• Pharmacist

    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
    Adecco US, Inc. (07/11/25)
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  • HR Coordinator - Dallas (Temp to Permanent)

    Southland Industries (Carrollton, TX)
    …perfect for you! **What you'll do:** 1. Conduct new employee orientation. 2. Review new hire paperwork and forms for completeness and accuracy and process ... information tracking and filing (ie, applicant/new hire flow logs, coaching/ review documents, warnings, terminations, wage adjustments, etc.). 5. Maintain employee… more
    Southland Industries (05/25/25)
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  • Grievances & Appeals Representative

    Humana (Austin, TX)
    …time frame. + CAS, MedHOK experience strongly preferred + Previous experience processing medical claims **Required Work Schedule** **This is a remote role and ... issues. manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or… more
    Humana (08/19/25)
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  • Mgr, Client Service Mgt

    CVS Health (Austin, TX)
    …Monitor service performance and implement improvements, as necessary. Gain in-depth knowledge of claims system and Call Tracking System to be able to lookup and ... in daily/weekly/monthly operational calls with client and internal operations to review and calibrate client service metrics and performance guarantees. Analyze data… more
    CVS Health (08/14/25)
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  • Inpatient Coding Resolution Specialist

    HCA Healthcare (Corpus Christi, TX)
    …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...necessary (eg, combining the codes for outpatient and inpatient claims subject to the payment window) + Assist the… more
    HCA Healthcare (08/08/25)
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  • Hospital Concurrent Coding Specialist

    Intermountain Health (Austin, TX)
    …Integrity (CDI) Registered Nurses (RN) and Intermountain Physician Advisors to review complex facility encounters and assign International Classification of Diseases ... ICD-10 and Diagnosis Related Groups (DRG) codes for claims concurrently while a patient is in a hospital....reviews while patients are hospitalized. It aids in the review of quality measures including Patient Safety Indicators and… more
    Intermountain Health (08/08/25)
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  • Law Enforcement Specialist (Facility Security…

    DHS Headquarters (Grand Prairie, TX)
    …successfully pass a background investigation. This may include a credit check, a review of financial issues, as well as certain criminal offenses and illegal use ... met by the closing date of this announcement. Qualification claims will be subject to verification. NOTE: Experience refers...and as required by the task at hand. PRE-EMPLOYMENT MEDICAL REQUIREMENT: Prior to appointment, the person selected for… more
    DHS Headquarters (08/08/25)
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  • Coding Manager ELP

    Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
    …of assigned divisions for both physician and hospital coding within the Medical Coding SOM Department. + Provide direct oversight, training and guidance to ... or to clarity conflicting or ambiguous information in the medical record. + Serve as a consultant, subject matter...and questions related to assigned multi-specialty coding inventories. + Review ETM coding denials for coding error. ETM denials… more
    Texas Tech University Health Sciences Center - El Paso (08/09/25)
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  • Call Center Customer Service Manager

    Mass Markets (Killeen, TX)
    …center locations. We offer competitive compensation, performance-based bonuses, comprehensive medical , dental, and vision benefits, paid vacation and holidays, and ... meet revenue targets + Ensure accurate and timely payroll review and submission + Track and analyze individual and...cars! + Health Benefits:Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 60 days of… more
    Mass Markets (07/10/25)
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  • Employee Relations Manager (Dallas, TX) - Austin…

    Austin Industries (Dallas, TX)
    …+ Collaborates with management and Human Resources on the development and review of supporting documentation for all involuntary separations. + Evaluates labor and ... including, without limitation, providing responses in timely manner to subpoenas, claims for unemployment benefits, and appeal hearings to contest benefits requested… more
    Austin Industries (08/20/25)
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