- STG International (Temple, TX)
- …Trust with Administrator 25. Monthly census dates for reconciliation of payers 26. Audit new admission files for completeness and accuracy 27. Process and submit all ... & co-insurance) collections at 99% 32. On hold unbilled claims are less than .25% of 3rd party (non-private)...mission. STGi offers a competitive benefits package which includes Medical , Dental, Vision, 401k with company match and a… more
- Mass Markets (Killeen, TX)
- …center locations. We offer competitive compensation, performance-based bonuses, comprehensive medical , dental, and vision benefits, paid vacation and holidays, and ... such as Quality Assurance, Training, IT, and Recruiting + Design and audit quality assurance strategies to ensure top-tier service delivery + Manage hiring,… more
- Mass Markets (Killeen, TX)
- …such as quality assurance, training, IT, and recruiting. + Develop and audit quality assurance strategies to ensure the delivery of world-class service + ... 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
- Mass Markets (Killeen, TX)
- …+ Critical thinking, problem solving, research skills and determination Preferred + Audit experience a plus (IRS and state tax authorities) + Bachelor's Degree ... 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
- University of Texas Rio Grande Valley (Harlingen, TX)
- …billing rules and government regulations. Provides feedback and education related to audit results. * Reviews documentation by physicians and clinical staff as well ... billing/collection staff to ensure accurate physician reimbursement is achieved and claims denials are reduced by ensuring documentation integrity. * Educates all… more
- Keurig Dr Pepper (Frisco, TX)
- …Oversight: Audit and approve transportation invoices and process freight claims . + Process Optimization: Maintain SOPs and partner with providers to drive ... and commensurate with experience. **Benefits** (Effective Day One, Where Applicable): + Medical , Dental, and Vision Insurance + Disability Coverage + Paid Time Off… more
- Caris Life Sciences (Irving, TX)
- …candidate will possess a deep understanding of molecular pathology billing, medical necessity requirements, and payor-specific policies related to laboratory and ... + Lead the appeals and reconsideration process for denied Caris claims , including those for CGP (comprehensive genomic profiling) and other proprietary… more
- CVS Health (Richardson, TX)
- …Support Services as they work with clients in the development of formularies; Rebate audit team as questions arise on audits by manufacturers and clients. + Adhering ... and/or Rebate knowledge beneficial. + Experience with Caremark business systems, claims adjudication, formulary, drug, and client systems with an emphasis on… more
- UGI Corporation (Houston, TX)
- …including tracing and problem resolution. + Perform research on customer and driver claims and special projects assigned by Team Leaders + Respond to drivers and ... of new sale agreements into accounting systems + Perform routine maintenance and audit of FAST and ERPs for carrier billing Knowledge, Skills and Abilities: +… 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 ... as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of...for new care management staff. + Participates in department audit activities. **Minimum requirements:** + Requires BA/BS in a… more