- Keurig Dr Pepper (Frisco, TX)
- …+ Provide direct support to employee's needing assistance on maneuvering complex leave claims ie: Leave denials and appeals process, guidance on return to work, ... & Consulting:** + Ensure proper management of all administrative aspects of leave claims to include tracking hours used/taken; return to work data; file reviews and… more
- Ascension Health (Cedar Park, TX)
- …accrediting agencies as required. Work with legal counsel to coordinate the investigation, processing , and defense of claims against the organization. + Enhance ... + **Schedule:** Full-time, day shift; Monday through Friday + **Hospital:** Cedar Park Medical Center + **Location:** Cedar Park, TX 78613 + Eligible for an annual… more
- Elevance Health (Grand Prairie, TX)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and ... abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions as… more
- Kelsey-Seybold Clinic (TX)
- …Preferred: N/A **Special Skills** Required: Strong knowledge of HMOPlan Design and Claims Processing Managed Care Representatives must build and maintain ... to health plan operations including benefit interpretation for providers, claims resolution, referral inquiries, general plan benefits, Kelsey-Seybold Clinic… more
- Keurig Dr Pepper (Frisco, TX)
- …and reporting improvements resulting in an efficient and effective Supplier Claims process, leveraging technology, and connecting sites/users of the goods and ... category leads, and manufacturing to reduce non-conformance incidents, resolve outstanding claims , and improve fulfillment rates. + Provides support to in-bound… more
- CVS Health (College Station, TX)
- …unless you are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that prevents them from being ... maintained at all times + Maintain prescription prioritization throughout prescription processing + Process prescriptions + Including translation of SIG codes,… more
- Humana (Austin, TX)
- …to make an impact** **Required Qualifications** + 1-5+ years of demonstrated experiencein claims processing + Minimum 1 year of proven successin root cause ... first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data Management Professional work assignments are varied… more
- Simplot (College Station, TX)
- …a true farm-to-table company with an integrated portfolio including food processing and food brands, phosphate mining, fertilizer manufacturing, farming, ranching ... the region. Work with Crop Advisors and sales leadership to evaluate crop claims . Provide feedback and suggestions to the Digital Platform Manager for the digital… more
- Humana (Austin, TX)
- …of experience researching MS-DRG, APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Old Dominion Freight Line (San Antonio, TX)
- …of all supervisory, office and clerical employees, dock, and drivers. On-going processing of claims prevention and training. Approves scheduling of, direction ... terminals monitoring cause and effect. + Conduct Safety and Claims meetings with staff and verify attendance + Work...receive: + Great Health Benefits including a Zero premium medical plan for employee only coverage + Vision &… more