- 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 ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The Clinical Provider Auditor II is responsible for… more
- Baylor Scott & White Health (Round Rock, TX)
- …other); d) the 'lessons learned' from studying the event. + Assists the Manager of Insurance in managing claims related to property loss and visitor injury. + ... position will support two hospitals; Baylor Scott & White Medical Center - Round Rock and Baylor Scott &...patient harm. If organizational risk is found, the Corporate claims manager will review the event further. The CRM… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …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 ... labeling and translation of clinical data into commercial messaging + Partner with medical teams to align on an asset-level plan driving an aligned launch approach… more
- Otsuka America Pharmaceutical Inc. (Abilene, TX)
- …innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health. In ... the respective Area Business Lead, coordinating with cross-functional colleagues in Medical (MSLs), Market Access (HSAMs), and Patient Support (PELs) under… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …CNS portfolio. The individual will work closely with market access, sales, medical affairs, and finance to implement commercial strategies that sustain product ... Collaboration:** Work closely with, market access, Finance, Commercial operations, and medical teams to ensure seamless execution of brand strategies + **Market… 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...steps. 2. Rebilling & Appeals Submission + Focus on claims ready for appeal-already vetted and prioritized. + Write… 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...eligible for employee paid enrollment in vision and dental insurance . Hensel Phelps also believes in the importance of… more
- CVS Health (Austin, TX)
- …Litigation experience at a law firm, and/or significant experience overseeing litigated claims for an insurance carrier or corporation, including mediation ... a litigation adjuster with a large self-insured company or insurance carrier. - Ability to travel and participate in...and ability to handle a full docket of litigated claims . - Strong written and verbal communication skills, ability… more
- Sedgwick (Bedford, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Customer Case Coordinators **Our teams connect! We collaborate in the office ... Case Coordinators. We help auto customers through the manufacturing claims process. **_We offer benefits on day one:_** +...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- AON (Houston, TX)
- …employee stock purchase plan; consideration for long-term incentive awards at Aon's discretion; medical , dental and vision insurance , various types of leaves of ... employee stock purchase plan; consideration for long-term incentive awards at Aon's discretion; medical , dental and vision insurance , various types of leaves of… more