- Sedgwick (Austin, TX)
- …+ Provides clear and appropriate follow -up recommendations for ongoing medical management of claims ; ensures appropriate recommendations are made on ... FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical ...referred claims ; documents decision rationale; and completes medical review of all claims to ensure… 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
- Urology Clinics of North Texas (Mesquite, TX)
- …infusion cycles, and chemotherapy regimen cycles. The specialist will ensure timely follow -up on claims , accurate posting of adjustments, and effective patient ... tasks and utilize tasking tools to manage workflow. + Follow up on all oncology claims from...office-administered medications and infusion services. + Strong knowledge of medical terminology, insurance plans, claims , and billing… more
- Kelly Services (Coppell, TX)
- …with patients regarding coverage, billing concerns, and payment options. + Submit and follow up on prior authorizations and clean claims . + Process referrals ... Benefits Specialist** **$24-$25/hr (6-Month Contract) - Coppell, TX** A well-established medical organization in Coppell, TX is seeking an experienced **Patient… more
- Abbott (Austin, TX)
- …spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues ... you dream of. + Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO...in Abbott sponsored clinical trials. + Assist sites with claim submission and appeal processes and other related matters… more
- TIC - The Industrial Company (Brownsville, TX)
- …pertinent governmental regulations, company policies and procedures; and provide emergency medical support to any injured or critically ill patient. **District ... site in Brownsville, TX. **Responsibilities** * Work out of the onsite Medical Clinic * Administer audiometric, respiratory fit and pulmonary function tests *… more
- Molina Healthcare (Fort Worth, TX)
- …the Medicaid and Medicare programs as well as Marketplace. + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery ... health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU… more
- Elevance Health (Grand Prairie, TX)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... works with one provider type, eg physician, ancillary, or medical group. Provides advice and analytic support to ...and specialty care procedures and recommends policy changes and claim 's system changes to pursue cost savings. + Reviews… more
- Elevance Health (Grand Prairie, TX)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... network satisfaction. Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues. Supports large scale… more
- Elevance Health (Grand Prairie, TX)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... + Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues....impact decision making tools + Recommends policy changes and claim 's system changes to pursue cost savings. + Reviews… more