- CVS Health (Austin, TX)
- …monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** ... appropriate customers and accounts. + Balance deposits in the accounting system. + Follow systems of checks and balances. + Allocate broker commissions for payment.… more
- Zelis (Plano, TX)
- …Data Analyst will be responsible for analyzing and managing healthcare repricing claim data, with a focus on various pricing methodologies including Medicare, ... This role involves leveraging data to ensure accurate and efficient claim processing, offer insights into contract performance, and communicate results to… more
- AUI Partners (TX)
- …and tool inspections. + Investigate accidents, incidents, and worker compensation claims , ensuring timely and effective resolution. + Coordinate and conduct safety ... + Assist the Safety Supervisor/Safety Team on Worker Compensation claims and other claims involving the public,...as guidelines. Accident and Incident Investigations + Conduct Utility Claim Investigations within 24 hours and provide a report… more
- Cardinal Health (Austin, TX)
- …to patient care + Consults with appeals department for disputed / denied claims . + Works / Understands electronic claim interchange + Understands life ... trust with customers and internal business partners. The Insurance Follow -up Collector generates revenue by monitoring and pursuing payment...cycle of primary and secondary claims + Maintains front office support relationship + Takes… more
- Houston Methodist (Houston, TX)
- …and initiate calls to ensure prompt authorization approvals and secure payment of medical claims for both hospital billing and physician billing. + Consistently ... coding team and clinical staff when coding related, and medical necessity appeals are warranted. **FINANCE ESSENTIAL FUNCTIONS** +...and regular communication with guarantors through varying methods to follow up on receipt of claims and… more
- Adecco US, Inc. (Irving, TX)
- …focused on supporting specific drug (including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer ... high-impact reimbursement cases by overseeing benefit investigations, prior authorizations, claims escalations, and appeals, ensuring timely patient access. 3.… more
- UIC Government Services and the Bowhead Family of Companies (San Antonio, TX)
- **Overview** BROOKE ARMY MEDICAL CENTER (BAMC) INFORMATION TECHNOLOGY (IT) SUPPORT (BAMCIT): Bowhead seeks individuals to network with relative to a potential ... opportunity supporting theGeographic Service Providers (GSP) Brooke Army Medical Center (BAMC) IT Support Services directorate located in San Antonio, TX. The… more
- Mass Markets (Killeen, TX)
- …the necessary information and notify business partners regarding messages, inquiries, and claim reporting + Works under close supervision + Utilize knowledge base ... + Accurately document and process customer orders in appropriate systems + Follow all required scripts, policies, and procedures + Comply with requirements… more
- HCA Healthcare (Kingwood, TX)
- …coverage; + * You will work with defense legal counsel to coordinate claim investigations; Process claims against the facility, including the preparation of ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- Baylor Scott & White Health (Austin, TX)
- …2 Years of Experience in Healthcare Analytics + 2 years working with ACA and Medical Claims , MMR, MOR, MAO-002, MAO-004 and RAPs/EDS data + Experience with ... and outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter data, submission… more