- Cognizant (Austin, TX)
- …United States. Regardless of your working arrangement, we are here to support a healthy work-life balance though our various wellbeing programs. **Location:** Remote ... is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely and accurate adjudication of… more
- CenterWell (Athens, TX)
- …first** The primary function of the Branch Coordinator is to provide clerical support for the branch medical records and billing department. Also, responsible for ... . Complete End of Period claim workflow as part of Billing Specialist responsibilities. This includes confirming all orders are signed appropriately and coordinating… more
- Somatus (Dallas, TX)
- …a village of passionate and tenacious innovators to revolutionize an industry and support individuals living with a chronic disease to fulfill our purpose of ... + Conduct door-to-door engagement outreach for patients with telephonic barriers. + Support NP and RNCM care team members through facilitating in home telehealth… more
- University of Texas Rio Grande Valley (Edinburg, TX)
- …and benefits through various payers, including commercial insurances, Medicaid, and Medicare . + Obtains the necessary prior authorizations, referrals, and other ... General supervision from assigned supervisor. Supervision Given May supervise assigned support staff. Required Education High School Diploma or equivalent. Preferred… more
- Humana (Austin, TX)
- …the team as a Senior Product Manager working anywhere in the US. As a Specialist in NBA Execution, you'll play a hands-on role in translating strategy into real-time ... its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage… more
- Molina Healthcare (San Antonio, TX)
- …plan such as Utilization Review, Medical Claims Review, Long Term Service and Support , or other specific program experience as needed or equivalent experience (such ... MCG, InterQual or other medically appropriate clinical guidelines, Medicaid, Medicare , CHIP and Marketplace, applicable State regulatory requirements, including the… more
- STG International (Temple, TX)
- …the best experience for residents and their families. JOB SUMMARY: To support the effective operation of maintaining accurate and complete resident medical records ... for completion and accuracy. 5. Assist in ensuring that Medicare patients have timely certifications/re-certifications signed by the attending...Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse Corps -… more
- STG International (Temple, TX)
- …30. Document daily notes on unstable residents/change in resident condition, Medicare residents and recently admitted residents 31. Be responsible for the ... license from a Compact Party State. Current Basic Life Support (BLS)/Cardiopulmonary Resuscitation (CPR) certification required prior to performing...Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse Corps -… more