- Alight (TX)
- …situations that require special review + Assisting in reviewing medical , dental , vision, and pharmacy related claims for accuracy to ensure customers ... Be Alight. Learn more at careers.alight.com **About the Role** The Health Navigation Claims Specialist position exists to work on behalf of our customers to resolve… more
- Elevance Health (Houston, TX)
- …for fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to ... abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines...bonus programs (unless covered by a collective bargaining agreement), medical , dental , vision, short and long term… more
- Elevance Health (Houston, TX)
- …not eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical ... to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues...bonus programs (unless covered by a collective bargaining agreement), medical , dental , vision, short and long term… more
- Elevance Health (Grand Prairie, TX)
- …for fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to ... abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines...bonus programs (unless covered by a collective bargaining agreement), medical , dental , vision, short and long term… more
- Allied Universal (Tyler, TX)
- …Enjoy comprehensive benefits for most full-time positions, including medical , dental , and vision coverage, life insurance , retirement plans, employee ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance...+ Prior insurance investigations experience **BENEFITS:** + Medical , dental , vision, basic life, AD&D, and… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …in accordance with states and local laws. **Company benefits** : Comprehensive medical , dental , vision, prescription drug coverage, company provided basic life, ... this deep-rooted dedication that drives us to uncover answers to complex, underserved medical needs, so that patients can push past the limitations of their disease… more
- Otsuka America Pharmaceutical Inc. (Abilene, TX)
- …be posted for a minimum of 5 business days. **Company benefits:** Comprehensive medical , dental , vision, prescription drug coverage, company provided basic life, ... innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health. In… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …in accordance with states and local laws. **Company benefits** : Comprehensive medical , dental , vision, prescription drug coverage, company provided basic life, ... CNS portfolio. The individual will work closely with market access, sales, medical affairs, and finance to implement commercial strategies that sustain product… more
- TEKsystems (Austin, TX)
- …billing platforms. Required Skills + Revenue cycle appeal and denial resolution + Insurance follow-up and claims audit + Appeals letter writing and submission ... for someone with strong experience in appeals, denials, and insurance follow-up within the healthcare revenue cycle. You'll work...for this temporary role may include the following: * Medical , dental & vision * Critical Illness,… more
- Hensel Phelps (El Paso, TX)
- …benefits for our salaried employees. This position is eligible for company paid medical insurance , life insurance , accidental death & dismemberment, ... management of the schedule and implement controls to avoid claims . + Analyze delivery impacts, time extensions, claims...is eligible for employee paid enrollment in vision and dental insurance . Hensel Phelps also believes in… more
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