- Molina Healthcare (Houston, TX)
- …**Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an ... integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and… more
- Molina Healthcare (Fort Worth, TX)
- …**Job Summary** Molina Healthcare Services (HCS) is required by CMS and state agencies to coordinate benefits when other carriers are responsible for payment. This ... requires the maintenance of other insurance records and has a direct impact on medical expenses and premium reimbursement. **KNOWLEDGE/SKILLS/ABILITIES** + Provides telephone, clerical, and data entry support for the COB team. + Phones or utilizes other… more
- Elevance Health (Grand Prairie, TX)
- …prior authorization, and post service requests. + Refers cases requiring clinical review to a Nurse reviewer . + Responsible for the identification ... I** is responsible for coordinating cases for precertification and prior authorization review . **How will you make an impact:** + Managing incoming calls or… more
- Caris Life Sciences (Austin, TX)
- …(IHC) stains. + Provide interpretation of in-situ hybridization (ISH) stains. + Review batch and instrument quality control stains as needed. + Evaluate pathology ... to enable clinicians to best treat their patients. + Review all elements of a tumor profiling and sign-out...+ Participate in Quality Assurance programs, ie, serve as reviewer for cases and participate in intradepartmental conferences to… more
- Texas A&M University System (Galveston, TX)
- …reconciliation & reporting, creation and submission of departmental expense reports, review / creation /submission of specific processes and/or reports, end of ... of Department Budgets and Accounting Processes + Serves as initiator and/or reviewer of vouchers and requisitions; approves and provides back up for signing… more
- Insight Global (Denton, TX)
- …send to billing. Request insurance pre-authorizations or referral codes from Clinical Reviewer . Review patient account balances and flag patients for front ... we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills… more
- Honeywell (Houston, TX)
- …incidents and troubleshoot problems (including escalation process for the customer). + Review system performance metrics and plan / manage accordingly. + Oversee all ... within Customer's change management process + Serve as a reviewer of all significant change requests + Include an...planning meetings and support all On-Process Migrations (OPM's) + Review and advise the site on all project activities… more
- Citigroup (Irving, TX)
- …in a timely manner, in accordance with Internal Audit and Regulatory standards + Review and approve the Business Monitoring Quarterly summary and serve as lead ... reviewer for all reviews + Collaborate with teams across...our search tools and/or apply for a career opportunity review **Accessibility at Citi (https://www.citigroup.com/citi/accessibility/application-accessibility.htm)** . View the "EEO… more
- EquipmentShare (Dallas, TX)
- …in order to complete projects on time and within contract requirements + Review construction contract and pay requests in accordance with the details contract and ... to ensure compliance with EquipmentShare's building requirements and timelines + Thoroughly review , audit, and take action on errors in all hard copy documentation… more
- Citigroup (Irving, TX)
- …in a timely manner, in accordance with Internal Audit and Regulatory standards + Review and approve the Business Monitoring Quarterly summary and serve as lead ... reviewer for all reviews + Collaborate with teams across...our search tools and/or apply for a career opportunity review Accessibility at Citi (https://www.citigroup.com/citi/accessibility/application-accessibility.htm) ._ _View Citi's EEO… more