- Elevance Health (Houston, TX)
- …of the care management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment ... providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires BA/BS in… more
- Guidehouse (Lewisville, TX)
- …three days from home._** **Essential Job Functions** + Hospital Claims + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance Follow-up + Customer ... Would Be Nice To Have** **:** + 1+ year's medical provider experience working with UB04, appeals & denials....+ PC skills in a Windows environment. Knowledge and utilization of desktop applications to include Word and Excel.… more
- Sedgwick (Irving, TX)
- …and physician filings and decisions on appropriate treatments recommended by utilization review . + Maintains professional client relationships. **QUALIFICATIONS ... files are properly documented, and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state… more
- Elevance Health (Houston, TX)
- …of the care management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment ... providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum requirements:** + Requires BA/BS in… more
- HCA Healthcare (San Antonio, TX)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...patient care area, and for the acquisition, development, and utilization of resources (human and material) needed to fulfill… more
- Prime Healthcare (Mission, TX)
- …- 8:00am to 5:00pm (Some w eekends will be required ) Location: Mission Regional Medical Center - Mission, TX Here are some of the benefits of working at Prime ... referrals and authorizations, and managing Medicaid state submission forms for review and filing in accordance with facility procedures + Psychosocial Assessments… more
- CVS Health (Austin, TX)
- …all sales presentations. + Servicing of existing members and inquiries related to utilization of their product, benefits, etc. + Cross selling applicable products to ... + Participate in internal monitoring audits and coaching feedback sessions to review schedule adherence, quality, selling skills and compliance. + Ensuring that the… more
- Grant Thornton (Houston, TX)
- …performance reviews, task delegation, project scheduling, project financials, quality review and client management + Utilize previous consulting and industry ... year-end reviews + Meet or exceed targeted billing hours ( utilization ) + Other duties as assigned You have the...Thornton interns are eligible to participate in the firm's medical , dental and vision insurance programs and the firm's… more
- Parsons Corporation (San Antonio, TX)
- …Description:** Parsons is seeking a **Program Manager III** to support Naval Medical Research Unit - San Antonio (NAMRU-SA) and its collaborating institutions in ... including command scientific notebooks. + Assist the Government with space utilization within the scientific directorates and make recommendations accordingly. +… more
- Canon USA & Affiliates (Austin, TX)
- …and to keep the clinical/sales touch current. + Provide clinical advice to improve utilization of the system and ancillary equipment in an effort to improve the ... questions are answered satisfactorily. + Product overview presentations and image review at the specific request of field sales organization. + TRAINING… more