- Elevance Health (Houston, TX)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (Houston, TX)
- …the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. **How ... Participates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (Houston, TX)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …**Data Integration & Management** + Explore and analyze common pharmaceuticals data (eg, claims ) as well as novel data sets based on lab and EHR systems. ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...place for the position will be considered Otsuka's sole property . No fee will be paid if a candidate… more
- Travelers Insurance Company (Richardson, TX)
- …By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover ... Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to… more
- Zurich NA (Houston, TX)
- …our customers, the candidate, and Zurich North America. At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it ... Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing employees to...Zurich North America is a leading provider of commercial property -casualty insurance solutions and a wide range of risk… more
- Zurich NA (Austin, TX)
- …Qualifications** * Bachelors Degree and 7 or more years of experience in the Claims , Consulting, Risk Engineering or Underwriting area OR * High School Diploma or ... and 9 or more years of experience in the Claims , Consulting, Risk Engineering or Underwriting area OR *...Zurich North America is a leading provider of commercial property -casualty insurance solutions and a wide range of risk… more
- Marriott (Austin, TX)
- …Manages the daily functions of the department to ensure protection of property assets, employees, guests and property . Maintains logs, certifications and ... and emergency preparedness. * Conducts hazard and risk assessments at the property to include quarterly OSHA/SAFETY audits, incident tracking, and the hazard… more
- Guidehouse (Lewisville, TX)
- …**:** None **What You Will Do** **:** The **Team Lead - Hospital Claims ** is responsible for supervising and coordinating the daily operations and activities of ... and three days working from home._** + **Strong Hospital Claims A/R & Billing Follow-up** + Mentoring of fellow...staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...place for the position will be considered Otsuka's sole property . No fee will be paid if a candidate… more