- Elevance Health (Grand Prairie, TX)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... claims . **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
- Sedgwick (Irving, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Leave of Absence Coordinator **Leave of Absence Coordinator** **Our teams connect! ... from some of the world's most reputable brands + An assigned mentor and manager who will guide you on your career journey + Career development and promotional… more
- Southland Industries (Carrollton, TX)
- … of status changes. + Assume point-of-contact role with regard to physicians, clinics, insurance provider, and employees with open w/c claims + Request MVRs and ... excellent benefits for you and your family: + 401(k) Plan + Competitive Pay + ** Medical , Dental, Vision Insurance ** + Term Life, AD&D Insurance , and… more
- Sedgwick (Austin, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Program Implementation Advisor **PRIMARY PURPOSE** **OF THE ROLE** To serve as the ... technology and regulatory compliance. + Serves as a project manager and process owner for all components of a...and experience required to include two (2) years of claims management, managed care or other related experience. **Skills… more
- Sedgwick (Austin, TX)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Return-to-Work Specialist **PRIMARY PURPOSE** : To negotiate, facilitate and monitor ... job site modification and/or obtaining adaptive equipment necessary; and to ensure medical , legal and accreditation standards are maintained. **ARE YOU AN IDEAL… 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
- Evolent (Austin, TX)
- …of 1 years of experience in technical quality assurance and database testing, medical benefits, provider, enrollment, and / or claims data. + Demonstrable ... The IQA reports to a associate director or a manager . One or many IQAs may be engaged in...Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are… more
- Walgreens (College Station, TX)
- …systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. ... efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory...Follows-up with insurance companies as well as medical providers… more
- Walgreens (Dallas, TX)
- …systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. ... efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory...Follows- up with insurance companies as well as medical providers… 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