- Walmart (Spring, TX)
- …calls, manage customer queries and forward complex queries to the pharmacist. + Process insurance claims and manage payments. + Comply with all security measures ... benefits for a happier mind, body, and wallet. Health benefits include medical , vision and dental coverage. Financial benefits include 401(k), stock purchase and… more
- Humana (Austin, TX)
- …They will work closely with IT, the pricing software vendor, CIS BSS, claims operations, and other business teams involved in the administration of Medicare business ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more
- ARCO (Austin, TX)
- …for travel + 1-week paid volunteer leave each year + 100% charitable match + Medical , dental, and vision insurance coverage + 100% paid 12-week maternity leave ... in transactional practice or combination of transactional and construction litigation/ claims management is preferred + Experience leading negotiations of… more
- Zions Bancorporation (Houston, TX)
- …knowledge of word processing, database and spreadsheet software and applications. **_Benefits:_** + Medical , Dental and Vision Insurance - START DAY ONE! + Life ... mindset to actively challenge inputs (eg vendor and business claims ). + Contribute to and lead internal initiatives, including...and Disability Insurance , Paid Parental Leave and Adoption Assistance + Health… more
- Johnson, Mirmiran, and Thompson Inc. (Longview, TX)
- …(ESOP) and offer outstanding health care and other benefits, including: + Affordable Medical , Dental & Vision Insurance + Company paid Life and Disability ... CM services include c onstruction and p rogram management, construction inspection, claims s upport, scheduling and cost estimating, project controls and other… more
- CVS Health (Austin, TX)
- …efforts both internally and across departments to successfully resolve claims research, SPD/COC interpretation, letter content, state or federal regulatory ... + Understands and can respond to Executive complaints and appeals, Department of Insurance , Department of Health or Attorney General complaints or appeals on behalf… more
- Elevance Health (Grand Prairie, TX)
- …of the care management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment ... rates of reimbursement, as applicable. Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management… more
- Molina Healthcare (San Antonio, TX)
- …will work on set schedule) Looking for a RN with experience with appeals, claims review, and medical coding. JOB DESCRIPTION Job SummaryProvides support for ... services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes… more
- Elevance Health (Rockwall, TX)
- …or through extra-contractual arrangements, as permissible. + Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the development ... care management treatment plans. + May also assist in problem solving with providers, claims or service issues. + Directs and/or supervises the work of any LPN/LVN,… more
- Molina Healthcare (Houston, TX)
- …fraud, abuse, and over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types of ... experience working in a Managed Care Organization or health insurance company + Minimum of two (2) years' experience...well as Marketplace + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems +… more