- Humana (Austin, TX)
- …skills to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated ... team leadership experience** **Demonstrated experience in managing projects effectively** ** Medical claims experience** **Additional Information** **_This position… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …drug development programs, including: + Understanding pharmacology of drugs and unmet medical needs. + Formulating a rationale to develop the drug in accordance ... quality. + Developing and leading formal presentations of results to the medical community, in written, verbal, andvisual formats. + Analyzes and interprets the… more
- EMCOR Group (Manchaca, TX)
- …monthly overhead expenditures to justify and/or correct budget variances. + Prepare monthly insurance loss runs and status of existing claims to determine ... chemical systems for semi-conductor manufacturers, high-tech fabrication, pharmaceutical companies, medical complexes, and other highly specialized facilities. **SUMMARY** The… more
- Adecco US, Inc. (San Antonio, TX)
- …Excellent medical , dental, and vision benefits Benefit offerings include medical , dental, vision, life insurance , short-term disability, additional voluntary ... $22.36 per hour Benefit offerings available for our associates include medical , dental, vision, life insurance , short-term disability, additional voluntary… more
- DriveTime (Fort Worth, TX)
- …years of experience in complaint resolution and/or loss mitigation; accounts payable, insurance or claims experience preferred + Associate degree or bachelor's ... and resolve any vendor invoice escalations + Handle customer complaint claims due to repossession activity through customer calls, research and communication… more
- Walmart (Sherman, TX)
- …prescription fulfillment process when necessary by processing information for third-party insurance claims ; rescanning illegible images; alerting patients to ... the pharmacist in the prescription fulfillment process; processing third party insurance claims and/or rejections; assisting patients/members with prescription… more
- Alight (TX)
- …to unique care/billing situations that require special review + Assisting in reviewing medical , dental, vision, and pharmacy related claims for accuracy to ... 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
- Allied Universal (Corpus Christi, TX)
- …we serve. We offer comprehensive benefits for most full-time positions, including medical , dental, and vision coverage, life insurance , a retirement plan, ... + Medical , dental, vision, basic life, AD&D, and disability insurance + Enrollment in our company's 401(k)plan, subject to eligibility requirements +… 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 ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Provider Auditor II** is responsible for… more
- Elevance Health (Houston, TX)
- …not eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical ... into effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management CPT codes.… more