- Molina Healthcare (TX)
- …of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical… more
- Molina Healthcare (Austin, TX)
- …of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible for ... certain assets within the broader CNS TA portfolio Medical Affairs (both US and Global), with a specialization...offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- **Position Summary** : Reporting to the Vice President, Global Medical Affairs, the Executive Director, CNS Strategy, Global Medical Affairs is a leadership ... position responsible for the strategic and tactical medical plans of both global and US ...offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more
- Sedgwick (Austin, TX)
- …expertise preferred. **Skills & Knowledge** + Subject matter expertise in worker's compensation claims and/or liability claims processing + Ability to obtain ... promotional growth opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day one. **PRIMARY PURPOSE** **:** To… more
- Sedgwick (Irving, TX)
- …federal/state leave of absence eligibility review; and to ensure the ongoing processing of claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Informs ... claims status either by phone, written correspondence and/or claims system. + Reviews medical information to determine if the claimant meets the requirements… more
- Sedgwick (Irving, TX)
- …federal/state leave of absence eligibility review; and to ensure the ongoing processing of claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** * Informs ... claims status either by phone, written correspondence and/or claims system. * Reviews medical information to determine if the claimant meets the requirements… more
- Molina Healthcare (Fort Worth, TX)
- …concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system ... + Min. 2 years operational managed care experience (call center, appeals or claims environment). + Health claims processing background, including… more
- Elevance Health (Houston, TX)
- …+ Requires a HS diploma or equivalent and minimum of 4 years claims processing and/or customer service experience; or any combination of education ... + AA/AS or higher level degree preferred. + Leadership experience in a claims processing environment preferred Please be advised that Elevance Health only… more
- Cardinal Health (Austin, TX)
- …+ Mails all paper claims . + Acts as a subject matter expert in claims processing . + Manages billing queue as assigned in the appropriate system. + Manages ... done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
Recent Jobs
-
Dietitian Nutritionist I
- Sodexo (Belleville, NJ)
-
Occupational Therapist
- Seattle Children's (Federal Way, WA)
-
Mortgage Branch Production Manager (Pulte Mortgage)
- PulteGroup (Orlando, FL)
-
Behavioral Health Supervisor
- Deschutes County (Bend, OR)