- Centene Corporation (Austin, TX)
- …in the Continental United States. **Position Purpose:** Direct and oversee claims audit operations and medical code editing scenarios. Oversee payment integrity ... years of Managed Care or CMS related experience, including compliance, claims , payment integrity, or special investigation experience required. + Previous management… more
- BrightSpring Health Services (Corpus Christi, 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
- Humana (Austin, TX)
- …in Texas and other states. This is accomplished by analysis and adjudication of claims , appeals, and potential quality of care issues. The Dental Director - Texas ... with review policies, procedures, and performance standards. o Review dental claims consistent with current ADA CDT terminology and current professional standards… more
- Humana (Austin, TX)
- …first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data Management Professional work assignments are varied ... Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience...PHI / HIPAA information Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Simplot (College Station, TX)
- …the region. Work with Crop Advisors and sales leadership to evaluate crop claims . Provide feedback and suggestions to the Digital Platform Manager for the digital ... results including product performance and placement. + Evaluate crop claims for Crop Advisors and sales leadership. + Provide...and/or training **Job Requisition ID** : 22416 **Location(s)** : Remote - USA, SGS Retail Brazos - College Station… more
- Humana (Austin, TX)
- …an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing and ... researching medical claims + Proficient in Microsoft Office (Word, Excel, Access,...forward to next round. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- BrightSpring Health Services (Lufkin, 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
- Zurich NA (Dallas, TX)
- …Diploma or Equivalent and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s...- Dallas, AM - Houston, AM - New York Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered:… more
- Sedgwick (Austin, TX)
- …to add or to change the duties of the position at any time. # remote Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- EFI Global (Fort Worth, TX)
- …in the **greater** **Austin, San Antonio, Dallas, or Houston area** . This remote role includes regular travel for in-person meetings and events, so candidates ... in one of the following areas: workers compensation, liability and disability claims management + Strong understanding of client location coding parameters, banking… more