- Adecco US, Inc. (San Antonio, TX)
- …patients and providers + Reviews denials and determines whether the decisions are retro/ claims DOS or prospective DOS, and whether they are NCB or medically ... request, researches and provides requested information + Works with claims department to redirect claims related appeal...screening + 401(k) Plan + Skills Training + Excellent medical , dental, and vision benefits Benefit offerings include … more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …CNS portfolio. The individual will work closely with market access, sales, medical affairs, and finance to implement commercial strategies that sustain product ... Work closely with, market access, Finance, Commercial operations, and medical teams to ensure seamless execution of brand strategies...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- CVS Health (Austin, TX)
- …day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject ... customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority… more
- Adecco US, Inc. (San Antonio, TX)
- …patients and providers . Reviews denials and determines whether the decisions are retro/ claims DOS or prospective DOS, and whether they are NCB or medically ... request, researches and provides requested information . Works with claims department to redirect claims related appeal...2+ years of related experience . Sound knowledge of medical terminology . Proficient software computer skills **Why work… more
- Norstella (Austin, TX)
- …offerings leveraging Norstella's unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be joining an organization ... accuracy and quality. *Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, to uncover actionable insights and drive… more
- Southland Industries (Carrollton, TX)
- …to Brandt's/Southland safety department, with heavy emphasis on workers compensation claims management. **What you'll do:** + Provide administrative support to group ... filing system. + Assist with case management of open claims through to closure; notify safety director of safety...your family: + 401(k) Plan + Competitive Pay + ** Medical , Dental, Vision Insurance** + Term Life, AD&D Insurance,… more
- CVS Health (Austin, TX)
- …Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/ Claims Research Medicaid team. Extensive claims research on ... and issues. + Assist in compiling claim data for audits. Determines medical necessity, applicable coverage provisions and verifies member plan eligibility relating… more
- Otsuka America Pharmaceutical Inc. (Abilene, TX)
- …innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health. In ... the respective Area Business Lead, coordinating with cross-functional colleagues in Medical (MSLs), Market Access (HSAMs), and Patient Support (PELs) under… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …degree and 15+ years of experience in a FDA regulated pharmaceutical and/or medical device industry environment + Strong knowledge of current global Good Clinical ... Previous experience of working in the global pharmaceutical and medical device industry. + Experience working with external service...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Allied Universal (Corpus Christi, TX)
- …we serve. We offer comprehensive benefits for most full-time positions, including medical , dental, and vision coverage, life insurance, a retirement plan, employee ... of payroll discrepancies, compliance reporting, uniform/equipment management, and unemployment claims . This hands-on position is responsible for branch-level administration.… more