- Centene Corporation (Austin, TX)
- …a Monday - Friday; 2:00 pm - 10:30 pm EST, schedule.** **Position Purpose:** The Senior Pharmacy Resolution Specialist will act as a subject matter expert ... inbound and outbound calls with members and provider offices to provide resolution to claims (ie: additional information requests and medication determination… more
- The Hartford (San Antonio, TX)
- Specialist Claims - CH07DESpecialist Claims CA - CH07DN We're determined to make a difference and are proud to be an insurance company that goes well beyond ... important role within our Complex Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims Specialist , you will be responsible for… more
- Ascension Health (Austin, TX)
- …and resolving health-care claim payment appeals and communicating resolution /determination in accordance with the standards and requirements established ... by Health and Human Services Commission. Perform routine and/or targeted audit of claims to ensure payment accuracy and adherence to state Medicaid guidelines. +… more
- Citizens (Irving, TX)
- …challenges? Citizens Bank is seeking a Single Point of Contact (SPOC) Relationship Specialist to serve as the primary liaison for borrowers throughout the default, ... available loss mitigation options, including deferrals, forbearance, loan modifications, partial claims , repayment plans, short sales, or deeds in lieu of… more
- Molina Healthcare (Fort Worth, TX)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... areas of responsibility (eg, Provider Services/Provider Inquiry Research & Resolution , Provider Contracting/Provider Relationship Management). + Provides timely, accurate… more
- NTT America, Inc. (Houston, TX)
- …for the people who work here. NTT DATA, Inc. currently seeks a "TEMP BPO Senior Specialist **"** to join our team. **Client's business problem to solve?** Our ... per the requirement and according to defined business rules of new claims processing platform. + Evaluation of Configuration Requirement and Formulation of… more