- Humana (Austin, TX)
- …team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical ... of administrative processes and organizational knowledge. **This is a remote position from anywhere in the US.** **What Humana...**What Humana Offers** We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company… more
- Danaher Corporation (Dallas, TX)
- …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE ) position is a provider / customer facing role responsible for ... Value and Access team. This position will be a remote position ideally located in the South East part...reimbursement. + Support customers with approved resources for denied claims , payer coverage expansion and inadequate reimbursement. + Respond… more
- Veterans Affairs, Veterans Health Administration (Harlingen, TX)
- …Care System (VATVCBHCS). Maintains responsibility for processing Beneficiary Travel Claims utilizing the Computerized Patient Record System (CPRS), Veterans Health ... for determining method of payment for authorized and unauthorized ambulance claims submitted for consideration. . Reconciling vouchers against authorizations for… more
- BrightSpring Health Services (Arlington, TX)
- …personnel costs, consultant services + Monitors worker's compensation and unemployment claims for assigned service site(s). Is proactive in efforts to reduce ... claims and minimize risk/exposure of agency in these areas...disability, behavioral/mental health support, in-home pharmacy solutions, telecare and remote support, supported employment and training programs, and day… more
- Oracle (Austin, TX)
- **Job Description** **Evidence Generation Lead/Snr Research Consultant, RWE, Health Outcomes** ** Remote /Work from home** Oracle Life Sciences is seeking a qualified ... studies (eg, patient survey studies, large database studies electronic health records, claims , etc.) and provide research consultation to both internal and external… more
- CVS Health (Austin, TX)
- …And we do it all with heart, each and every day. * This role is fully remote and can live anywhere in the contiguous United States * We are seeking a highly skilled ... role. + Proven experience within the healthcare industry (eg, UM/CM management, claims and appeals ) + Strong proficiency with data visualization and analytics… more
- Mass Markets (Killeen, TX)
- …services. Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies to enhance customer journeys, drive scalability ... with internal departments to resolve inquiries + Accurately document customer interactions and claims in CRM systems + Use internal knowledge bases and training to… more
- Zurich NA (Dallas, TX)
- …Diploma or Equivalent and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 12 or more years of experience in the Claims or Underwriting Support area + Knowledge of Casualty...- Schaumburg, AM - Seattle, AM - Washington DC Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered:… more
- BrightSpring Health Services (Austin, TX)
- …personnel costs, consultant services, etc + Monitors worker's compensation and unemployment claims for assigned service site(s) + Is proactive in efforts to reduce ... claims and minimize risk/exposure of agency in these areas...disability, behavioral/mental health support, in-home pharmacy solutions, telecare and remote support, supported employment and training programs, and day… more
- Centene Corporation (Austin, TX)
- …+ Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics + Perform ... care or medical group experience, provider relations, quality improvement, claims , contracting utilization management, or clinical operations. Project management… more