-service appeals to obtain paying approval based on medical necessity. + Communicate effectively with all RCM and… more
- Molina Healthcare (TX)
- …work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... ensuring the highest quality on every project/request. Responsible for error resolution, follow up and performance metrics monitoring. + Provides peer review of… more
- Southland Industries (Carrollton, TX)
- …are satisfied. + Complete employment verifications. + Respond to unemployment claims . + Perform additional assignments as requested/needed. + **Travel Requirements** ... your family: + 401(k) Plan + Competitive Pay + ** Medical , Dental, Vision Insurance** + Term Life, AD&D Insurance,...Feel free to share throughout your social networks and follow us on Facebook, Twitter, LinkedIn, and Instagram to… more
- Elevance Health (Houston, TX)
- …or through extra-contractual arrangements, as permissible. + Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the development ... care management treatment plans. + May also assist in problem solving with providers, claims or service issues. + Directs and/or supervises the work of any LPN/LVN,… more
- Elevance Health (Grand Prairie, TX)
- …organizations. **How you will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network ... + Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues....you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance… more
- Elevance Health (Grand Prairie, TX)
- …of the care management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment ... of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management… more
- Elevance Health (Houston, TX)
- …of the care management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment ... of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management… more
- CVS Health (Richardson, TX)
- …heart, each and every day. **Position Summary:** As part of the dynamic Claims Adjudication Development Engineering team, you will be expected to be proficient in ... are met in a timely manner. + You should have a deep understanding, follow and provide guidance to project teams and resources on principles, practices and… more
- Grundfos (Houston, TX)
- …and drive performance. + Assist with quotations, order processing, warranty claims , and related reporting. + Develop advanced documentation for nonstandard product ... prorated basis, based on your hire date within the calendar year. + Competitive medical insurance rates through medical , dental, and vision plans; and a… more