- Bowman (Austin, TX)
- …by more senior staff to ensure application of sound techniques and principles. Review work produced by junior staff for quality assurance. **At the Operational and ... of values, various exhibits, partial and final liens. + Review , process, obtain approvals, code and accrue for subconsultant...that may arise as it relates to disputes, or claims + Act as liaison between operations and many… more
- JND (Plano, TX)
- …+ Generate reporting and data trend analysis on a daily/weekly/monthly basis + Weekly review and monitoring of claims for proactive risk detection + Ensure SOP ... + 6625 Excellence Way Plano, TX 75023 Benefits + Medical Insurance (Health, Dental & Vision) + Paid Time...documentation is up to date, review for areas of opportunity, implement and execute new… more
- Cardinal Health (Austin, TX)
- …laws including, Antitrust; healthcare laws and regulations, (eg, Anti-Kickback, False Claims Act, and HIPAA); and Marketing and Advertising + Demonstrate excellent ... business teams, including sales, marketing, operations and finance + Review marketing materials related to customer services and FDA...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- Sysco (Houston, TX)
- …to ensure compliance including Return to Work transitional program. + **Documentation Review :** Review medical documentation and other required paperwork ... including state paid benefit programs. + **Return to Work:** Review and audit Return to Work process for ...Review and audit Return to Work process for claims , including Return to Work transitional program, process with… more
- GAF (Ennis, TX)
- …by using daily plant interactions, review of online testing, process data review , equipment inspections, and claims feedback. Submit and implement changes in ... system to approve changes. + Lead the process design review , raw material qualification, product and process qualification, and...a wide range of health insurance options that include medical , dental, and vision for you and your family.… more
- Elevance Health (Grand Prairie, TX)
- …make an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for ... and follows up with provider on referrals given. + Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care. + Processes… more
- Southland Industries (Carrollton, TX)
- …to ensure 100% compliance and conformance. 6. Coordinate and control the development and review of task hazard analysis (THA) and job hazard analysis (JHA) for each ... operations. 9. Investigate accidents, near-misses, occupational injuries, and property damage claims . Compile data, take photos, etc.; prepare all pertinent forms… more
- Elevance Health (Grand Prairie, TX)
- …I** is responsible for coordinating cases for precertification and prior authorization review . **How will you make an impact:** + Managing incoming calls or ... incoming post services claims work. + Determines contract and benefit eligibility; provides...and post service requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the… more
- HCA Healthcare (Houston, TX)
- …will work with defense legal counsel to coordinate claim investigations; Process claims against the facility, including the preparation of records, documents, and ... and actions on all regulatory/insurance survey report recommendations/deficiencies;** + You will review and follow up with RM Notification reports for timeliness and… more
- Adecco US, Inc. (Houston, TX)
- …Center. . Prioritize the privacy and confidentiality of the patient's medical information, adhering to HIPAA regulations, and organizational policies always. . ... Utilize prescription claims data to generate clinical recommendations according to Medication Therapy Management and Retrospective Drug Utilization Review … more